Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

DAVID S FIENO

Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease

NPI
1518189182
CMS profile
250852
Location
ALABASTER, AL

General Payments · PY2018–2024

$316,283.95

  • Reported across 603 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$124,380.02

115 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

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $3,301.09 48
PY2019 $1,494.80 36
PY2020 $15,416.87 54
PY2021 $25,048.55 84
PY2022 $56,549.88 119
PY2023 $90,092.74 147
PY2024 $124,380.02 115

Payment records · PY2024 (115)

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

Program year 2024 201820192020202120222023 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
Abbott Laboratories $131.67 08/05/2024 Food and Beverage Undisputed 01/23/2026 1125104184 CMS
Abbott Laboratories $11.60 10/21/2024 Food and Beverage Undisputed 01/23/2026 1125104182 CMS
Alnylam Pharmaceuticals Inc. $111.36 01/09/2024 Food and Beverage Undisputed 01/23/2026 1125837229 CMS
AstraZeneca Pharmaceuticals LP $700.00 03/22/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1105703890 CMS
AstraZeneca Pharmaceuticals LP $100.00 04/23/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1104722183 CMS
AstraZeneca Pharmaceuticals LP $950.00 08/26/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1105327013 CMS
AstraZeneca Pharmaceuticals LP $700.00 12/06/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1104342674 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $146.81 02/04/2024 Food and Beverage Undisputed 01/23/2026 1118040566 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $280.12 02/04/2024 Travel and Lodging Undisputed 01/23/2026 1118040570 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $41.78 02/16/2024 Travel and Lodging Undisputed 01/23/2026 1118040564 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $178.64 02/16/2024 Travel and Lodging Undisputed 01/23/2026 1118040568 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $1,040.00 04/08/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1118040572 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $1,040.00 04/08/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1118040574 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $21.40 09/17/2024 Food and Beverage Undisputed 01/23/2026 1118040562 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $1,825.00 10/15/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1118040576 CMS
Boston Scientific Corporation $1,000.00 01/26/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1092449716 CMS
Boston Scientific Corporation $750.00 03/15/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1092449714 CMS
Boston Scientific Corporation $250.00 03/22/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1092449708 CMS
Boston Scientific Corporation $250.00 03/22/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1092449710 CMS
Boston Scientific Corporation $250.00 03/22/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1092449712 CMS
Boston Scientific Corporation $30.73 09/24/2024 Food and Beverage Undisputed 01/23/2026 1092449702 CMS
Boston Scientific Corporation $145.28 09/24/2024 Food and Beverage Undisputed 01/23/2026 1092449706 CMS
Boston Scientific Corporation $129.82 12/11/2024 Food and Beverage Undisputed 01/23/2026 1092449704 CMS
CVRx, Inc. $21.41 02/08/2024 Food and Beverage Undisputed 01/23/2026 1128561160 CMS
CVRx, Inc. $218.24 02/08/2024 Food and Beverage Undisputed 01/23/2026 1128561162 CMS
E.R. Squibb & Sons, L.L.C. $24.56 05/15/2024 Food and Beverage Undisputed 01/23/2026 1101378958 CMS
E.R. Squibb & Sons, L.L.C. $124.98 07/11/2024 Food and Beverage Undisputed 01/23/2026 1101378964 CMS
E.R. Squibb & Sons, L.L.C. $6.41 10/28/2024 Food and Beverage Undisputed 01/23/2026 1101378970 CMS
Lexicon Pharmaceuticals, Inc. $0.97 03/21/2024 Food and Beverage Undisputed 01/23/2026 1081718554 CMS
Lexicon Pharmaceuticals, Inc. $1.12 04/02/2024 Food and Beverage Undisputed 01/23/2026 1081718556 CMS
Lexicon Pharmaceuticals, Inc. $0.49 06/07/2024 Food and Beverage Undisputed 01/23/2026 1081718548 CMS
