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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

INGRID GRAFALS

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1538122262
CMS profile
115289
Location
AVON, CT

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 · PY2019–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$1,965.66

92 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 $1,965.66 92

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Acerta Pharma LLC $592.98 22
ABBVIE INC. $242.31 18
PFIZER INC. $235.51 12
Lilly USA, LLC $161.94 6
Salix Pharmaceuticals, a division of Bausch Health US, LLC $146.53 8
Novo Nordisk AS $132.54 6
Exact Sciences Corporation $91.10 3
Amneal Pharmaceuticals LLC $65.17 3
NOVARTIS PHARMACEUTICALS CORPORATION $56.72 3
Sumitomo Pharma America, Inc. $36.25 2
BOSTON SCIENTIFIC CORPORATION $34.44 1
GlaxoSmithKline, LLC. $28.84 1
INTRA-SANA LABORATORIES $23.17 1
Seqirus USA Inc $21.22 1
INSIGHTEC,INC $20.82 1
Otsuka America Pharmaceutical, Inc. $19.88 1
Echosens North America, Inc. $19.34 1
SANOFI-AVENTIS U.S. LLC $19.14 1
Astellas Pharma US Inc $17.76 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
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
PY2025 $1,965.66 92

Payment records · PY2025 (92)

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Program year 2025 201920202021202220232024 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. $8.17 12/24/2025 Food and Beverage No dispute reported 06/30/2026 1201954662 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $9.14 12/21/2025 Food and Beverage No dispute reported 06/30/2026 1231907028 CMS
ABBVIE INC. $8.69 12/09/2025 Food and Beverage No dispute reported 06/30/2026 1201954660 CMS
AstraZeneca Pharmaceuticals LP $19.68 12/09/2025 Food and Beverage No dispute reported 06/30/2026 1207194693 CMS
PFIZER INC. $21.68 12/04/2025 Food and Beverage No dispute reported 06/30/2026 1231076028 CMS
AstraZeneca Pharmaceuticals LP $24.15 11/25/2025 Food and Beverage No dispute reported 06/30/2026 1207210441 CMS
AstraZeneca Pharmaceuticals LP $15.39 11/24/2025 Food and Beverage No dispute reported 06/30/2026 1206692851 CMS
Intra-Sana Laboratories $23.17 11/21/2025 Food and Beverage No dispute reported 06/30/2026 1251421420 CMS
PFIZER INC. $18.52 11/18/2025 Food and Beverage No dispute reported 06/30/2026 1230923688 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.82 11/18/2025 Food and Beverage No dispute reported 06/30/2026 1231907023 CMS
Lilly USA, LLC $28.09 11/16/2025 Food and Beverage No dispute reported 06/30/2026 1186570760 CMS
ABBVIE INC. $8.76 11/15/2025 Food and Beverage No dispute reported 06/30/2026 1201954658 CMS
Amneal Pharmaceuticals LLC $17.53 10/31/2025 Food and Beverage No dispute reported 06/30/2026 1220534949 CMS
AstraZeneca Pharmaceuticals LP $25.01 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1206169831 CMS
ABBVIE INC. $5.95 10/28/2025 Food and Beverage No dispute reported 06/30/2026 1201954656 CMS
Novartis Pharmaceuticals Corporation $17.46 10/27/2025 Food and Beverage No dispute reported 06/30/2026 1200348311 CMS
ABBVIE INC. $9.19 10/17/2025 Food and Beverage No dispute reported 06/30/2026 1201954654 CMS
Novo Nordisk Inc $26.17 10/16/2025 Food and Beverage No dispute reported 06/30/2026 1189089345 CMS
Lilly USA, LLC $31.40 10/15/2025 Food and Beverage No dispute reported 06/30/2026 1186594408 CMS
PFIZER INC. $16.82 10/14/2025 Food and Beverage No dispute reported 06/30/2026 1230379809 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $23.67 10/13/2025 Food and Beverage No dispute reported 06/30/2026 1231907012 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $8.38 10/13/2025 Food and Beverage No dispute reported 06/30/2026 1231907018 CMS
AstraZeneca Pharmaceuticals LP $33.31 10/09/2025 Food and Beverage No dispute reported 06/30/2026 1206259000 CMS
