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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

LESLIE CERNOSEK MUENZLER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1508268095
CMS profile
10866297
Location
WACO, TX

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

$3,715.36

130 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 $3,490.79 126
Education $224.57 4

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Regeneron Healthcare Solutions, Inc. $588.84 18
GENZYME CORPORATION $541.35 12
Acerta Pharma LLC $486.67 15
GlaxoSmithKline, LLC. $389.02 20
CSL Behring $273.40 9
PFIZER INC. $217.61 14
Lilly USA, LLC $153.96 2
Phathom Pharmaceuticals, Inc. $139.87 10
SANOFI-AVENTIS U.S. LLC $135.74 2
DEXCOM, INC. $124.13 2
NOVARTIS PHARMACEUTICALS CORPORATION $120.31 5
Blueprint Medicines Corporation $87.99 4
Novo Nordisk AS $65.67 1
ARS Pharmaceuticals Operations, Inc. $57.88 3
Viatris Specialty LLC $56.10 2
Takeda Pharmaceuticals U.S.A., Inc. $53.35 2
Amgen Inc. $50.81 2
Ionis Pharmaceuticals, Inc. $35.60 1
Regeneron Pharmaceuticals, Inc. $32.80 1
Incyte Corporation $22.59 1
LEO Pharma Inc. $21.06 1
HOSPIRA, INC. $20.65 1
ALK-Abello, Inc $20.60 1
Pharming Healthcare, Inc. $19.36 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,194.17 53
PY2022 $2,651.06 104
PY2023 $2,262.63 90
PY2024 $2,543.38 100
PY2025 $3,715.36 130

Payment records · PY2025 (130)

