Covered recipient · General Payments record

LESLIE CERNOSEK MUENZLER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI: 1508268095
CMS profile: 10866297
Location: WACO, TX

General Payments · PY2021–2024

$8,651.24

Reported across 347 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,543.38

100 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 payment	Amount	Records
Food and Beverage	$2,444.16	99
Education	$99.22	1

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$506.52	12
GlaxoSmithKline, LLC.	$321.59	24
PFIZER INC.	$279.48	16
GENZYME CORPORATION	$253.16	6
Regeneron Healthcare Solutions, Inc.	$217.59	13
DEXCOM, INC.	$198.66	2
ABBVIE INC.	$170.27	2
Blueprint Medicines Corporation	$133.00	5
Lilly USA, LLC	$116.19	3
NOVARTIS PHARMACEUTICALS CORPORATION	$94.90	5
Takeda Pharmaceuticals U.S.A., Inc.	$70.41	3
CSL Behring	$59.65	3
Amgen Inc.	$30.12	2
Pharming Healthcare, Inc.	$25.77	1
Incyte Corporation	$24.17	1
Octapharma USA, Inc.	$22.19	1
HOSPIRA, INC.	$19.71	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$1,194.17	53
PY2022	$2,651.06	104
PY2023	$2,262.63	90
PY2024	$2,543.38	100

Payment records · PY2024 (100)