GlaxoSmithKline, LLC. $28.84 10/06/2025 Food and Beverage No dispute reported 06/30/2026 1191475473 CMS
AstraZeneca Pharmaceuticals LP $14.57 09/30/2025 Food and Beverage No dispute reported 06/30/2026 1207039240 CMS
Boston Scientific Corporation $34.44 09/22/2025 Food and Beverage No dispute reported 06/30/2026 1181237924 CMS
AstraZeneca Pharmaceuticals LP $29.52 09/18/2025 Food and Beverage No dispute reported 06/30/2026 1207021103 CMS
ABBVIE INC. $28.80 09/16/2025 Food and Beverage No dispute reported 06/30/2026 1201954652 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $21.32 09/15/2025 Food and Beverage No dispute reported 06/30/2026 1231907006 CMS
Novo Nordisk Inc $16.53 09/09/2025 Food and Beverage No dispute reported 06/30/2026 1189052131 CMS
AstraZeneca Pharmaceuticals LP $25.34 09/08/2025 Food and Beverage No dispute reported 06/30/2026 1206974224 CMS
ABBVIE INC. $8.45 09/05/2025 Food and Beverage No dispute reported 06/30/2026 1201954650 CMS
Otsuka America Pharmaceutical, Inc. $19.88 09/05/2025 Food and Beverage No dispute reported 06/30/2026 1227335901 CMS
PFIZER INC. $27.08 09/04/2025 Food and Beverage No dispute reported 06/30/2026 1229799407 CMS
Lilly USA, LLC $26.00 09/03/2025 Food and Beverage No dispute reported 06/30/2026 1186654563 CMS
Sumitomo Pharma America, Inc. $20.32 08/28/2025 Food and Beverage No dispute reported 06/30/2026 1176660687 CMS
ABBVIE INC. $27.82 08/26/2025 Food and Beverage No dispute reported 06/30/2026 1201954648 CMS
Lilly USA, LLC $22.77 08/20/2025 Food and Beverage No dispute reported 06/30/2026 1186585288 CMS
Novo Nordisk Inc $19.08 08/19/2025 Food and Beverage No dispute reported 06/30/2026 1188229370 CMS
AstraZeneca Pharmaceuticals LP $15.63 08/18/2025 Food and Beverage No dispute reported 06/30/2026 1206490097 CMS
PFIZER INC. $9.53 08/07/2025 Food and Beverage No dispute reported 06/30/2026 1229831197 CMS
PFIZER INC. $17.94 08/05/2025 Food and Beverage No dispute reported 06/30/2026 1229413900 CMS
PFIZER INC. $16.47 08/04/2025 Food and Beverage No dispute reported 06/30/2026 1229843600 CMS
AstraZeneca Pharmaceuticals LP $13.74 07/21/2025 Food and Beverage No dispute reported 06/30/2026 1206528065 CMS
ABBVIE INC. $7.43 07/08/2025 Food and Beverage No dispute reported 06/30/2026 1201954646 CMS
PFIZER INC. $18.89 06/13/2025 Food and Beverage No dispute reported 06/30/2026 1229318316 CMS
ABBVIE INC. $7.94 06/12/2025 Food and Beverage No dispute reported 06/30/2026 1201954644 CMS
AstraZeneca Pharmaceuticals LP $28.53 06/12/2025 Food and Beverage No dispute reported 06/30/2026 1207230402 CMS
Novo Nordisk Inc $27.49 06/10/2025 Food and Beverage No dispute reported 06/30/2026 1188987412 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $20.60 06/10/2025 Food and Beverage No dispute reported 06/30/2026 1231907003 CMS
AstraZeneca Pharmaceuticals LP $21.75 06/09/2025 Food and Beverage No dispute reported 06/30/2026 1207315562 CMS
Novartis Pharmaceuticals Corporation $24.41 06/03/2025 Food and Beverage No dispute reported 06/30/2026 1200348303 CMS
Sumitomo Pharma America, Inc. $15.93 06/02/2025 Food and Beverage No dispute reported 06/30/2026 1176660685 CMS
PFIZER INC. $26.90 05/29/2025 Food and Beverage No dispute reported 06/30/2026 1229318762 CMS
Exact Sciences Corporation $29.46 05/27/2025 Food and Beverage No dispute reported 06/30/2026 1235524438 CMS
InSightec,Inc $20.82 05/20/2025 Food and Beverage No dispute reported 06/30/2026 1233938321 CMS
PFIZER INC. $19.13 05/15/2025 Food and Beverage No dispute reported 06/30/2026 1229848261 CMS
Lilly USA, LLC $24.87 05/13/2025 Food and Beverage No dispute reported 06/30/2026 1186654565 CMS
Novo Nordisk Inc $19.01 05/09/2025 Food and Beverage No dispute reported 06/30/2026 1188400675 CMS
Novartis Pharmaceuticals Corporation $14.85 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1200348299 CMS