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
PFIZER INC. $14.60 12/23/2025 Food and Beverage No dispute reported 06/30/2026 1229937236 CMS
GlaxoSmithKline, LLC. $3.47 12/17/2025 Food and Beverage No dispute reported 06/30/2026 1190714519 CMS
Ionis Pharmaceuticals, Inc. $35.60 12/17/2025 Food and Beverage No dispute reported 06/30/2026 1246795071 CMS
Regeneron Healthcare Solutions, Inc. $33.32 12/15/2025 Food and Beverage No dispute reported 06/30/2026 1213177073 CMS
Viatris Specialty LLC $34.17 12/11/2025 Food and Beverage No dispute reported 06/30/2026 1238478237 CMS
AstraZeneca Pharmaceuticals LP $27.22 12/03/2025 Food and Beverage No dispute reported 06/30/2026 1206501589 CMS
GlaxoSmithKline, LLC. $3.50 12/03/2025 Food and Beverage No dispute reported 06/30/2026 1191055487 CMS
PFIZER INC. $15.62 11/26/2025 Food and Beverage No dispute reported 06/30/2026 1229354779 CMS
AstraZeneca Pharmaceuticals LP $103.42 11/20/2025 Food and Beverage No dispute reported 06/30/2026 1207162629 CMS
Dexcom, Inc. $46.15 11/20/2025 Food and Beverage No dispute reported 06/30/2026 1250569918 CMS
Regeneron Healthcare Solutions, Inc. $21.80 11/20/2025 Food and Beverage No dispute reported 06/30/2026 1213177069 CMS
Regeneron Healthcare Solutions, Inc. $89.14 11/20/2025 Education No dispute reported 06/30/2026 1213177071 CMS
Novartis Pharmaceuticals Corporation $23.10 11/19/2025 Food and Beverage No dispute reported 06/30/2026 1200049174 CMS
GlaxoSmithKline, LLC. $11.91 11/18/2025 Food and Beverage No dispute reported 06/30/2026 1190360197 CMS
Phathom Pharmaceuticals, Inc. $2.82 11/15/2025 Food and Beverage No dispute reported 06/30/2026 1219225402 CMS
Phathom Pharmaceuticals, Inc. $1.22 11/14/2025 Food and Beverage No dispute reported 06/30/2026 1219225404 CMS
Viatris Specialty LLC $21.93 11/13/2025 Food and Beverage No dispute reported 06/30/2026 1238474821 CMS
GENZYME CORPORATION $39.79 11/12/2025 Food and Beverage No dispute reported 06/30/2026 1233512874 CMS
Novartis Pharmaceuticals Corporation $18.34 11/11/2025 Food and Beverage No dispute reported 06/30/2026 1200049170 CMS
GlaxoSmithKline, LLC. $21.59 11/10/2025 Food and Beverage No dispute reported 06/30/2026 1190503185 CMS
AstraZeneca Pharmaceuticals LP $22.54 11/06/2025 Food and Beverage No dispute reported 06/30/2026 1206580084 CMS
Regeneron Healthcare Solutions, Inc. $8.72 11/06/2025 Food and Beverage No dispute reported 06/30/2026 1213177067 CMS
GENZYME CORPORATION $23.57 11/05/2025 Food and Beverage No dispute reported 06/30/2026 1233512870 CMS
Takeda Pharmaceuticals U.S.A., Inc. $28.11 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1224073619 CMS
GENZYME CORPORATION $112.33 10/23/2025 Food and Beverage No dispute reported 06/30/2026 1233512872 CMS
PFIZER INC. $14.35 10/23/2025 Food and Beverage No dispute reported 06/30/2026 1229859394 CMS
GlaxoSmithKline, LLC. $28.90 10/22/2025 Food and Beverage No dispute reported 06/30/2026 1191693367 CMS
GENZYME CORPORATION $9.35 10/20/2025 Food and Beverage No dispute reported 06/30/2026 1233512852 CMS
CSL Behring $4.62 10/17/2025 Food and Beverage No dispute reported 06/30/2026 1232364798 CMS
Novartis Pharmaceuticals Corporation $27.67 10/15/2025 Food and Beverage No dispute reported 06/30/2026 1200015349 CMS
Regeneron Healthcare Solutions, Inc. $24.70 10/14/2025 Food and Beverage No dispute reported 06/30/2026 1213177065 CMS
ARS Pharmaceuticals Operations, Inc. $17.15 10/09/2025 Food and Beverage No dispute reported 06/30/2026 1245907708 CMS
AstraZeneca Pharmaceuticals LP $20.35 10/08/2025 Food and Beverage No dispute reported 06/30/2026 1206744598 CMS
