JACOB LEDESMA

Allopathic & Osteopathic Physicians|Internal Medicine RUMFORD, ME NPI 1497753271

General Payments — all program years on this page

$1,095.11

  • Category: General Payments
  • Program years: PY2018–2019
  • Record count: 76
  • As of (CMS publication): 2026-01-23

Latest program year (PY2019): $550.69 across 42 records · disputed records: 0

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

How this figure is 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

Latest program year (PY2019) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $550.6942

By paying entity

Latest program year (PY2019) · sorted by reported total.

By program year

Program yearAmountRecords
2018 $544.4234
2019 $550.6942

Records — PY2019 (42)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
657843435 Lilly USA, LLC $17.12 01/14/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
657857093 Lilly USA, LLC $14.83 09/17/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
657860361 Lilly USA, LLC $18.87 01/30/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
657860363 Lilly USA, LLC $12.96 08/09/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
658902922 Janssen Pharmaceuticals, Inc $19.30 06/11/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
659613241 Novartis Pharmaceuticals Corporation $12.88 01/03/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
659613243 Novartis Pharmaceuticals Corporation $12.79 04/01/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
662421267 Amgen Inc. $18.12 02/04/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
662421273 Amgen Inc. $22.88 05/10/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
670500557 GlaxoSmithKline, LLC. $17.25 11/20/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
670824123 GlaxoSmithKline, LLC. $14.32 05/15/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
670862261 GlaxoSmithKline, LLC. $16.77 02/11/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
671457419 GlaxoSmithKline, LLC. $15.91 03/25/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
671474897 GlaxoSmithKline, LLC. $15.21 09/03/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
673042720 PFIZER INC. $0.40 04/09/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
673043358 PFIZER INC. $0.41 05/22/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
673063703 PFIZER INC. $4.47 06/18/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
673064367 PFIZER INC. $0.50 06/18/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
673108739 PFIZER INC. $12.10 06/18/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
673115147 PFIZER INC. $14.81 02/12/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
673116889 PFIZER INC. $15.63 05/22/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
673125893 PFIZER INC. $2.34 09/03/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
673127351 PFIZER INC. $1.13 09/12/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
673127375 PFIZER INC. $12.14 09/03/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
673128243 PFIZER INC. $16.33 09/12/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
673133239 PFIZER INC. $24.00 04/09/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
673151025 PFIZER INC. $0.77 10/22/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
673210275 PFIZER INC. $15.34 10/22/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
673638791 PFIZER INC. $20.83 12/05/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
673647329 PFIZER INC. $0.31 12/05/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
673688021 PFIZER INC. $8.81 11/13/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
682024993 Takeda Pharmaceuticals U.S.A., Inc. $10.75 03/27/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
682076061 Takeda Pharmaceuticals U.S.A., Inc. $10.58 05/02/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
685014129 AstraZeneca Pharmaceuticals LP $14.08 09/11/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
685184557 AstraZeneca Pharmaceuticals LP $18.65 01/22/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
685331891 AstraZeneca Pharmaceuticals LP $13.14 01/11/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
685650973 AstraZeneca Pharmaceuticals LP $11.38 12/06/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
695385049 Merck Sharp & Dohme Corporation $11.14 03/06/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
700453177 Boehringer Ingelheim Pharmaceuticals, Inc. $25.56 12/04/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
700453179 Boehringer Ingelheim Pharmaceuticals, Inc. $20.34 09/19/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
700453181 Boehringer Ingelheim Pharmaceuticals, Inc. $14.95 03/07/2019 Food and Beverage Undisputed 01/23/2026 View at CMS
704162619 Novo Nordisk Inc $20.59 10/23/2019 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • Generated from: OP_DTL_GNRL_PGYR2019_P01232026_01102026.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.