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

DEBRA L SHEMESH

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1528063989
CMS profile
10761902
Location
ELKHART, IN

General Payments · PY2021–2024

$2,837.36

  • Reported across 166 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$810.73

38 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 paymentAmountRecords
Food and Beverage $810.73 38

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $600.58 44
PY2022 $775.01 48
PY2023 $651.04 36
PY2024 $810.73 38

Payment records · PY2024 (38)

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

Program year 2024 202120222023 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 $23.71 03/12/2024 Food and Beverage Undisputed 01/23/2026 1125108726 CMS
Abbott Laboratories $21.64 11/05/2024 Food and Beverage Undisputed 01/23/2026 1125108728 CMS
Actelion Pharmaceuticals US, Inc. $13.58 01/17/2024 Food and Beverage Undisputed 01/23/2026 1078886637 CMS
Actelion Pharmaceuticals US, Inc. $14.85 03/22/2024 Food and Beverage Undisputed 01/23/2026 1078886645 CMS
Alnylam Pharmaceuticals Inc. $21.72 02/10/2024 Food and Beverage Undisputed 01/23/2026 1125829233 CMS
Amgen Inc. $14.29 01/04/2024 Food and Beverage Undisputed 01/23/2026 1116116906 CMS
Amgen Inc. $18.20 02/06/2024 Food and Beverage Undisputed 01/23/2026 1116116912 CMS
Amgen Inc. $15.25 05/07/2024 Food and Beverage Undisputed 01/23/2026 1116116920 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.02 03/12/2024 Food and Beverage Undisputed 01/23/2026 1118044752 CMS
CVRx, Inc. $137.53 07/16/2024 Food and Beverage Undisputed 01/23/2026 1138614619 CMS
CVRx, Inc. $20.00 08/29/2024 Food and Beverage Undisputed 01/23/2026 1138614621 CMS
E.R. Squibb & Sons, L.L.C. $13.85 02/16/2024 Food and Beverage Undisputed 01/23/2026 1101237213 CMS
E.R. Squibb & Sons, L.L.C. $14.78 03/05/2024 Food and Beverage Undisputed 01/23/2026 1101237221 CMS
E.R. Squibb & Sons, L.L.C. $15.75 10/22/2024 Food and Beverage Undisputed 01/23/2026 1101237263 CMS
Esperion Therapeutics, Inc. $18.26 09/26/2024 Food and Beverage Undisputed 01/23/2026 1129476254 CMS
Janssen Pharmaceuticals, Inc $13.37 01/25/2024 Food and Beverage Undisputed 01/23/2026 1078016130 CMS
Janssen Pharmaceuticals, Inc $13.75 07/10/2024 Food and Beverage Undisputed 01/23/2026 1078016142 CMS
Kiniksa Pharmaceuticals International, plc $16.47 05/16/2024 Food and Beverage Undisputed 01/23/2026 1154872465 CMS
Kiniksa Pharmaceuticals International, plc $17.27 08/14/2024 Food and Beverage Undisputed 01/23/2026 1154872581 CMS
Merck Sharp & Dohme LLC $17.74 02/13/2024 Food and Beverage Undisputed 01/23/2026 1141742535 CMS
Merck Sharp & Dohme LLC $22.49 04/22/2024 Food and Beverage Undisputed 01/23/2026 1141742529 CMS
Merck Sharp & Dohme LLC $21.04 09/26/2024 Food and Beverage Undisputed 01/23/2026 1141742533 CMS
Merck Sharp & Dohme LLC $20.49 10/24/2024 Food and Beverage Undisputed 01/23/2026 1141742531 CMS
Merck Sharp & Dohme LLC $30.35 11/22/2024 Food and Beverage Undisputed 01/23/2026 1141939037 CMS
Novartis Pharmaceuticals Corporation $18.59 01/11/2024 Food and Beverage Undisputed 01/23/2026 1087239067 CMS
Novartis Pharmaceuticals Corporation $15.93 02/26/2024 Food and Beverage Undisputed 01/23/2026 1087239073 CMS
Novartis Pharmaceuticals Corporation $21.66 02/27/2024 Food and Beverage Undisputed 01/23/2026 1087239063 CMS
Novartis Pharmaceuticals Corporation $23.29 03/14/2024 Food and Beverage Undisputed 01/23/2026 1087239065 CMS
Novartis Pharmaceuticals Corporation $22.72 03/28/2024 Food and Beverage Undisputed 01/23/2026 1087239071 CMS
Novartis Pharmaceuticals Corporation $14.08 04/11/2024 Food and Beverage Undisputed 01/23/2026 1087239069 CMS
Novartis Pharmaceuticals Corporation $22.72 04/23/2024 Food and Beverage Undisputed 01/23/2026 1087239075 CMS
Novartis Pharmaceuticals Corporation $10.85 04/23/2024 Food and Beverage Undisputed 01/23/2026 1087239077 CMS
Novartis Pharmaceuticals Corporation $22.72 06/20/2024 Food and Beverage Undisputed 01/23/2026 1087239079 CMS
Novartis Pharmaceuticals Corporation $22.72 07/02/2024 Food and Beverage Undisputed 01/23/2026 1087239081 CMS
Novartis Pharmaceuticals Corporation $10.90 08/06/2024 Food and Beverage Undisputed 01/23/2026 1087239085 CMS
Novartis Pharmaceuticals Corporation $14.55 10/17/2024 Food and Beverage Undisputed 01/23/2026 1087239087 CMS
PFIZER INC. $18.91 03/22/2024 Food and Beverage Undisputed 01/23/2026 1131046647 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $17.69 06/04/2024 Food and Beverage Undisputed 01/23/2026 1080590951 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

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