Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

Covered recipient · General Payments record

ROSS L GUARINO

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Surgical

NPI
1487703898
CMS profile
10629532
Location
WILLIAMSVILLE, NY

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

General Payments · PY2021–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$1,621.20

95 records · 0 disputed

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

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,621.20 95

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $3,611.10 191
PY2022 $4,007.50 210
PY2023 $1,844.98 73
PY2024 $1,824.90 83
PY2025 $1,621.20 95

Payment records · PY2025 (95)

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Program year 2025 2021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Tonix Medicines, Inc. $32.94 12/11/2025 Food and Beverage No dispute reported 06/30/2026 1235876849 CMS
Collegium Pharmaceutical, Inc. $1.31 12/09/2025 Food and Beverage No dispute reported 06/30/2026 1224176775 CMS
Collegium Pharmaceutical, Inc. $12.80 12/08/2025 Food and Beverage No dispute reported 06/30/2026 1224176773 CMS
PFIZER INC. $11.82 12/03/2025 Food and Beverage No dispute reported 06/30/2026 1231193292 CMS
Teva Pharmaceuticals USA, Inc. $15.32 11/20/2025 Food and Beverage No dispute reported 06/30/2026 1247421924 CMS
Collegium Pharmaceutical, Inc. $5.21 11/18/2025 Food and Beverage No dispute reported 06/30/2026 1224176769 CMS
Collegium Pharmaceutical, Inc. $3.21 11/18/2025 Food and Beverage No dispute reported 06/30/2026 1224176771 CMS
PFIZER INC. $124.99 11/18/2025 Food and Beverage No dispute reported 06/30/2026 1229624665 CMS
Collegium Pharmaceutical, Inc. $14.02 11/12/2025 Food and Beverage No dispute reported 06/30/2026 1224176767 CMS
PFIZER INC. $11.82 11/12/2025 Food and Beverage No dispute reported 06/30/2026 1231192527 CMS
Collegium Pharmaceutical, Inc. $5.57 10/21/2025 Food and Beverage No dispute reported 06/30/2026 1224176783 CMS
Collegium Pharmaceutical, Inc. $3.39 10/21/2025 Food and Beverage No dispute reported 06/30/2026 1224176785 CMS
PFIZER INC. $11.78 10/15/2025 Food and Beverage No dispute reported 06/30/2026 1231192514 CMS
Averitas Pharma Inc. $27.12 10/08/2025 Food and Beverage No dispute reported 06/30/2026 1248561528 CMS
Collegium Pharmaceutical, Inc. $14.45 10/08/2025 Food and Beverage No dispute reported 06/30/2026 1224176777 CMS
Teva Pharmaceuticals USA, Inc. $14.14 10/07/2025 Food and Beverage No dispute reported 06/30/2026 1247421912 CMS
PFIZER INC. $12.44 10/01/2025 Food and Beverage No dispute reported 06/30/2026 1231192507 CMS
Teva Pharmaceuticals USA, Inc. $17.04 09/22/2025 Food and Beverage No dispute reported 06/30/2026 1247421908 CMS
EMD Serono, Inc. $22.59 09/17/2025 Food and Beverage No dispute reported 06/30/2026 1236870391 CMS
Mallinckrodt Hospital Products Inc. $39.75 09/17/2025 Food and Beverage No dispute reported 06/30/2026 1212017440 CMS
Collegium Pharmaceutical, Inc. $2.22 09/16/2025 Food and Beverage No dispute reported 06/30/2026 1224176761 CMS
Collegium Pharmaceutical, Inc. $4.21 09/16/2025 Food and Beverage No dispute reported 06/30/2026 1224176763 CMS
Indivior Inc. $23.74 09/15/2025 Food and Beverage No dispute reported 06/30/2026 1240526183 CMS
Teva Pharmaceuticals USA, Inc. $15.32 09/09/2025 Food and Beverage No dispute reported 06/30/2026 1247421906 CMS
Collegium Pharmaceutical, Inc. $17.93 09/03/2025 Food and Beverage No dispute reported 06/30/2026 1224176781 CMS
Lilly USA, LLC $19.62 08/27/2025 Food and Beverage No dispute reported 06/30/2026 1187313226 CMS
Celgene Corporation $13.87 08/26/2025 Food and Beverage No dispute reported 06/30/2026 1184510260 CMS
Collegium Pharmaceutical, Inc. $3.09 08/26/2025 Food and Beverage No dispute reported 06/30/2026 1224176757 CMS
Collegium Pharmaceutical, Inc. $4.08 08/26/2025 Food and Beverage No dispute reported 06/30/2026 1224176759 CMS