GENZYME CORPORATION $88.04 10/07/2025 Food and Beverage No dispute reported 06/30/2026 1233512854 CMS
GlaxoSmithKline, LLC. $25.61 10/05/2025 Food and Beverage No dispute reported 06/30/2026 1191334980 CMS
GENZYME CORPORATION $23.29 10/01/2025 Food and Beverage No dispute reported 06/30/2026 1233512856 CMS
PFIZER INC. $13.24 09/30/2025 Food and Beverage No dispute reported 06/30/2026 1229420003 CMS
GlaxoSmithKline, LLC. $23.36 09/29/2025 Food and Beverage No dispute reported 06/30/2026 1191806896 CMS
Lilly USA, LLC $124.40 09/25/2025 Food and Beverage No dispute reported 06/30/2026 1187173398 CMS
Phathom Pharmaceuticals, Inc. $0.36 09/19/2025 Food and Beverage No dispute reported 06/30/2026 1219218001 CMS
Phathom Pharmaceuticals, Inc. $7.28 09/18/2025 Food and Beverage No dispute reported 06/30/2026 1219225406 CMS
GlaxoSmithKline, LLC. $21.94 09/17/2025 Food and Beverage No dispute reported 06/30/2026 1190782654 CMS
Regeneron Pharmaceuticals, Inc. $32.80 09/16/2025 Food and Beverage No dispute reported 06/30/2026 1213245715 CMS
AstraZeneca Pharmaceuticals LP $25.00 09/11/2025 Food and Beverage No dispute reported 06/30/2026 1206997245 CMS
CSL Behring $32.40 09/10/2025 Food and Beverage No dispute reported 06/30/2026 1232364796 CMS
Amgen Inc. $34.00 09/08/2025 Education No dispute reported 06/30/2026 1226889644 CMS
GlaxoSmithKline, LLC. $25.58 09/08/2025 Food and Beverage No dispute reported 06/30/2026 1190918362 CMS
PFIZER INC. $12.92 09/03/2025 Food and Beverage No dispute reported 06/30/2026 1229411559 CMS
ARS Pharmaceuticals Operations, Inc. $26.39 09/02/2025 Food and Beverage No dispute reported 06/30/2026 1245907706 CMS
Incyte Corporation $22.59 09/02/2025 Food and Beverage No dispute reported 06/30/2026 1226160935 CMS
AstraZeneca Pharmaceuticals LP $22.67 08/14/2025 Food and Beverage No dispute reported 06/30/2026 1206593063 CMS
CSL Behring $10.00 08/13/2025 Food and Beverage No dispute reported 06/30/2026 1232364794 CMS
Dexcom, Inc. $77.98 08/12/2025 Food and Beverage No dispute reported 06/30/2026 1250569916 CMS
Phathom Pharmaceuticals, Inc. $8.90 08/12/2025 Food and Beverage No dispute reported 06/30/2026 1219218003 CMS
PFIZER INC. $16.71 08/11/2025 Food and Beverage No dispute reported 06/30/2026 1229166638 CMS
Regeneron Healthcare Solutions, Inc. $110.82 08/08/2025 Food and Beverage No dispute reported 06/30/2026 1213177063 CMS
GENZYME CORPORATION $27.32 08/07/2025 Food and Beverage No dispute reported 06/30/2026 1233512818 CMS
PFIZER INC. $29.24 08/02/2025 Food and Beverage No dispute reported 06/30/2026 1229269183 CMS
GlaxoSmithKline, LLC. $28.83 08/01/2025 Food and Beverage No dispute reported 06/30/2026 1191282263 CMS
GENZYME CORPORATION $39.97 07/29/2025 Food and Beverage No dispute reported 06/30/2026 1233512794 CMS
PFIZER INC. $12.14 07/28/2025 Food and Beverage No dispute reported 06/30/2026 1229004205 CMS
GlaxoSmithKline, LLC. $18.74 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1190654168 CMS
ALK-Abello, Inc $20.60 07/16/2025 Food and Beverage No dispute reported 06/30/2026 1222421004 CMS
Blueprint Medicines Corporation $20.02 07/10/2025 Food and Beverage No dispute reported 06/30/2026 1235823817 CMS
CSL Behring $110.41 07/08/2025 Food and Beverage No dispute reported 06/30/2026 1232364864 CMS
Takeda Pharmaceuticals U.S.A., Inc. $25.24 07/08/2025 Food and Beverage No dispute reported 06/30/2026 1224060099 CMS
CSL Behring $35.17 07/01/2025 Food and Beverage No dispute reported 06/30/2026 1232364792 CMS
GlaxoSmithKline, LLC. $25.70 06/30/2025 Food and Beverage No dispute reported 06/30/2026 1190680273 CMS
