Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

MELINDA H ZYCH

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1528425659
CMS profile
10748933
Location
CAPE GIRARDEAU, MO

General Payments · PY2021–2025

$6,384.02

  • Reported across 261 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$1,242.99

54 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,242.99 54

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,255.89 48
PY2022 $1,556.52 54
PY2023 $1,117.63 50
PY2024 $1,210.99 55
PY2025 $1,242.99 54

Payment records · PY2025 (54)

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

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
ABBVIE INC. $34.02 01/09/2025 Food and Beverage Undisputed 06/30/2026 1204286861 CMS
ABBVIE INC. $11.27 01/14/2025 Food and Beverage Undisputed 06/30/2026 1204286865 CMS
ABBVIE INC. $11.49 01/22/2025 Food and Beverage Undisputed 06/30/2026 1204286871 CMS
ABBVIE INC. $12.05 01/29/2025 Food and Beverage Undisputed 06/30/2026 1204286877 CMS
ABBVIE INC. $27.91 02/05/2025 Food and Beverage Undisputed 06/30/2026 1204286882 CMS
ABBVIE INC. $32.92 02/20/2025 Food and Beverage Undisputed 06/30/2026 1204286887 CMS
ABBVIE INC. $22.30 02/24/2025 Food and Beverage Undisputed 06/30/2026 1204286893 CMS
ABBVIE INC. $17.25 02/25/2025 Food and Beverage Undisputed 06/30/2026 1204286899 CMS
ABBVIE INC. $11.51 03/05/2025 Food and Beverage Undisputed 06/30/2026 1204286904 CMS
ABBVIE INC. $11.48 03/07/2025 Food and Beverage Undisputed 06/30/2026 1204286913 CMS
ABBVIE INC. $30.29 03/12/2025 Food and Beverage Undisputed 06/30/2026 1204286919 CMS
ABBVIE INC. $28.25 04/02/2025 Food and Beverage Undisputed 06/30/2026 1204286926 CMS
ABBVIE INC. $30.46 04/23/2025 Food and Beverage Undisputed 06/30/2026 1204286932 CMS
ABBVIE INC. $28.57 05/14/2025 Food and Beverage Undisputed 06/30/2026 1204286938 CMS
ABBVIE INC. $34.94 05/29/2025 Food and Beverage Undisputed 06/30/2026 1204286944 CMS
ABBVIE INC. $28.47 06/04/2025 Food and Beverage Undisputed 06/30/2026 1204286950 CMS
ABBVIE INC. $15.64 06/17/2025 Food and Beverage Undisputed 06/30/2026 1204286958 CMS
ABBVIE INC. $20.65 07/09/2025 Food and Beverage Undisputed 06/30/2026 1204286963 CMS
ABBVIE INC. $32.26 07/14/2025 Food and Beverage Undisputed 06/30/2026 1204286967 CMS
ABBVIE INC. $12.40 07/28/2025 Food and Beverage Undisputed 06/30/2026 1204286973 CMS
ABBVIE INC. $19.17 07/29/2025 Food and Beverage Undisputed 06/30/2026 1204286980 CMS
ABBVIE INC. $30.84 08/06/2025 Food and Beverage Undisputed 06/30/2026 1204286988 CMS
ABBVIE INC. $19.51 08/13/2025 Food and Beverage Undisputed 06/30/2026 1204286995 CMS
ABBVIE INC. $14.92 08/18/2025 Food and Beverage Undisputed 06/30/2026 1204287001 CMS
ABBVIE INC. $10.78 08/27/2025 Food and Beverage Undisputed 06/30/2026 1204287006 CMS
ABBVIE INC. $11.04 09/02/2025 Food and Beverage Undisputed 06/30/2026 1204287012 CMS
ABBVIE INC. $33.60 09/11/2025 Food and Beverage Undisputed 06/30/2026 1204287016 CMS
ABBVIE INC. $34.23 09/18/2025 Food and Beverage Undisputed 06/30/2026 1204287023 CMS
ABBVIE INC. $11.85 09/23/2025 Food and Beverage Undisputed 06/30/2026 1204287031 CMS
ABBVIE INC. $16.71 09/29/2025 Food and Beverage Undisputed 06/30/2026 1204287036 CMS
ABBVIE INC. $31.18 09/29/2025 Food and Beverage Undisputed 06/30/2026 1204287041 CMS
ABBVIE INC. $27.23 10/08/2025 Food and Beverage Undisputed 06/30/2026 1204287048 CMS
ABBVIE INC. $19.46 10/13/2025 Food and Beverage Undisputed 06/30/2026 1204287054 CMS
ABBVIE INC. $13.12 10/23/2025 Food and Beverage Undisputed 06/30/2026 1204287060 CMS
ABBVIE INC. $30.39 10/30/2025 Food and Beverage Undisputed 06/30/2026 1204287064 CMS
ABBVIE INC. $22.84 11/12/2025 Food and Beverage Undisputed 06/30/2026 1204287070 CMS
ABBVIE INC. $20.34 11/13/2025 Food and Beverage Undisputed 06/30/2026 1204287076 CMS
ABBVIE INC. $15.96 12/11/2025 Food and Beverage Undisputed 06/30/2026 1204287081 CMS
Axsome Therapeutics, Inc. $15.38 12/09/2025 Food and Beverage Undisputed 06/30/2026 1235681681 CMS
JAZZ PHARMACEUTICALS INC. $26.57 01/21/2025 Food and Beverage Undisputed 06/30/2026 1234878817 CMS
JAZZ PHARMACEUTICALS INC. $23.87 09/30/2025 Food and Beverage Undisputed 06/30/2026 1234879761 CMS
LivaNova USA, Inc. $18.33 07/22/2025 Food and Beverage Undisputed 06/30/2026 1245697098 CMS
Neurelis, Inc. $23.76 02/05/2025 Food and Beverage Undisputed 06/30/2026 1219216872 CMS
Neurelis, Inc. $14.48 04/16/2025 Food and Beverage Undisputed 06/30/2026 1219216874 CMS
Neurocrine BioSciences, Inc. $25.45 03/27/2025 Food and Beverage Undisputed 06/30/2026 1242849551 CMS
Neurocrine BioSciences, Inc. $15.02 07/02/2025 Food and Beverage Undisputed 06/30/2026 1242917550 CMS
Neurocrine BioSciences, Inc. $32.28 11/07/2025 Food and Beverage Undisputed 06/30/2026 1242821255 CMS
Neurocrine BioSciences, Inc. $20.98 11/24/2025 Food and Beverage Undisputed 06/30/2026 1242878755 CMS
PFIZER INC. $17.18 04/06/2025 Food and Beverage Undisputed 06/30/2026 1228940255 CMS
PFIZER INC. $18.75 10/06/2025 Food and Beverage Undisputed 06/30/2026 1230415759 CMS
Teva Pharmaceuticals USA, Inc. $5.37 04/15/2025 Food and Beverage Undisputed 06/30/2026 1247550825 CMS
Teva Pharmaceuticals USA, Inc. $5.13 07/14/2025 Food and Beverage Undisputed 06/30/2026 1247550879 CMS
Teva Pharmaceuticals USA, Inc. $124.86 09/25/2025 Food and Beverage Undisputed 06/30/2026 1247550905 CMS
VERTEX PHARMACEUTICALS INCORPORATED $18.28 11/16/2025 Food and Beverage Undisputed 06/30/2026 1213929589 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.

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