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

RAFAEL J SEPULVEDA ACOSTA

Allopathic & Osteopathic Physicians Internal Medicine Sleep Medicine

NPI
1558611459
CMS profile
1279798
Location
SONOMA, CA

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

$1,234.89

24 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 $1,084.89 23
Consulting Fee $150.00 1

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $153.75 8
PY2020 $55.02 4
PY2021 $133.26 8
PY2022 $267.73 8
PY2023 $372.68 12
PY2024 $1,043.43 21
PY2025 $1,234.89 24

Payment records · PY2025 (24)

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
Lilly USA, LLC $124.13 12/11/2025 Food and Beverage No dispute reported 06/30/2026 1186917482 CMS
Inspire Medical Systems, Inc. $19.44 12/04/2025 Food and Beverage No dispute reported 06/30/2026 1251507318 CMS
Axsome Therapeutics, Inc. $31.17 11/13/2025 Food and Beverage No dispute reported 06/30/2026 1235640691 CMS
Lilly USA, LLC $7.20 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1186904034 CMS
Novo Nordisk Inc $124.87 10/22/2025 Food and Beverage No dispute reported 06/30/2026 1188297806 CMS
Inspire Medical Systems, Inc. $20.10 08/27/2025 Food and Beverage No dispute reported 06/30/2026 1251507314 CMS
Inspire Medical Systems, Inc. $106.62 08/27/2025 Food and Beverage No dispute reported 06/30/2026 1251507316 CMS
Inspire Medical Systems, Inc. $10.10 08/26/2025 Food and Beverage No dispute reported 06/30/2026 1251507312 CMS
Axsome Therapeutics, Inc. $28.68 08/11/2025 Food and Beverage No dispute reported 06/30/2026 1235505683 CMS
Intra-Sana Laboratories $24.45 08/07/2025 Food and Beverage No dispute reported 06/30/2026 1251424438 CMS
Lilly USA, LLC $5.75 08/07/2025 Food and Beverage No dispute reported 06/30/2026 1186928876 CMS
JAZZ PHARMACEUTICALS INC. $25.37 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1234328647 CMS
Inspire Medical Systems, Inc. $50.96 06/25/2025 Food and Beverage No dispute reported 06/30/2026 1251507310 CMS
Inspire Medical Systems, Inc. $129.69 06/18/2025 Food and Beverage No dispute reported 06/30/2026 1251507308 CMS
Inspire Medical Systems, Inc. $13.27 06/03/2025 Food and Beverage No dispute reported 06/30/2026 1251507306 CMS
Axsome Therapeutics, Inc. $29.81 05/30/2025 Food and Beverage No dispute reported 06/30/2026 1235327681 CMS
Inspire Medical Systems, Inc. $66.20 05/07/2025 Food and Beverage No dispute reported 06/30/2026 1251507304 CMS
Currax Pharmaceuticals LLC $16.35 04/24/2025 Food and Beverage No dispute reported 06/30/2026 1242706781 CMS
Inspire Medical Systems, Inc. $13.95 04/24/2025 Food and Beverage No dispute reported 06/30/2026 1251507302 CMS
Inspire Medical Systems, Inc. $85.68 02/28/2025 Food and Beverage No dispute reported 06/30/2026 1251507300 CMS
Inspire Medical Systems, Inc. $44.75 02/27/2025 Food and Beverage No dispute reported 06/30/2026 1251507298 CMS
JAZZ PHARMACEUTICALS INC. $150.00 02/13/2025 Consulting Fee No dispute reported 06/30/2026 1234303783 CMS
Inspire Medical Systems, Inc. $73.17 02/12/2025 Food and Beverage No dispute reported 06/30/2026 1251507296 CMS
JAZZ PHARMACEUTICALS INC. $33.18 02/07/2025 Food and Beverage No dispute reported 06/30/2026 1234319226 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.

Plain
RAFAEL J SEPULVEDA ACOSTA, NPI 1558611459. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1558611459.
APA 7
IndustryPayments. (2026). RAFAEL J SEPULVEDA ACOSTA, NPI 1558611459 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1558611459
Bluebook
RAFAEL J SEPULVEDA ACOSTA, NPI 1558611459, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1558611459.

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