Regeneron Healthcare Solutions, Inc. $10.53 06/25/2025 Food and Beverage No dispute reported 06/30/2026 1213177061 CMS
Phathom Pharmaceuticals, Inc. $6.02 06/18/2025 Food and Beverage No dispute reported 06/30/2026 1219344888 CMS
Pharming Healthcare, Inc. $19.36 06/17/2025 Food and Beverage No dispute reported 06/30/2026 1200806325 CMS
Novartis Pharmaceuticals Corporation $22.56 06/16/2025 Food and Beverage No dispute reported 06/30/2026 1200015347 CMS
Amgen Inc. $16.81 06/12/2025 Food and Beverage No dispute reported 06/30/2026 1229251607 CMS
AstraZeneca Pharmaceuticals LP $18.72 06/11/2025 Food and Beverage No dispute reported 06/30/2026 1206356910 CMS
GENZYME CORPORATION $111.03 06/10/2025 Food and Beverage No dispute reported 06/30/2026 1233512778 CMS
GlaxoSmithKline, LLC. $10.97 06/09/2025 Food and Beverage No dispute reported 06/30/2026 1191163829 CMS
CSL Behring $33.23 06/04/2025 Food and Beverage No dispute reported 06/30/2026 1232364790 CMS
GlaxoSmithKline, LLC. $31.47 06/04/2025 Food and Beverage No dispute reported 06/30/2026 1191482529 CMS
Lilly USA, LLC $29.56 06/03/2025 Food and Beverage No dispute reported 06/30/2026 1187149810 CMS
AstraZeneca Pharmaceuticals LP $21.13 06/02/2025 Food and Beverage No dispute reported 06/30/2026 1206330940 CMS
PFIZER INC. $11.96 06/02/2025 Food and Beverage No dispute reported 06/30/2026 1231590865 CMS
GlaxoSmithKline, LLC. $9.97 05/28/2025 Food and Beverage No dispute reported 06/30/2026 1190567637 CMS
CSL Behring $8.10 05/19/2025 Food and Beverage No dispute reported 06/30/2026 1232364788 CMS
Regeneron Healthcare Solutions, Inc. $32.13 05/19/2025 Food and Beverage No dispute reported 06/30/2026 1213177059 CMS
ARS Pharmaceuticals Operations, Inc. $14.34 05/14/2025 Food and Beverage No dispute reported 06/30/2026 1245907704 CMS
PFIZER INC. $29.64 05/12/2025 Food and Beverage No dispute reported 06/30/2026 1230037491 CMS
Blueprint Medicines Corporation $14.99 05/07/2025 Food and Beverage No dispute reported 06/30/2026 1235823791 CMS
Regeneron Healthcare Solutions, Inc. $20.10 05/07/2025 Food and Beverage No dispute reported 06/30/2026 1213177057 CMS
AstraZeneca Pharmaceuticals LP $15.93 05/06/2025 Food and Beverage No dispute reported 06/30/2026 1206225016 CMS
Regeneron Healthcare Solutions, Inc. $7.86 05/01/2025 Food and Beverage No dispute reported 06/30/2026 1213177055 CMS
GlaxoSmithKline, LLC. $10.66 04/30/2025 Food and Beverage No dispute reported 06/30/2026 1190365050 CMS
Regeneron Healthcare Solutions, Inc. $29.57 04/29/2025 Food and Beverage No dispute reported 06/30/2026 1213177053 CMS
PFIZER INC. $5.03 04/24/2025 Food and Beverage No dispute reported 06/30/2026 1228948672 CMS
HOSPIRA, INC. $20.65 04/23/2025 Food and Beverage No dispute reported 06/30/2026 1228854747 CMS
GlaxoSmithKline, LLC. $19.03 04/17/2025 Food and Beverage No dispute reported 06/30/2026 1191765959 CMS
GENZYME CORPORATION $46.05 04/16/2025 Food and Beverage No dispute reported 06/30/2026 1233512760 CMS
Novo Nordisk Inc $65.67 04/10/2025 Food and Beverage No dispute reported 06/30/2026 1188842304 CMS
Blueprint Medicines Corporation $25.64 04/09/2025 Food and Beverage No dispute reported 06/30/2026 1235823775 CMS
GlaxoSmithKline, LLC. $23.18 04/09/2025 Food and Beverage No dispute reported 06/30/2026 1190700406 CMS
AstraZeneca Pharmaceuticals LP $17.67 04/07/2025 Food and Beverage No dispute reported 06/30/2026 1207315092 CMS
Phathom Pharmaceuticals, Inc. $6.03 04/03/2025 Food and Beverage No dispute reported 06/30/2026 1219344884 CMS
Phathom Pharmaceuticals, Inc. $6.56 04/03/2025 Food and Beverage No dispute reported 06/30/2026 1219344886 CMS
