VIVIAN SEAL

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family MOUNT AIRY, NC NPI 1497825657

General Payments — all program years on this page

$2,409.41

  • Category: General Payments
  • Program years: PY2021–2024
  • Record count: 134
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $613.56 across 31 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 (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $613.5631

By paying entity

Latest program year (PY2024) · sorted by reported total.

By program year

Program yearAmountRecords
2021 $311.4020
2022 $679.4339
2023 $805.0244
2024 $613.5631

Records — PY2024 (31)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1087255367 Novartis Pharmaceuticals Corporation $23.00 06/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1092353223 Boston Scientific Corporation $24.99 07/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104322780 AstraZeneca Pharmaceuticals LP $15.77 01/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104454004 AstraZeneca Pharmaceuticals LP $15.41 04/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105368111 AstraZeneca Pharmaceuticals LP $21.08 07/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105571449 AstraZeneca Pharmaceuticals LP $18.47 08/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105672743 AstraZeneca Pharmaceuticals LP $15.53 05/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1110824952 Eisai Inc. $21.00 04/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1114883165 Exact Sciences Corporation $14.71 09/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117679063 Amgen Inc. $18.45 01/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117679065 Amgen Inc. $18.45 02/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117679067 Amgen Inc. $18.45 03/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118034535 Boehringer Ingelheim Pharmaceuticals, Inc. $19.72 01/31/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118034537 Boehringer Ingelheim Pharmaceuticals, Inc. $22.34 05/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118034539 Boehringer Ingelheim Pharmaceuticals, Inc. $23.06 08/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1123395826 Avadel CNS Pharmaceuticals, LLC $19.84 12/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1126078003 HARMONY BIOSCIENCES LLC $14.09 02/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131751736 PFIZER INC. $14.20 07/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131982431 PFIZER INC. $17.37 09/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135993200 Lilly USA, LLC $14.52 01/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141473300 Harmony Biosciences Llc $19.65 11/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141474240 Harmony Biosciences Llc $23.68 12/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141475194 Harmony Biosciences Llc $25.43 10/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141923749 Merck Sharp & Dohme LLC $17.72 09/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1147327375 Mylan Specialty L.P. $22.46 02/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1147371043 Mylan Specialty L.P. $17.46 12/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1148168242 Inspire Medical Systems, Inc. $51.92 05/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1150115795 SHIELD THERAPEUTICS INC $15.73 01/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1150142184 SHIELD THERAPEUTICS INC $18.36 08/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151306674 JAZZ PHARMACEUTICALS INC. $17.37 10/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151306676 JAZZ PHARMACEUTICALS INC. $13.33 12/17/2024 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_PGYR2024_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.