Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

MICHELLE C ZARKO

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1477867570
CMS profile
10761408
Location
SELINSGROVE, PA

General Payments · PY2021–2024

$1,223.53

  • Reported across 47 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$264.16

14 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $264.16 14

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $263.39 10
PY2022 $621.36 20
PY2023 $74.62 3
PY2024 $264.16 14

Payment records · PY2024 (14)

Sorted by paying entity, then date · as published by CMS

Program year 2024 202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Avadel CNS Pharmaceuticals, LLC $22.39 10/21/2024 Food and Beverage Undisputed 01/23/2026 1123397370 CMS
Axsome Therapeutics, Inc. $23.50 01/25/2024 Food and Beverage Undisputed 01/23/2026 1148394563 CMS
Axsome Therapeutics, Inc. $14.23 03/07/2024 Food and Beverage Undisputed 01/23/2026 1148394565 CMS
Axsome Therapeutics, Inc. $19.14 04/18/2024 Food and Beverage Undisputed 01/23/2026 1148394567 CMS
Axsome Therapeutics, Inc. $21.52 05/30/2024 Food and Beverage Undisputed 01/23/2026 1148394569 CMS
Harmony Biosciences Llc $16.82 07/22/2024 Food and Beverage Undisputed 01/23/2026 1141472458 CMS
Harmony Biosciences Llc $8.32 08/01/2024 Food and Beverage Undisputed 01/23/2026 1141471434 CMS
Harmony Biosciences Llc $11.88 08/26/2024 Food and Beverage Undisputed 01/23/2026 1141472248 CMS
HARMONY BIOSCIENCES LLC $17.27 01/31/2024 Food and Beverage Undisputed 01/23/2026 1126084375 CMS
HARMONY BIOSCIENCES LLC $24.39 02/16/2024 Food and Beverage Undisputed 01/23/2026 1126084371 CMS
HARMONY BIOSCIENCES LLC $27.24 06/12/2024 Food and Beverage Undisputed 01/23/2026 1126084369 CMS
HARMONY BIOSCIENCES LLC $23.24 06/12/2024 Food and Beverage Undisputed 01/23/2026 1126084373 CMS
Inspire Medical Systems, Inc. $17.73 09/06/2024 Food and Beverage Undisputed 01/23/2026 1148173273 CMS
Janssen Pharmaceuticals, Inc $16.49 08/23/2024 Food and Beverage Undisputed 01/23/2026 1078161129 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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