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

MICHAEL A PICARIELLO

Allopathic & Osteopathic Physicians Otolaryngology Otolaryngology/Facial Plastic Surgery

NPI
1487642906
CMS profile
294424
Location
EXTON, PA

General Payments · PY2018–2024

$3,420.56

  • Reported across 165 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$623.83

25 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 $623.83 25

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $520.52 39
PY2019 $428.85 25
PY2020 $497.95 18
PY2021 $330.60 20
PY2022 $427.93 15
PY2023 $590.88 23
PY2024 $623.83 25

Payment records · PY2024 (25)

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

Program year 2024 201820192020202120222023 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
Axsome Therapeutics, Inc. $32.90 06/27/2024 Food and Beverage Undisputed 01/23/2026 1148305196 CMS
Genentech USA, Inc. $25.28 07/10/2024 Food and Beverage Undisputed 01/23/2026 1133070950 CMS
GENZYME CORPORATION $37.57 01/16/2024 Food and Beverage Undisputed 01/23/2026 1139616930 CMS
GENZYME CORPORATION $38.49 03/28/2024 Food and Beverage Undisputed 01/23/2026 1139616954 CMS
GENZYME CORPORATION $44.72 06/20/2024 Food and Beverage Undisputed 01/23/2026 1139616990 CMS
GENZYME CORPORATION $44.24 10/24/2024 Food and Beverage Undisputed 01/23/2026 1139617034 CMS
GlaxoSmithKline, LLC. $15.52 03/13/2024 Food and Beverage Undisputed 01/23/2026 1116648073 CMS
GlaxoSmithKline, LLC. $19.96 04/16/2024 Food and Beverage Undisputed 01/23/2026 1116602983 CMS
GlaxoSmithKline, LLC. $31.04 08/13/2024 Food and Beverage Undisputed 01/23/2026 1116220290 CMS
GlaxoSmithKline, LLC. $18.78 08/13/2024 Food and Beverage Undisputed 01/23/2026 1116514919 CMS
GlaxoSmithKline, LLC. $18.68 10/09/2024 Food and Beverage Undisputed 01/23/2026 1116347048 CMS
GlaxoSmithKline, LLC. $24.66 11/12/2024 Food and Beverage Undisputed 01/23/2026 1115960328 CMS
GlaxoSmithKline, LLC. $19.91 11/18/2024 Food and Beverage Undisputed 01/23/2026 1116616814 CMS
HARMONY BIOSCIENCES LLC $28.34 02/13/2024 Food and Beverage Undisputed 01/23/2026 1126087849 CMS
Integra LifeSciences Corporation $23.10 07/17/2024 Food and Beverage Undisputed 01/23/2026 1140119007 CMS
Lilly USA, LLC $19.19 04/19/2024 Food and Beverage Undisputed 01/23/2026 1135191779 CMS
Medline Industries LP $22.99 12/02/2024 Food and Beverage Undisputed 01/23/2026 1144141057 CMS
Novartis Pharmaceuticals Corporation $17.86 05/01/2024 Food and Beverage Undisputed 01/23/2026 1087308457 CMS
Optinose US, Inc. $13.17 03/21/2024 Food and Beverage Undisputed 01/23/2026 1142170038 CMS
Optinose US, Inc. $17.58 05/14/2024 Food and Beverage Undisputed 01/23/2026 1142170060 CMS
Regeneron Healthcare Solutions, Inc. $31.74 04/04/2024 Food and Beverage Undisputed 01/23/2026 1114137382 CMS
Regeneron Healthcare Solutions, Inc. $21.83 07/23/2024 Food and Beverage Undisputed 01/23/2026 1114137384 CMS
Resmed Corp $20.42 02/19/2024 Food and Beverage Undisputed 01/23/2026 1140205439 CMS
SANOFI US SERVICES INC. $20.42 09/18/2024 Food and Beverage Undisputed 01/23/2026 1139617038 CMS
VERTEX PHARMACEUTICALS INCORPORATED $15.44 12/03/2024 Food and Beverage Undisputed 01/23/2026 1105911264 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
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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