APRIL ENARD

Allopathic & Osteopathic Physicians|Family Medicine SWEETWATER, TX NPI 1558654087

General Payments — all program years on this page

$1,361.14

  • Category: General Payments
  • Program years: PY2019–2023
  • Record count: 55
  • As of (CMS publication): 2026-01-23

Latest program year (PY2023): $348.13 across 16 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is 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

Latest program year (PY2023) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $348.1316

By paying entity

Latest program year (PY2023) · sorted by reported total.

By program year

Program yearAmountRecords
2019 $134.274
2020 $86.102
2022 $792.6433
2023 $348.1316

Records — PY2023 (16)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1001900153 Novo Nordisk Inc $14.05 03/07/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
1003753373 Kowa Pharmaceuticals America, Inc. $14.43 04/06/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
1014327635 Otsuka America Pharmaceutical, Inc. $16.54 01/25/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
1018478373 Abbott Laboratories $22.64 04/19/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
1021361661 Seqirus USA Inc $17.63 04/13/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
1031252873 Lilly USA, LLC $17.03 04/12/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
1034476867 IDORSIA PHARMACEUTICALS US INC $15.57 03/14/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
1034476873 IDORSIA PHARMACEUTICALS US INC $13.05 04/04/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
1034476879 IDORSIA PHARMACEUTICALS US INC $47.62 01/27/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
1034476885 IDORSIA PHARMACEUTICALS US INC $55.45 03/08/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
1049410743 PFIZER INC. $18.05 03/21/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
1049580735 PFIZER INC. $21.10 02/10/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
1050193947 SANOFI-AVENTIS U.S. LLC $21.58 04/25/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
989404209 IMPEL PHARMACEUTICALS INC. $17.21 01/19/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
989404217 IMPEL PHARMACEUTICALS INC. $20.90 02/17/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
997209723 ABBVIE INC. $15.28 01/05/2023 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • Generated from: OP_DTL_GNRL_PGYR2023_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.