Covered recipient · General Payments record

INGRID GRAFALS

Allopathic & Osteopathic Physicians Internal Medicine

NPI: 1538122262
CMS profile: 115289
Location: AVON, CT

General Payments · PY2018–2024

$11,665.27

Reported across 650 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,863.47

93 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	$1,827.31	92
Education	$36.16	1

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$550.88	21
Lilly USA, LLC	$269.87	12
ABBVIE INC.	$231.68	23
Novo Nordisk AS	$167.72	8
PFIZER INC.	$157.85	8
Astellas Pharma US Inc	$87.64	4
GlaxoSmithKline, LLC.	$79.17	3
Amneal Pharmaceuticals LLC	$69.03	3
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$65.99	3
NOVARTIS PHARMACEUTICALS CORPORATION	$57.90	2
Exact Sciences Corporation	$48.66	2
Sumitomo Pharma America, Inc.	$35.76	2
Inspire Medical Systems, Inc.	$26.42	1
Medtronic, Inc.	$14.90	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$1,901.21	135
PY2019	$1,161.92	73
PY2020	$1,847.01	106
PY2021	$2,618.16	130
PY2022	$1,414.64	65
PY2023	$858.86	48
PY2024	$1,863.47	93

Payment records · PY2024 (93)

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

Program year 2024 2018 2019 2020 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.	$7.56	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1103827496	CMS
ABBVIE INC.	$7.59	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1103827498	CMS
ABBVIE INC.	$6.93	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1103827500	CMS
ABBVIE INC.	$8.79	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1103827502	CMS
ABBVIE INC.	$8.02	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1103827504	CMS
ABBVIE INC.	$17.49	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1103827506	CMS
ABBVIE INC.	$9.56	03/09/2024	Food and Beverage	Undisputed	01/23/2026	1103827508	CMS
ABBVIE INC.	$6.28	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1103827510	CMS
ABBVIE INC.	$8.48	03/23/2024	Food and Beverage	Undisputed	01/23/2026	1103827512	CMS
ABBVIE INC.	$20.91	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1103827514	CMS
ABBVIE INC.	$23.03	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1103827516	CMS
ABBVIE INC.	$6.28	04/27/2024	Food and Beverage	Undisputed	01/23/2026	1103827518	CMS
ABBVIE INC.	$9.22	05/04/2024	Food and Beverage	Undisputed	01/23/2026	1103827520	CMS
ABBVIE INC.	$9.28	05/18/2024	Food and Beverage	Undisputed	01/23/2026	1103827522	CMS
ABBVIE INC.	$9.96	06/15/2024	Food and Beverage	Undisputed	01/23/2026	1103827524	CMS
ABBVIE INC.	$8.69	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1103827526	CMS
ABBVIE INC.	$8.57	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1103827528	CMS
ABBVIE INC.	$8.69	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1103827530	CMS
ABBVIE INC.	$9.55	09/07/2024	Food and Beverage	Undisputed	01/23/2026	1103827532	CMS
ABBVIE INC.	$8.57	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1103827534	CMS
ABBVIE INC.	$9.64	10/05/2024	Food and Beverage	Undisputed	01/23/2026	1103827536	CMS
ABBVIE INC.	$8.76	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1103827538	CMS
ABBVIE INC.	$9.83	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1103827540	CMS
Amneal Pharmaceuticals LLC	$18.65	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1139187480	CMS
Amneal Pharmaceuticals LLC	$25.55	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1139187482	CMS
Amneal Pharmaceuticals LLC	$24.83	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1139187484	CMS
Astellas Pharma US Inc	$19.97	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1139294452	CMS
Astellas Pharma US Inc	$18.46	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1139310986	CMS
Astellas Pharma US Inc	$16.82	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1139352189	CMS
Astellas Pharma US Inc	$32.39	10/11/2024	Food and Beverage	Undisputed	01/23/2026	1139409907	CMS
AstraZeneca Pharmaceuticals LP	$14.69	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1104340434	CMS
AstraZeneca Pharmaceuticals LP	$104.08	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1105478279	CMS
AstraZeneca Pharmaceuticals LP	$19.64	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1104624490	CMS
AstraZeneca Pharmaceuticals LP	$36.16	04/02/2024	Education	Undisputed	01/23/2026	1104583374	CMS
AstraZeneca Pharmaceuticals LP	$25.23	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1105440469	CMS
AstraZeneca Pharmaceuticals LP	$22.01	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1104635221	CMS
AstraZeneca Pharmaceuticals LP	$27.55	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1105640948	CMS
AstraZeneca Pharmaceuticals LP	$28.80	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1104342796	CMS
AstraZeneca Pharmaceuticals LP	$21.17	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1105421110	CMS
AstraZeneca Pharmaceuticals LP	$21.11	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1105689007	CMS
AstraZeneca Pharmaceuticals LP	$15.90	07/04/2024	Food and Beverage	Undisputed	01/23/2026	1104225199	CMS
AstraZeneca Pharmaceuticals LP	$17.35	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1105710044	CMS