Collegium Pharmaceutical, Inc. $5.27 08/20/2025 Food and Beverage No dispute reported 06/30/2026 1224176753 CMS
Collegium Pharmaceutical, Inc. $3.63 08/20/2025 Food and Beverage No dispute reported 06/30/2026 1224176755 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.33 08/18/2025 Food and Beverage No dispute reported 06/30/2026 1232136022 CMS
Collegium Pharmaceutical, Inc. $17.44 07/29/2025 Food and Beverage No dispute reported 06/30/2026 1224176751 CMS
Collegium Pharmaceutical, Inc. $11.70 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1224176765 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $10.05 07/21/2025 Food and Beverage No dispute reported 06/30/2026 1232136018 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $11.02 07/21/2025 Food and Beverage No dispute reported 06/30/2026 1232136020 CMS
Collegium Pharmaceutical, Inc. $3.44 06/25/2025 Food and Beverage No dispute reported 06/30/2026 1224176747 CMS
Collegium Pharmaceutical, Inc. $4.63 06/25/2025 Food and Beverage No dispute reported 06/30/2026 1224176749 CMS
Collegium Pharmaceutical, Inc. $16.55 06/18/2025 Food and Beverage No dispute reported 06/30/2026 1224176745 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $11.07 06/17/2025 Food and Beverage No dispute reported 06/30/2026 1232136014 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.74 06/17/2025 Food and Beverage No dispute reported 06/30/2026 1232136016 CMS
Saluda Medical Americas, Inc. $67.04 06/16/2025 Food and Beverage No dispute reported 06/30/2026 1223430676 CMS
Collegium Pharmaceutical, Inc. $10.34 06/09/2025 Food and Beverage No dispute reported 06/30/2026 1224176779 CMS
PFIZER INC. $10.31 06/04/2025 Food and Beverage No dispute reported 06/30/2026 1231192490 CMS
Averitas Pharma Inc. $22.69 06/01/2025 Food and Beverage No dispute reported 06/30/2026 1248561526 CMS
Collegium Pharmaceutical, Inc. $4.68 05/28/2025 Food and Beverage No dispute reported 06/30/2026 1224176721 CMS
Collegium Pharmaceutical, Inc. $2.95 05/28/2025 Food and Beverage No dispute reported 06/30/2026 1224176743 CMS
Takeda Pharmaceuticals U.S.A., Inc. $17.93 05/27/2025 Food and Beverage No dispute reported 06/30/2026 1223998101 CMS
PFIZER INC. $21.61 05/23/2025 Food and Beverage No dispute reported 06/30/2026 1228940352 CMS
Collegium Pharmaceutical, Inc. $13.93 05/21/2025 Food and Beverage No dispute reported 06/30/2026 1224176741 CMS
CATALYST PHARMACEUTICALS, INC. $22.81 05/20/2025 Food and Beverage No dispute reported 06/30/2026 1253216660 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $16.24 05/19/2025 Food and Beverage No dispute reported 06/30/2026 1232136012 CMS
VERTEX PHARMACEUTICALS INCORPORATED $20.59 05/19/2025 Food and Beverage No dispute reported 06/30/2026 1213788952 CMS
Boston Scientific Corporation $24.70 05/15/2025 Food and Beverage No dispute reported 06/30/2026 1180996708 CMS
Boston Scientific Corporation $29.02 05/14/2025 Food and Beverage No dispute reported 06/30/2026 1180996710 CMS
Collegium Pharmaceutical, Inc. $19.03 05/14/2025 Food and Beverage No dispute reported 06/30/2026 1224176719 CMS
PFIZER INC. $10.88 05/07/2025 Food and Beverage No dispute reported 06/30/2026 1231192497 CMS
Collegium Pharmaceutical, Inc. $12.31 05/05/2025 Food and Beverage No dispute reported 06/30/2026 1224176739 CMS
Collegium Pharmaceutical, Inc. $14.36 04/28/2025 Food and Beverage No dispute reported 06/30/2026 1224176717 CMS
Collegium Pharmaceutical, Inc. $16.50 04/23/2025 Food and Beverage No dispute reported 06/30/2026 1224176715 CMS
Boston Scientific Corporation $25.59 04/17/2025 Food and Beverage No dispute reported 06/30/2026 1180996702 CMS
Collegium Pharmaceutical, Inc. $5.23 04/15/2025 Food and Beverage No dispute reported 06/30/2026 1224176735 CMS
Collegium Pharmaceutical, Inc. $3.33 04/15/2025 Food and Beverage No dispute reported 06/30/2026 1224176737 CMS
IBSA Pharma Inc. $14.95 04/10/2025 Food and Beverage No dispute reported 06/30/2026 1211697798 CMS