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

Program year 2024 2021 2022 2023 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
ABBVIE INC.	$71.26	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1106897502	CMS
ABBVIE INC.	$99.01	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1106897504	CMS
Amgen Inc.	$23.34	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1117334268	CMS
Amgen Inc.	$6.78	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1117334270	CMS
AstraZeneca Pharmaceuticals LP	$57.42	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1104365733	CMS
AstraZeneca Pharmaceuticals LP	$17.97	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1104502940	CMS
AstraZeneca Pharmaceuticals LP	$17.03	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1104586094	CMS
AstraZeneca Pharmaceuticals LP	$123.76	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1104407915	CMS
AstraZeneca Pharmaceuticals LP	$19.24	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1104270965	CMS
AstraZeneca Pharmaceuticals LP	$19.62	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1104704473	CMS
AstraZeneca Pharmaceuticals LP	$20.15	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1105513911	CMS
AstraZeneca Pharmaceuticals LP	$19.94	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1105717207	CMS
AstraZeneca Pharmaceuticals LP	$22.84	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1105653010	CMS
AstraZeneca Pharmaceuticals LP	$21.10	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1105297206	CMS
AstraZeneca Pharmaceuticals LP	$118.26	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1104782726	CMS
AstraZeneca Pharmaceuticals LP	$49.19	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1105225694	CMS
Blueprint Medicines Corporation	$22.65	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1147452049	CMS
Blueprint Medicines Corporation	$26.94	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1147452087	CMS
Blueprint Medicines Corporation	$27.99	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1147452129	CMS
Blueprint Medicines Corporation	$34.04	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1147452173	CMS
Blueprint Medicines Corporation	$21.38	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1147452195	CMS
CSL Behring	$23.51	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1134631687	CMS
CSL Behring	$21.39	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1134631723	CMS
CSL Behring	$14.75	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1134631753	CMS
Dexcom, Inc.	$90.45	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1153374339	CMS
Dexcom, Inc.	$108.21	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1153374341	CMS
GENZYME CORPORATION	$19.75	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1139837863	CMS
GENZYME CORPORATION	$8.42	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1139837931	CMS
GENZYME CORPORATION	$96.48	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1139837933	CMS
GENZYME CORPORATION	$80.65	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1139837939	CMS
GENZYME CORPORATION	$27.49	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1139837967	CMS
GENZYME CORPORATION	$20.37	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1139837977	CMS
GlaxoSmithKline, LLC.	$10.30	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1116703300	CMS
GlaxoSmithKline, LLC.	$6.59	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1116490128	CMS
GlaxoSmithKline, LLC.	$22.32	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1116400816	CMS
GlaxoSmithKline, LLC.	$13.97	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1116398274	CMS
GlaxoSmithKline, LLC.	$19.27	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1116408727	CMS
GlaxoSmithKline, LLC.	$16.57	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1116420269	CMS
GlaxoSmithKline, LLC.	$17.80	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1115822421	CMS
GlaxoSmithKline, LLC.	$1.27	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1115888955	CMS
GlaxoSmithKline, LLC.	$16.08	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1116082873	CMS
GlaxoSmithKline, LLC.	$14.79	03/29/2024	Food and Beverage	Undisputed	01/23/2026	1116698063	CMS
GlaxoSmithKline, LLC.	$1.13	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1116274517	CMS
GlaxoSmithKline, LLC.	$13.85	05/03/2024	Food and Beverage	Undisputed	01/23/2026	1116660237	CMS
GlaxoSmithKline, LLC.	$16.51	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1116267025	CMS
GlaxoSmithKline, LLC.	$16.38	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1116501167	CMS
GlaxoSmithKline, LLC.	$9.00	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1116466458	CMS
GlaxoSmithKline, LLC.	$15.46	07/01/2024	Food and Beverage	Undisputed	01/23/2026	1116663303	CMS
GlaxoSmithKline, LLC.	$5.59	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1116490913	CMS
GlaxoSmithKline, LLC.	$19.21	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1116294209	CMS
GlaxoSmithKline, LLC.	$8.80	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1116709339	CMS
GlaxoSmithKline, LLC.	$11.79	10/11/2024	Food and Beverage	Undisputed	01/23/2026	1116453033	CMS
GlaxoSmithKline, LLC.	$18.65	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1115824808	CMS
GlaxoSmithKline, LLC.	$16.14	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1116587203	CMS
GlaxoSmithKline, LLC.	$21.87	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1116217543	CMS
GlaxoSmithKline, LLC.	$8.25	12/26/2024	Food and Beverage	Undisputed	01/23/2026	1116254175	CMS
HOSPIRA, INC.	$19.71	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1131195062	CMS
Incyte Corporation	$24.17	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1141308783	CMS
Lilly USA, LLC	$70.73	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1135788862	CMS
Lilly USA, LLC	$22.57	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1135752299	CMS
Lilly USA, LLC	$22.89	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1135752297	CMS
Novartis Pharmaceuticals Corporation	$16.18	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1086621349	CMS
Novartis Pharmaceuticals Corporation	$18.84	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1086621345	CMS
Novartis Pharmaceuticals Corporation	$18.44	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1086621347	CMS
Novartis Pharmaceuticals Corporation	$19.57	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1086621351	CMS
Novartis Pharmaceuticals Corporation	$21.87	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1086621355	CMS
Octapharma USA, Inc.	$22.19	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1142321420	CMS
PFIZER INC.	$14.65	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1130941388	CMS
PFIZER INC.	$36.31	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1131500384	CMS
PFIZER INC.	$1.49	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1131710315	CMS
PFIZER INC.	$26.94	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1131052251	CMS
PFIZER INC.	$8.31	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1131707036	CMS
PFIZER INC.	$10.86	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1131714391	CMS
PFIZER INC.	$6.63	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1131714279	CMS
PFIZER INC.	$10.60	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1131723204	CMS
PFIZER INC.	$54.30	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1131788129	CMS
PFIZER INC.	$11.45	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1131759834	CMS
PFIZER INC.	$19.65	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1131930764	CMS
PFIZER INC.	$9.64	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1131931527	CMS
PFIZER INC.	$19.11	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1132100149	CMS
PFIZER INC.	$7.03	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1131023219	CMS
PFIZER INC.	$20.58	11/27/2024	Food and Beverage	Undisputed	01/23/2026	1131056500	CMS
PFIZER INC.	$21.93	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1131431328	CMS
Pharming Healthcare, Inc.	$25.77	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1132174341	CMS
Regeneron Healthcare Solutions, Inc.	$16.34	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1114282641	CMS
Regeneron Healthcare Solutions, Inc.	$99.22	03/05/2024	Education	Undisputed	01/23/2026	1114282643	CMS
Regeneron Healthcare Solutions, Inc.	$7.83	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1114282645	CMS
Regeneron Healthcare Solutions, Inc.	$15.42	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1114282647	CMS
Regeneron Healthcare Solutions, Inc.	$7.99	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1114282649	CMS
Regeneron Healthcare Solutions, Inc.	$7.44	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1114282651	CMS
Regeneron Healthcare Solutions, Inc.	$20.25	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1114282653	CMS
Regeneron Healthcare Solutions, Inc.	$6.60	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1114282655	CMS
Regeneron Healthcare Solutions, Inc.	$9.89	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1114282657	CMS
Regeneron Healthcare Solutions, Inc.	$7.28	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1114282659	CMS
Regeneron Healthcare Solutions, Inc.	$8.56	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1114282661	CMS
Regeneron Healthcare Solutions, Inc.	$3.43	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1114282663	CMS
Regeneron Healthcare Solutions, Inc.	$7.34	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1114282665	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$18.90	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1137724146	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$24.67	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1137724148	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$26.84	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1137724150	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: 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
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.