Lexicon Pharmaceuticals, Inc. $0.85 06/07/2024 Food and Beverage Undisputed 01/23/2026 1081718552 CMS
Lexicon Pharmaceuticals, Inc. $47.79 06/11/2024 Food and Beverage Undisputed 01/23/2026 1081718560 CMS
Lexicon Pharmaceuticals, Inc. $122.44 06/13/2024 Food and Beverage Undisputed 01/23/2026 1081718562 CMS
Lexicon Pharmaceuticals, Inc. $0.65 06/20/2024 Food and Beverage Undisputed 01/23/2026 1081718550 CMS
Lexicon Pharmaceuticals, Inc. $1.24 06/24/2024 Food and Beverage Undisputed 01/23/2026 1081718558 CMS
Lexicon Pharmaceuticals, Inc. $0.18 06/25/2024 Food and Beverage Undisputed 01/23/2026 1081718546 CMS
Lilly USA, LLC $4,420.00 02/15/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1136162071 CMS
Lilly USA, LLC $3.57 02/20/2024 Food and Beverage Undisputed 01/23/2026 1136157155 CMS
Lilly USA, LLC $1,040.00 03/18/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1136162073 CMS
Lilly USA, LLC $15.13 05/02/2024 Food and Beverage Undisputed 01/23/2026 1136137490 CMS
Lilly USA, LLC $1,040.00 05/08/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1136157153 CMS
Lilly USA, LLC $16.21 09/12/2024 Food and Beverage Undisputed 01/23/2026 1136129484 CMS
Lilly USA, LLC $1,040.00 09/30/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1136145371 CMS
Lilly USA, LLC $1,040.00 10/14/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1136145373 CMS
Lilly USA, LLC $1,040.00 10/18/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1136129482 CMS
Lilly USA, LLC $1,040.00 10/21/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1136133699 CMS
Lilly USA, LLC $1,040.00 11/08/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1136162075 CMS
Lilly USA, LLC $1,040.00 11/12/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1136136028 CMS
Lilly USA, LLC $1,040.00 11/14/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1136133701 CMS
Medtronic, Inc. $8.78 02/05/2024 Food and Beverage Undisputed 01/23/2026 1119355140 CMS
Medtronic, Inc. $6.14 03/13/2024 Food and Beverage Undisputed 01/23/2026 1119355142 CMS
Medtronic, Inc. $7.57 04/22/2024 Food and Beverage Undisputed 01/23/2026 1119355144 CMS
Medtronic, Inc. $7.77 05/13/2024 Food and Beverage Undisputed 01/23/2026 1121138596 CMS
Medtronic, Inc. $13.14 06/24/2024 Food and Beverage Undisputed 01/23/2026 1119355146 CMS
Medtronic, Inc. $195.00 08/07/2024 Food and Beverage Undisputed 01/23/2026 1119355148 CMS
Medtronic, Inc. $10.17 08/12/2024 Food and Beverage Undisputed 01/23/2026 1119355150 CMS
Medtronic, Inc. $9.57 09/30/2024 Food and Beverage Undisputed 01/23/2026 1119355152 CMS
Medtronic, Inc. $11.49 10/23/2024 Food and Beverage Undisputed 01/23/2026 1119355154 CMS
Merck Sharp & Dohme LLC $744.58 01/31/2024 Travel and Lodging Undisputed 01/23/2026 1141721328 CMS
Merck Sharp & Dohme LLC $121.97 01/31/2024 Food and Beverage Undisputed 01/23/2026 1141949479 CMS
Merck Sharp & Dohme LLC $150.00 02/01/2024 Travel and Lodging Undisputed 01/23/2026 1141721332 CMS
Merck Sharp & Dohme LLC $4,270.00 02/09/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1141721176 CMS
Merck Sharp & Dohme LLC $1,332.19 03/07/2024 Travel and Lodging Undisputed 01/23/2026 1141721330 CMS
Merck Sharp & Dohme LLC $125.00 03/07/2024 Food and Beverage Undisputed 01/23/2026 1141876967 CMS
Merck Sharp & Dohme LLC $150.00 03/08/2024 Travel and Lodging Undisputed 01/23/2026 1141721178 CMS
Merck Sharp & Dohme LLC $108.12 03/12/2024 Food and Beverage Undisputed 01/23/2026 1141721340 CMS
Merck Sharp & Dohme LLC $2,060.45 03/12/2024 Travel and Lodging Undisputed 01/23/2026 1141875936 CMS
Merck Sharp & Dohme LLC $150.00 03/13/2024 Travel and Lodging Undisputed 01/23/2026 1141721174 CMS
Merck Sharp & Dohme LLC $4,270.00 03/20/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1141875934 CMS
Merck Sharp & Dohme LLC $4,270.00 03/20/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1141936121 CMS
Novo Nordisk Inc $4.87 04/17/2024 Food and Beverage Undisputed 01/23/2026 1097460718 CMS
Novo Nordisk Inc $296.12 05/31/2024 Food and Beverage Undisputed 01/23/2026 1096657455 CMS
Novo Nordisk Inc $213.75 05/31/2024 Travel and Lodging Undisputed 01/23/2026 1096811125 CMS