Regeneron Healthcare Solutions, Inc. $6.77 03/27/2025 Education No dispute reported 06/30/2026 1213177051 CMS
PFIZER INC. $10.47 03/26/2025 Food and Beverage No dispute reported 06/30/2026 1231538546 CMS
GENZYME CORPORATION $9.41 03/25/2025 Food and Beverage No dispute reported 06/30/2026 1233512756 CMS
GlaxoSmithKline, LLC. $24.51 03/24/2025 Food and Beverage No dispute reported 06/30/2026 1191328779 CMS
Regeneron Healthcare Solutions, Inc. $12.26 03/18/2025 Food and Beverage No dispute reported 06/30/2026 1213177049 CMS
AstraZeneca Pharmaceuticals LP $18.78 03/17/2025 Food and Beverage No dispute reported 06/30/2026 1206737270 CMS
CSL Behring $16.10 03/17/2025 Food and Beverage No dispute reported 06/30/2026 1232364784 CMS
Regeneron Healthcare Solutions, Inc. $94.66 03/11/2025 Education No dispute reported 06/30/2026 1213177045 CMS
Regeneron Healthcare Solutions, Inc. $10.03 03/11/2025 Food and Beverage No dispute reported 06/30/2026 1213177047 CMS
CSL Behring $23.37 03/05/2025 Food and Beverage No dispute reported 06/30/2026 1232364782 CMS
LEO Pharma Inc. $21.06 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1252079949 CMS
GENZYME CORPORATION $11.20 03/03/2025 Food and Beverage No dispute reported 06/30/2026 1233512762 CMS
Phathom Pharmaceuticals, Inc. $5.08 02/27/2025 Food and Beverage No dispute reported 06/30/2026 1219344880 CMS
SANOFI-AVENTIS U.S. LLC $54.65 02/27/2025 Food and Beverage No dispute reported 06/30/2026 1233512768 CMS
Regeneron Healthcare Solutions, Inc. $35.87 02/26/2025 Food and Beverage No dispute reported 06/30/2026 1213177043 CMS
AstraZeneca Pharmaceuticals LP $35.52 02/25/2025 Food and Beverage No dispute reported 06/30/2026 1206683592 CMS
AstraZeneca Pharmaceuticals LP $19.94 02/20/2025 Food and Beverage No dispute reported 06/30/2026 1206567702 CMS
Regeneron Healthcare Solutions, Inc. $8.35 02/18/2025 Food and Beverage No dispute reported 06/30/2026 1213177041 CMS
SANOFI-AVENTIS U.S. LLC $81.09 02/11/2025 Food and Beverage No dispute reported 06/30/2026 1233512748 CMS
GlaxoSmithKline, LLC. $20.10 02/05/2025 Food and Beverage No dispute reported 06/30/2026 1190718399 CMS
PFIZER INC. $18.32 02/05/2025 Food and Beverage No dispute reported 06/30/2026 1231375088 CMS
AstraZeneca Pharmaceuticals LP $52.59 02/03/2025 Food and Beverage No dispute reported 06/30/2026 1206834015 CMS
AstraZeneca Pharmaceuticals LP $65.19 01/29/2025 Food and Beverage No dispute reported 06/30/2026 1206600520 CMS
Blueprint Medicines Corporation $27.34 01/25/2025 Food and Beverage No dispute reported 06/30/2026 1235823761 CMS
Regeneron Healthcare Solutions, Inc. $32.21 01/15/2025 Food and Beverage No dispute reported 06/30/2026 1213177039 CMS
Novartis Pharmaceuticals Corporation $28.64 01/14/2025 Food and Beverage No dispute reported 06/30/2026 1200015339 CMS
Phathom Pharmaceuticals, Inc. $95.60 01/14/2025 Food and Beverage No dispute reported 06/30/2026 1219344882 CMS
PFIZER INC. $13.37 01/09/2025 Food and Beverage No dispute reported 06/30/2026 1231208555 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.

Permalink https://industrypayments.org/provider/npi-1508268095

Plain
LESLIE CERNOSEK MUENZLER, NPI 1508268095. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1508268095.
APA 7
IndustryPayments. (2026). LESLIE CERNOSEK MUENZLER, NPI 1508268095 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1508268095
Bluebook
LESLIE CERNOSEK MUENZLER, NPI 1508268095, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1508268095.

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