IndustryPayments
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

CARLA M NESTER

Allopathic & Osteopathic Physicians Pediatrics Pediatric Nephrology

NPI
1538387873
CMS profile
691964
Location
IOWA CITY, IA

General Payments · PY2019–2024

$133,448.06

  • Reported across 70 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$75,816.09

41 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.

Related groups: Pediatric Nephrology IA All categories

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Consulting Fee $66,608.00 7
Travel and Lodging $7,533.50 15
Food and Beverage $1,674.59 19

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
NOVARTIS PHARMACEUTICALS CORPORATION $60,907.89 30
Alexion Pharmaceuticals, Inc. $11,080.12 7
BioCryst Pharmaceuticals, Inc. $2,548.00 1
VERTEX PHARMACEUTICALS INCORPORATED $1,229.23 2
Amgen Inc. $50.85 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $22,287.16 12
PY2020 $17,537.50 7
PY2021 $5,000.00 3
PY2022 $7,004.57 4
PY2023 $5,802.74 3
PY2024 $75,816.09 41

Payment records · PY2024 (41)

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

Program year 2024 20192020202120222023 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
Alexion Pharmaceuticals, Inc. $302.64 05/03/2024 Travel and Lodging Undisputed 01/23/2026 1093924420 CMS
Alexion Pharmaceuticals, Inc. $261.06 05/03/2024 Travel and Lodging Undisputed 01/23/2026 1093929390 CMS
Alexion Pharmaceuticals, Inc. $50.00 05/04/2024 Food and Beverage Undisputed 01/23/2026 1093882955 CMS
Alexion Pharmaceuticals, Inc. $40.00 05/04/2024 Food and Beverage Undisputed 01/23/2026 1093885748 CMS
Alexion Pharmaceuticals, Inc. $24.99 05/04/2024 Food and Beverage Undisputed 01/23/2026 1093954312 CMS
Alexion Pharmaceuticals, Inc. $16.43 05/04/2024 Food and Beverage Undisputed 01/23/2026 1093990563 CMS
Alexion Pharmaceuticals, Inc. $10,385.00 05/29/2024 Consulting Fee Undisputed 01/23/2026 1094030841 CMS
Amgen Inc. $50.85 10/25/2024 Food and Beverage Undisputed 01/23/2026 1117338299 CMS
BioCryst Pharmaceuticals, Inc. $2,548.00 01/05/2024 Consulting Fee Undisputed 01/23/2026 1117472406 CMS
Novartis Pharmaceuticals Corporation $139.98 04/05/2024 Food and Beverage Undisputed 01/23/2026 1086961936 CMS
Novartis Pharmaceuticals Corporation $65.14 08/09/2024 Food and Beverage Undisputed 01/23/2026 1086961946 CMS
Novartis Pharmaceuticals Corporation $104.04 10/15/2024 Food and Beverage Undisputed 01/23/2026 1086961964 CMS
Novartis Pharmaceuticals Corporation $331.44 10/15/2024 Travel and Lodging Undisputed 01/23/2026 1086961966 CMS
Novartis Pharmaceuticals Corporation $119.91 10/16/2024 Food and Beverage Undisputed 01/23/2026 1086961968 CMS
Novartis Pharmaceuticals Corporation $181.48 10/16/2024 Travel and Lodging Undisputed 01/23/2026 1086961970 CMS
Novartis Pharmaceuticals Corporation $1,339.97 10/17/2024 Travel and Lodging Undisputed 01/23/2026 1086961972 CMS
Novartis Pharmaceuticals Corporation $111.20 10/17/2024 Food and Beverage Undisputed 01/23/2026 1086961974 CMS
Novartis Pharmaceuticals Corporation $60.41 10/17/2024 Food and Beverage Undisputed 01/23/2026 1086961976 CMS
Novartis Pharmaceuticals Corporation $260.00 10/17/2024 Travel and Lodging Undisputed 01/23/2026 1086961978 CMS
Novartis Pharmaceuticals Corporation $23,175.00 10/17/2024 Consulting Fee Undisputed 01/23/2026 1086961980 CMS
Novartis Pharmaceuticals Corporation $698.16 10/17/2024 Travel and Lodging Undisputed 01/23/2026 1086961982 CMS
Novartis Pharmaceuticals Corporation $79.73 10/24/2024 Food and Beverage Undisputed 01/23/2026 1086961954 CMS
Novartis Pharmaceuticals Corporation $139.99 11/07/2024 Food and Beverage Undisputed 01/23/2026 1086962016 CMS
Novartis Pharmaceuticals Corporation $290.75 11/08/2024 Food and Beverage Undisputed 01/23/2026 1086962004 CMS
Novartis Pharmaceuticals Corporation $207.28 11/08/2024 Travel and Lodging Undisputed 01/23/2026 1086962006 CMS
Novartis Pharmaceuticals Corporation $8,050.00 11/08/2024 Consulting Fee Undisputed 01/23/2026 1086962008 CMS
Novartis Pharmaceuticals Corporation $22.00 11/08/2024 Travel and Lodging Undisputed 01/23/2026 1086962010 CMS
Novartis Pharmaceuticals Corporation $1,365.90 11/08/2024 Travel and Lodging Undisputed 01/23/2026 1086962012 CMS
Novartis Pharmaceuticals Corporation $1,650.00 11/13/2024 Consulting Fee Undisputed 01/23/2026 1086961962 CMS
Novartis Pharmaceuticals Corporation $83.57 12/03/2024 Food and Beverage Undisputed 01/23/2026 1086961984 CMS
Novartis Pharmaceuticals Corporation $318.67 12/03/2024 Travel and Lodging Undisputed 01/23/2026 1086961986 CMS
Novartis Pharmaceuticals Corporation $97.62 12/04/2024 Food and Beverage Undisputed 01/23/2026 1086961988 CMS
Novartis Pharmaceuticals Corporation $126.88 12/04/2024 Travel and Lodging Undisputed 01/23/2026 1086961990 CMS
Novartis Pharmaceuticals Corporation $1,049.96 12/05/2024 Travel and Lodging Undisputed 01/23/2026 1086961992 CMS
Novartis Pharmaceuticals Corporation $84.42 12/05/2024 Food and Beverage Undisputed 01/23/2026 1086961994 CMS
Novartis Pharmaceuticals Corporation $86.33 12/05/2024 Food and Beverage Undisputed 01/23/2026 1086961996 CMS
Novartis Pharmaceuticals Corporation $281.88 12/05/2024 Travel and Lodging Undisputed 01/23/2026 1086961998 CMS
Novartis Pharmaceuticals Corporation $19,600.00 12/05/2024 Consulting Fee Undisputed 01/23/2026 1086962000 CMS
Novartis Pharmaceuticals Corporation $786.18 12/05/2024 Travel and Lodging Undisputed 01/23/2026 1086962002 CMS
VERTEX PHARMACEUTICALS INCORPORATED $29.23 10/24/2024 Food and Beverage Undisputed 01/23/2026 1105910996 CMS
VERTEX PHARMACEUTICALS INCORPORATED $1,200.00 12/18/2024 Consulting Fee Undisputed 01/23/2026 1105902656 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
2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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