Novo Nordisk Inc $10,329.25 05/31/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1096972667 CMS
Novo Nordisk Inc $563.96 05/31/2024 Travel and Lodging Undisputed 01/23/2026 1097462136 CMS
Novo Nordisk Inc $196.24 05/31/2024 Travel and Lodging Undisputed 01/23/2026 1097620776 CMS
Novo Nordisk Inc $329.50 07/15/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1096616924 CMS
Novo Nordisk Inc $165.52 07/23/2024 Food and Beverage Undisputed 01/23/2026 1096999312 CMS
Novo Nordisk Inc $6,393.75 07/25/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1097599843 CMS
Novo Nordisk Inc $125.00 07/25/2024 Food and Beverage Undisputed 01/23/2026 1097605356 CMS
Novo Nordisk Inc $1,084.23 07/25/2024 Travel and Lodging Undisputed 01/23/2026 1097658574 CMS
Novo Nordisk Inc $1,775.77 08/01/2024 Travel and Lodging Undisputed 01/23/2026 1097014857 CMS
Novo Nordisk Inc $7,943.75 08/01/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1097171246 CMS
Novo Nordisk Inc $114.79 08/01/2024 Food and Beverage Undisputed 01/23/2026 1097326809 CMS
Novo Nordisk Inc $6,781.25 08/13/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1096906759 CMS
Novo Nordisk Inc $15.94 08/13/2024 Travel and Lodging Undisputed 01/23/2026 1097714370 CMS
Novo Nordisk Inc $1,938.00 09/03/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1097234838 CMS
Novo Nordisk Inc $1,938.00 09/17/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1097598431 CMS
Novo Nordisk Inc $6,393.75 10/16/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1096633325 CMS
Novo Nordisk Inc $586.14 10/16/2024 Travel and Lodging Undisputed 01/23/2026 1096896437 CMS
Novo Nordisk Inc $124.45 10/16/2024 Food and Beverage Undisputed 01/23/2026 1096952577 CMS
Novo Nordisk Inc $685.32 10/16/2024 Travel and Lodging Undisputed 01/23/2026 1097800040 CMS
Novo Nordisk Inc $187.95 10/17/2024 Travel and Lodging Undisputed 01/23/2026 1097265309 CMS
Novo Nordisk Inc $6,393.75 10/17/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1097413079 CMS
Novo Nordisk Inc $1,094.19 10/17/2024 Travel and Lodging Undisputed 01/23/2026 1097510490 CMS
Novo Nordisk Inc $586.12 10/17/2024 Travel and Lodging Undisputed 01/23/2026 1097669714 CMS
Novo Nordisk Inc $112.85 10/17/2024 Food and Beverage Undisputed 01/23/2026 1097748212 CMS
Novo Nordisk Inc $1,550.00 10/21/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1097406031 CMS
Novo Nordisk Inc $1,713.59 10/29/2024 Travel and Lodging Undisputed 01/23/2026 1096914896 CMS
Novo Nordisk Inc $105.94 10/29/2024 Food and Beverage Undisputed 01/23/2026 1097585852 CMS
Novo Nordisk Inc $8,331.25 10/29/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1097805010 CMS
Novo Nordisk Inc $208.18 11/12/2024 Travel and Lodging Undisputed 01/23/2026 1096593072 CMS
Novo Nordisk Inc $948.70 11/12/2024 Travel and Lodging Undisputed 01/23/2026 1096905205 CMS
Novo Nordisk Inc $6,781.25 11/12/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1096935689 CMS
Novo Nordisk Inc $3,727.57 11/12/2024 Travel and Lodging Undisputed 01/23/2026 1096959916 CMS
Novo Nordisk Inc $124.99 11/12/2024 Food and Beverage Undisputed 01/23/2026 1097662374 CMS
Novo Nordisk Inc $5.24 12/19/2024 Food and Beverage Undisputed 01/23/2026 1096914610 CMS
PFIZER INC. $17.59 01/25/2024 Food and Beverage Undisputed 01/23/2026 1130953079 CMS
PFIZER INC. $17.64 06/24/2024 Food and Beverage Undisputed 01/23/2026 1131759900 CMS
Philips North America LLC $119.88 12/12/2024 Food and Beverage Undisputed 01/23/2026 1146897364 CMS
Surgical Specialties Corporation (us), Inc. (dba Corza Medical) $91.37 03/19/2024 Food and Beverage Undisputed 01/23/2026 1127684094 CMS
Surgical Specialties Corporation (us), Inc. (dba Corza Medical) $115.69 09/18/2024 Food and Beverage Undisputed 01/23/2026 1127684669 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $154.54 05/16/2024 Food and Beverage Undisputed 01/23/2026 1080589555 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $1,500.00 06/19/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1085839186 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
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , 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.