Amneal Pharmaceuticals LLC $19.86 05/06/2025 Food and Beverage No dispute reported 06/30/2026 1220534947 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $21.35 05/05/2025 Food and Beverage No dispute reported 06/30/2026 1231906998 CMS
ABBVIE INC. $25.57 04/29/2025 Food and Beverage No dispute reported 06/30/2026 1201954642 CMS
AstraZeneca Pharmaceuticals LP $24.97 04/28/2025 Food and Beverage No dispute reported 06/30/2026 1206844182 CMS
ABBVIE INC. $30.69 04/24/2025 Food and Beverage No dispute reported 06/30/2026 1201954640 CMS
AstraZeneca Pharmaceuticals LP $23.79 04/21/2025 Food and Beverage No dispute reported 06/30/2026 1206192289 CMS
Seqirus USA Inc $21.22 04/17/2025 Food and Beverage No dispute reported 06/30/2026 1201089822 CMS
PFIZER INC. $24.11 04/15/2025 Food and Beverage No dispute reported 06/30/2026 1229326424 CMS
AstraZeneca Pharmaceuticals LP $30.09 04/14/2025 Food and Beverage No dispute reported 06/30/2026 1207010292 CMS
Novo Nordisk Inc $24.26 04/11/2025 Food and Beverage No dispute reported 06/30/2026 1189051810 CMS
Exact Sciences Corporation $34.20 04/10/2025 Food and Beverage No dispute reported 06/30/2026 1235524434 CMS
ABBVIE INC. $8.22 04/03/2025 Food and Beverage No dispute reported 06/30/2026 1201954638 CMS
SANOFI-AVENTIS U.S. LLC $19.14 04/03/2025 Food and Beverage No dispute reported 06/30/2026 1233254873 CMS
AstraZeneca Pharmaceuticals LP $17.88 03/24/2025 Food and Beverage No dispute reported 06/30/2026 1206570147 CMS
ABBVIE INC. $7.35 03/19/2025 Food and Beverage No dispute reported 06/30/2026 1201954636 CMS
Echosens North America, Inc. $19.34 03/13/2025 Food and Beverage No dispute reported 06/30/2026 1243934497 CMS
AstraZeneca Pharmaceuticals LP $16.52 03/11/2025 Food and Beverage No dispute reported 06/30/2026 1206368315 CMS
ABBVIE INC. $9.34 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1201954634 CMS
AstraZeneca Pharmaceuticals LP $27.60 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1206798723 CMS
Exact Sciences Corporation $27.44 02/27/2025 Food and Beverage No dispute reported 06/30/2026 1235524430 CMS
Lilly USA, LLC $28.81 02/20/2025 Food and Beverage No dispute reported 06/30/2026 1186594410 CMS
AstraZeneca Pharmaceuticals LP $18.88 02/18/2025 Food and Beverage No dispute reported 06/30/2026 1206855908 CMS
AstraZeneca Pharmaceuticals LP $19.60 02/06/2025 Food and Beverage No dispute reported 06/30/2026 1207154541 CMS
ABBVIE INC. $9.19 02/05/2025 Food and Beverage No dispute reported 06/30/2026 1201954632 CMS
PFIZER INC. $18.44 02/03/2025 Food and Beverage No dispute reported 06/30/2026 1229869222 CMS
Astellas Pharma US Inc $17.76 01/31/2025 Food and Beverage No dispute reported 06/30/2026 1238730034 CMS
ABBVIE INC. $21.95 01/30/2025 Food and Beverage No dispute reported 06/30/2026 1201954630 CMS
Amneal Pharmaceuticals LLC $27.78 01/28/2025 Food and Beverage No dispute reported 06/30/2026 1220534945 CMS
AstraZeneca Pharmaceuticals LP $131.91 01/27/2025 Food and Beverage No dispute reported 06/30/2026 1206394577 CMS
AstraZeneca Pharmaceuticals LP $15.12 01/27/2025 Food and Beverage No dispute reported 06/30/2026 1206638004 CMS
ABBVIE INC. $8.80 01/24/2025 Food and Beverage No dispute reported 06/30/2026 1201954628 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $22.25 01/10/2025 Food and Beverage No dispute reported 06/30/2026 1231906991 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
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2020 , 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-1538122262

Plain
INGRID GRAFALS, NPI 1538122262. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1538122262.
APA 7
IndustryPayments. (2026). INGRID GRAFALS, NPI 1538122262 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1538122262
Bluebook
INGRID GRAFALS, NPI 1538122262, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1538122262.

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