AstraZeneca Pharmaceuticals LP	$18.74	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1105414005	CMS
AstraZeneca Pharmaceuticals LP	$19.33	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1104245241	CMS
AstraZeneca Pharmaceuticals LP	$26.84	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1104642477	CMS
AstraZeneca Pharmaceuticals LP	$13.96	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1105709624	CMS
AstraZeneca Pharmaceuticals LP	$23.36	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1104531066	CMS
AstraZeneca Pharmaceuticals LP	$20.14	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1105484539	CMS
AstraZeneca Pharmaceuticals LP	$24.33	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1104606064	CMS
AstraZeneca Pharmaceuticals LP	$22.79	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1104341834	CMS
AstraZeneca Pharmaceuticals LP	$27.70	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1105543193	CMS
Exact Sciences Corporation	$23.97	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1114680982	CMS
Exact Sciences Corporation	$24.69	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1114680988	CMS
GlaxoSmithKline, LLC.	$31.67	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1116630490	CMS
GlaxoSmithKline, LLC.	$25.00	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1116318312	CMS
GlaxoSmithKline, LLC.	$22.50	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1115951838	CMS
Inspire Medical Systems, Inc.	$26.42	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1148057553	CMS
Lilly USA, LLC	$19.33	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1134985510	CMS
Lilly USA, LLC	$18.96	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1135028166	CMS
Lilly USA, LLC	$15.68	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1135027998	CMS
Lilly USA, LLC	$16.44	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1135033742	CMS
Lilly USA, LLC	$30.92	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1135035034	CMS
Lilly USA, LLC	$23.70	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1134985514	CMS
Lilly USA, LLC	$20.75	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1135035036	CMS
Lilly USA, LLC	$32.22	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1135011177	CMS
Lilly USA, LLC	$22.53	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1134985512	CMS
Lilly USA, LLC	$21.40	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1135028168	CMS
Lilly USA, LLC	$24.83	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1134985516	CMS
Lilly USA, LLC	$23.11	12/30/2024	Food and Beverage	Undisputed	01/23/2026	1135035032	CMS
Medtronic, Inc.	$14.90	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1119363337	CMS
Novartis Pharmaceuticals Corporation	$25.22	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1086939897	CMS
Novartis Pharmaceuticals Corporation	$32.68	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1086939899	CMS
Novo Nordisk Inc	$16.64	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1097316235	CMS
Novo Nordisk Inc	$19.92	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1097453695	CMS
Novo Nordisk Inc	$23.89	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1097043683	CMS
Novo Nordisk Inc	$23.74	06/01/2024	Food and Beverage	Undisputed	01/23/2026	1097768645	CMS
Novo Nordisk Inc	$20.39	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1096939705	CMS
Novo Nordisk Inc	$24.02	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1096573970	CMS
Novo Nordisk Inc	$18.12	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1097001283	CMS
Novo Nordisk Inc	$21.00	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1097280720	CMS
PFIZER INC.	$8.51	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1132052980	CMS
PFIZER INC.	$26.67	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1131642382	CMS
PFIZER INC.	$27.97	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1131689298	CMS
PFIZER INC.	$7.88	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1132066437	CMS
PFIZER INC.	$19.46	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1131892696	CMS
PFIZER INC.	$24.97	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1132027945	CMS
PFIZER INC.	$21.47	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1132104806	CMS
PFIZER INC.	$20.92	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1131249891	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$20.40	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1153593851	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$21.11	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1153675092	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$24.48	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1153487989	CMS
Sumitomo Pharma America, Inc.	$20.25	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1148858277	CMS
Sumitomo Pharma America, Inc.	$15.51	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1148858279	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

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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.