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

Covered recipient · General Payments record

MYRA D DOWNING-SHERMAN

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1497797344
CMS profile
11246740
Location
OCALA, FL

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.

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General Payments · PY2025 · Entire year

$1,724.44

83 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

“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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . 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 ↗

By nature of payment

PY2025 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,724.44 83

By paying entity

PY2025 · entire year · sorted by reported total

Page 1 of 2; records 1–50 of 83 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

MYRA D DOWNING-SHERMAN

NPI 1497797344 · CMS profile ID 11246740

Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner / Family

OCALA, FL

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.

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.

General Payments, PY2025; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 2; records 1–50 of 83 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1497797344?year=2025&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
MYRA D DOWNING-SHERMAN, NPI 1497797344, CMS profile ID 11246740. General Payments, PY2025; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 83 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1497797344?year=2025&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e.
APA 7
IndustryPayments. (2026). MYRA D DOWNING-SHERMAN, NPI 1497797344, CMS profile ID 11246740. General Payments, PY2025; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 83 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1497797344?year=2025&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e.
Bluebook
MYRA D DOWNING-SHERMAN, NPI 1497797344, CMS profile ID 11246740, IndustryPayments, General Payments, PY2025; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 2; records 1–50 of 83 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e. https://industrypayments.org/provider/npi-1497797344?year=2025&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2025

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

General Payments · PY2025 · Physicians and non-physician practitioners · CMS publication 2026-06-30

83 matching records · $1,724.44 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 83 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 83.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Phathom Pharmaceuticals, Inc. $23.3812/03/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1219232356 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.0211/25/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1232124302 CMS
Bayer Healthcare Pharmaceuticals Inc. $23.0911/22/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1225521929 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $25.1711/13/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1222864840 CMS
PFIZER INC. $9.2211/07/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1229857208 CMS
Novo Nordisk Inc $22.7610/23/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1188416805 CMS
Lilly USA, LLC $20.2610/22/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1187309924 CMS
Otsuka America Pharmaceutical, Inc. $22.1210/16/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227672209 CMS
Phathom Pharmaceuticals, Inc. $8.9810/16/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1219232354 CMS
Novo Nordisk Inc $20.4910/15/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1188286542 CMS
PFIZER INC. $20.3310/02/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1229424513 CMS
Novo Nordisk Inc $15.8910/01/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1188754310 CMS
Bayer Healthcare Pharmaceuticals Inc. $19.3309/27/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1225521927 CMS
PFIZER INC. $24.5909/25/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1229391659 CMS
Astellas Pharma US Inc $28.9809/24/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1238667621 CMS
AstraZeneca Pharmaceuticals LP $23.1309/23/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1206168998 CMS
AstraZeneca Pharmaceuticals LP $16.0009/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1206867702 CMS
Phathom Pharmaceuticals, Inc. $13.0009/16/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1219232360 CMS
Phathom Pharmaceuticals, Inc. $8.7509/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1219232358 CMS
Novo Nordisk Inc $12.5009/04/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1188471213 CMS
Lilly USA, LLC $20.4308/27/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1187283972 CMS
AstraZeneca Pharmaceuticals LP $20.7508/20/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1206307649 CMS
Novo Nordisk Inc $11.3208/20/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1189004813 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.1908/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1222864837 CMS
PFIZER INC. $21.6208/13/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1229296769 CMS
Lilly USA, LLC $21.1408/07/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1187233343 CMS
Astellas Pharma US Inc $22.3907/29/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1238710628 CMS
Amgen Inc. $23.4907/24/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1229246755 CMS
Novo Nordisk Inc $16.5007/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1188605660 CMS
Novo Nordisk Inc $18.5206/24/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1188666467 CMS
Lilly USA, LLC $20.3906/16/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1187239940 CMS
PFIZER INC. $21.1306/10/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1231687894 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $22.4606/05/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1222864833 CMS
Phathom Pharmaceuticals, Inc. $8.2105/29/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1219344812 CMS
Exact Sciences Corporation $18.7105/23/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1235433790 CMS
Astellas Pharma US Inc $23.8005/21/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1238795633 CMS
AstraZeneca Pharmaceuticals LP $14.9005/20/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1206255395 CMS
Novo Nordisk Inc $21.6005/19/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1188266344 CMS
AstraZeneca Pharmaceuticals LP $21.2405/14/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1206908238 CMS
Novo Nordisk Inc $15.6805/13/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1188378438 CMS
Bayer Healthcare Pharmaceuticals Inc. $19.8405/12/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1225521925 CMS
AstraZeneca Pharmaceuticals LP $14.1405/09/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1206199764 CMS
Phathom Pharmaceuticals, Inc. $9.7405/07/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1219344810 CMS
Lilly USA, LLC $19.4705/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1187274797 CMS
Phathom Pharmaceuticals, Inc. $7.8705/03/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1219344808 CMS
Dexcom, Inc. $32.5504/30/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1250576093 CMS
Astellas Pharma US Inc $22.6104/29/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1238780363 CMS
GlaxoSmithKline, LLC. $22.5604/23/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1190690742 CMS
Phathom Pharmaceuticals, Inc. $124.5804/23/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1219232352 CMS
Phathom Pharmaceuticals, Inc. $17.6304/23/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1219344776 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,511.50 58
PY2022 $2,163.28 62
PY2023 $1,790.06 72
PY2024 $1,005.47 53
PY2025 $1,724.44 83

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 and profile matching
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.