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 WARREN HIRSHFIELD

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1538127402
CMS profile
296856
Location
LA JOLLA, CA

General Payments · PY2018–2024

$3,847.45

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

Latest program year · PY2024

$1,303.18

51 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 $1,303.18 51

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $506.47 24
PY2019 $12.39 1
PY2020 $12.42 1
PY2022 $647.00 34
PY2023 $1,365.99 55
PY2024 $1,303.18 51

Payment records · PY2024 (51)

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

Program year 2024 20182019202020222023 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. $20.10 01/24/2024 Food and Beverage Undisputed 01/23/2026 1103922665 CMS
ABBVIE INC. $17.29 04/03/2024 Food and Beverage Undisputed 01/23/2026 1103922667 CMS
ABBVIE INC. $19.88 05/13/2024 Food and Beverage Undisputed 01/23/2026 1103922669 CMS
ABBVIE INC. $24.51 10/09/2024 Food and Beverage Undisputed 01/23/2026 1103922671 CMS
Amgen Inc. $22.93 01/29/2024 Food and Beverage Undisputed 01/23/2026 1117278230 CMS
Amgen Inc. $30.42 11/06/2024 Food and Beverage Undisputed 01/23/2026 1111599582 CMS
Amgen Inc. $21.69 12/18/2024 Food and Beverage Undisputed 01/23/2026 1111599584 CMS
AstraZeneca Pharmaceuticals LP $15.89 01/18/2024 Food and Beverage Undisputed 01/23/2026 1105827075 CMS
AstraZeneca Pharmaceuticals LP $13.27 01/29/2024 Food and Beverage Undisputed 01/23/2026 1104452688 CMS
AstraZeneca Pharmaceuticals LP $18.63 02/05/2024 Food and Beverage Undisputed 01/23/2026 1105259024 CMS
AstraZeneca Pharmaceuticals LP $22.00 04/15/2024 Food and Beverage Undisputed 01/23/2026 1104643237 CMS
AstraZeneca Pharmaceuticals LP $17.57 06/17/2024 Food and Beverage Undisputed 01/23/2026 1105780676 CMS
AstraZeneca Pharmaceuticals LP $19.50 07/17/2024 Food and Beverage Undisputed 01/23/2026 1104541112 CMS
AstraZeneca Pharmaceuticals LP $19.03 08/26/2024 Food and Beverage Undisputed 01/23/2026 1105609971 CMS
AstraZeneca Pharmaceuticals LP $12.66 10/20/2024 Food and Beverage Undisputed 01/23/2026 1104271997 CMS
AstraZeneca Pharmaceuticals LP $17.56 10/21/2024 Food and Beverage Undisputed 01/23/2026 1104489536 CMS
AstraZeneca Pharmaceuticals LP $18.92 11/20/2024 Food and Beverage Undisputed 01/23/2026 1104482348 CMS
AstraZeneca Pharmaceuticals LP $18.45 12/09/2024 Food and Beverage Undisputed 01/23/2026 1105360766 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $20.29 09/04/2024 Food and Beverage Undisputed 01/23/2026 1118048418 CMS
Boston Scientific Corporation $25.25 11/04/2024 Food and Beverage Undisputed 01/23/2026 1092710256 CMS
Dexcom, Inc. $25.10 06/10/2024 Food and Beverage Undisputed 01/23/2026 1153295035 CMS
Esperion Therapeutics, Inc. $20.09 05/20/2024 Food and Beverage Undisputed 01/23/2026 1129438594 CMS
Esperion Therapeutics, Inc. $22.03 09/09/2024 Food and Beverage Undisputed 01/23/2026 1129438596 CMS
Exact Sciences Corporation $26.08 08/19/2024 Food and Beverage Undisputed 01/23/2026 1114703689 CMS
GENZYME CORPORATION $46.63 04/08/2024 Food and Beverage Undisputed 01/23/2026 1139978756 CMS
GENZYME CORPORATION $45.54 07/15/2024 Food and Beverage Undisputed 01/23/2026 1139978784 CMS
GlaxoSmithKline, LLC. $21.36 03/29/2024 Food and Beverage Undisputed 01/23/2026 1116244346 CMS
Grifols USA, LLC $19.11 01/22/2024 Food and Beverage Undisputed 01/23/2026 1124731529 CMS
Hologic Sales and Service, LLC $40.94 03/06/2024 Food and Beverage Undisputed 01/23/2026 1084890035 CMS
Hologic Sales and Service, LLC $19.52 11/01/2024 Food and Beverage Undisputed 01/23/2026 1084890119 CMS
Inspire Medical Systems, Inc. $36.23 06/27/2024 Food and Beverage Undisputed 01/23/2026 1148060215 CMS
Lilly USA, LLC $27.99 02/21/2024 Food and Beverage Undisputed 01/23/2026 1136136108 CMS
Lilly USA, LLC $30.98 04/03/2024 Food and Beverage Undisputed 01/23/2026 1136162133 CMS
Lilly USA, LLC $24.22 09/30/2024 Food and Beverage Undisputed 01/23/2026 1136135033 CMS
Lilly USA, LLC $22.37 10/28/2024 Food and Beverage Undisputed 01/23/2026 1136137547 CMS
Neurelis, Inc. $22.70 02/17/2024 Food and Beverage Undisputed 01/23/2026 1145643526 CMS
Novartis Pharmaceuticals Corporation $29.29 01/31/2024 Food and Beverage Undisputed 01/23/2026 1086879507 CMS
Novartis Pharmaceuticals Corporation $32.60 05/06/2024 Food and Beverage Undisputed 01/23/2026 1086879513 CMS
Novo Nordisk Inc $13.92 06/03/2024 Food and Beverage Undisputed 01/23/2026 1097092425 CMS
Novo Nordisk Inc $24.04 11/13/2024 Food and Beverage Undisputed 01/23/2026 1097130898 CMS
Otsuka America Pharmaceutical, Inc. $28.37 04/22/2024 Food and Beverage Undisputed 01/23/2026 1118909027 CMS
PFIZER INC. $17.36 04/24/2024 Food and Beverage Undisputed 01/23/2026 1132004050 CMS
PFIZER INC. $16.98 07/11/2024 Food and Beverage Undisputed 01/23/2026 1131996903 CMS
Phadia US Inc. $14.95 10/07/2024 Food and Beverage Undisputed 01/23/2026 1067577760 CMS
Phathom Pharmaceuticals, Inc. $21.90 03/27/2024 Food and Beverage Undisputed 01/23/2026 1151072386 CMS
Phathom Pharmaceuticals, Inc. $23.12 08/05/2024 Food and Beverage Undisputed 01/23/2026 1151072388 CMS
Phathom Pharmaceuticals, Inc. $138.06 10/24/2024 Food and Beverage Undisputed 01/23/2026 1151072390 CMS
Philips North America LLC $22.68 04/02/2024 Food and Beverage Undisputed 01/23/2026 1146918262 CMS
SANOFI-AVENTIS U.S. LLC $21.66 06/24/2024 Food and Beverage Undisputed 01/23/2026 1139978772 CMS
SANOFI-AVENTIS U.S. LLC $25.51 10/28/2024 Food and Beverage Undisputed 01/23/2026 1139978800 CMS
SANOFI-AVENTIS U.S. LLC $26.01 12/11/2024 Food and Beverage Undisputed 01/23/2026 1139978806 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, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , 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.