Collegium Pharmaceutical, Inc. $19.19 04/09/2025 Food and Beverage No dispute reported 06/30/2026 1224176723 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.68 04/07/2025 Food and Beverage No dispute reported 06/30/2026 1232136010 CMS
Abbott Laboratories $17.59 04/01/2025 Food and Beverage No dispute reported 06/30/2026 1240629368 CMS
SCILEX PHARMACEUTICALS INC. $14.46 03/25/2025 Food and Beverage No dispute reported 06/30/2026 1242592773 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $8.70 03/21/2025 Food and Beverage No dispute reported 06/30/2026 1232136008 CMS
Boston Scientific Corporation $10.75 03/19/2025 Food and Beverage No dispute reported 06/30/2026 1180996704 CMS
Collegium Pharmaceutical, Inc. $3.90 03/18/2025 Food and Beverage No dispute reported 06/30/2026 1224176711 CMS
Collegium Pharmaceutical, Inc. $2.40 03/18/2025 Food and Beverage No dispute reported 06/30/2026 1224176729 CMS
Abbott Laboratories $17.66 03/17/2025 Food and Beverage No dispute reported 06/30/2026 1240629114 CMS
Boston Scientific Corporation $11.43 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1180996700 CMS
Collegium Pharmaceutical, Inc. $2.67 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1224176725 CMS
Collegium Pharmaceutical, Inc. $3.22 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1224176727 CMS
Boston Scientific Corporation $10.85 02/26/2025 Food and Beverage No dispute reported 06/30/2026 1180996696 CMS
Boston Scientific Corporation $21.03 02/26/2025 Food and Beverage No dispute reported 06/30/2026 1180996698 CMS
Boston Scientific Corporation $7.66 02/26/2025 Food and Beverage No dispute reported 06/30/2026 1180996706 CMS
Collegium Pharmaceutical, Inc. $16.85 02/25/2025 Food and Beverage No dispute reported 06/30/2026 1224176709 CMS
SCILEX PHARMACEUTICALS INC. $13.80 02/19/2025 Food and Beverage No dispute reported 06/30/2026 1242589841 CMS
Collegium Pharmaceutical, Inc. $10.13 02/14/2025 Food and Beverage No dispute reported 06/30/2026 1224176707 CMS
PROTEGA PHARMACEUTIALS INC $169.76 02/12/2025 Food and Beverage No dispute reported 06/30/2026 1235986613 CMS
Lilly USA, LLC $14.91 02/05/2025 Food and Beverage No dispute reported 06/30/2026 1187256941 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $16.72 02/05/2025 Food and Beverage No dispute reported 06/30/2026 1232136004 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $4.36 02/05/2025 Food and Beverage No dispute reported 06/30/2026 1232136006 CMS
Collegium Pharmaceutical, Inc. $15.09 01/29/2025 Food and Beverage No dispute reported 06/30/2026 1224176705 CMS
CATALYST PHARMACEUTICALS, INC. $15.68 01/23/2025 Food and Beverage No dispute reported 06/30/2026 1253223876 CMS
Collegium Pharmaceutical, Inc. $4.48 01/23/2025 Food and Beverage No dispute reported 06/30/2026 1224176713 CMS
Collegium Pharmaceutical, Inc. $2.52 01/23/2025 Food and Beverage No dispute reported 06/30/2026 1224176731 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.55 01/23/2025 Food and Beverage No dispute reported 06/30/2026 1232136002 CMS
Lundbeck LLC $18.63 01/22/2025 Food and Beverage No dispute reported 06/30/2026 1251907265 CMS
Eisai Inc. $23.83 01/16/2025 Food and Beverage No dispute reported 06/30/2026 1244549072 CMS
SPR Therapeutics, Inc $61.45 01/08/2025 Food and Beverage No dispute reported 06/30/2026 1200830809 CMS
Collegium Pharmaceutical, Inc. $9.57 01/07/2025 Food and Beverage No dispute reported 06/30/2026 1224176733 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.

Cite this record.

Plain
ROSS L GUARINO, NPI 1487703898. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1487703898.
APA 7
IndustryPayments. (2026). ROSS L GUARINO, NPI 1487703898 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1487703898
Bluebook
ROSS L GUARINO, NPI 1487703898, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1487703898.

Source: Centers for Medicare & Medicaid Services, Open Payments.