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

KARA LINDSEY SIERRA

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI: 1568820389
CMS profile: 10591443
Location: LITTLE ROCK, AR

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 · PY2021–2025

CMS publication 2026-06-30

Latest program year · PY2025

$1,792.80

121 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 payment	Amount	Records
Food and Beverage	$1,792.80	121

By paying entity

PY2025 · sorted by reported total

Paying entity	Amount	Records
ABBVIE INC.	$406.60	32
Janssen Biotech, Inc.	$321.75	17
Gilead Sciences, Inc.	$171.90	6
AIMMUNE THERAPEUTICS, INC.	$160.64	15
Phathom Pharmaceuticals, Inc.	$152.54	20
Madrigal Pharmaceuticals	$141.87	7
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$92.55	5
QOL Medical, LLC	$51.91	3
Regeneron Healthcare Solutions, Inc.	$51.30	2
Lilly USA, LLC	$50.14	3
VIVUS LLC	$49.29	3
Novo Nordisk AS	$34.67	2
Ipsen Biopharmaceuticals, Inc	$32.16	2
Ardelyx, Inc.	$24.06	1
Organon LLC	$19.50	1
CARDIVA MEDICAL, INC.	$17.48	1
INTERCEPT PHARMACEUTICALS, INC.	$14.44	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$1,079.71	81
PY2022	$1,190.99	69
PY2023	$1,796.64	90
PY2024	$1,622.37	90
PY2025	$1,792.80	121

Payment records · PY2025 (121)

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

Program year 2025 2021 2022 2023 2024 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.	$7.54	12/16/2025	Food and Beverage	No dispute reported	06/30/2026	1203429061	CMS
Janssen Biotech, Inc.	$33.41	12/11/2025	Food and Beverage	No dispute reported	06/30/2026	1174422032	CMS
Madrigal Pharmaceuticals	$26.88	11/20/2025	Food and Beverage	No dispute reported	06/30/2026	1248382183	CMS
ABBVIE INC.	$10.40	11/12/2025	Food and Beverage	No dispute reported	06/30/2026	1203429049	CMS
ABBVIE INC.	$14.39	11/12/2025	Food and Beverage	No dispute reported	06/30/2026	1203429055	CMS
Novo Nordisk Inc	$19.83	11/05/2025	Food and Beverage	No dispute reported	06/30/2026	1188428895	CMS
ABBVIE INC.	$20.61	11/04/2025	Food and Beverage	No dispute reported	06/30/2026	1203429043	CMS
Gilead Sciences, Inc.	$28.15	11/04/2025	Food and Beverage	No dispute reported	06/30/2026	1234450315	CMS
Janssen Biotech, Inc.	$26.84	10/29/2025	Food and Beverage	No dispute reported	06/30/2026	1174421762	CMS
Aimmune Therapeutics, Inc.	$15.10	10/28/2025	Food and Beverage	No dispute reported	06/30/2026	1249678937	CMS
ABBVIE INC.	$14.44	10/21/2025	Food and Beverage	No dispute reported	06/30/2026	1203429037	CMS
Phathom Pharmaceuticals, Inc.	$15.83	10/21/2025	Food and Beverage	No dispute reported	06/30/2026	1219286734	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.26	10/20/2025	Food and Beverage	No dispute reported	06/30/2026	1232090233	CMS
Janssen Biotech, Inc.	$21.43	10/15/2025	Food and Beverage	No dispute reported	06/30/2026	1174428550	CMS
Madrigal Pharmaceuticals	$22.74	10/15/2025	Food and Beverage	No dispute reported	06/30/2026	1248382180	CMS
Phathom Pharmaceuticals, Inc.	$7.34	10/15/2025	Food and Beverage	No dispute reported	06/30/2026	1219286738	CMS
ABBVIE INC.	$9.98	10/14/2025	Food and Beverage	No dispute reported	06/30/2026	1203429031	CMS
ABBVIE INC.	$6.63	10/08/2025	Food and Beverage	No dispute reported	06/30/2026	1203429025	CMS
Regeneron Healthcare Solutions, Inc.	$20.29	10/08/2025	Food and Beverage	No dispute reported	06/30/2026	1213207361	CMS
Aimmune Therapeutics, Inc.	$18.27	10/01/2025	Food and Beverage	No dispute reported	06/30/2026	1249678945	CMS
Madrigal Pharmaceuticals	$12.59	10/01/2025	Food and Beverage	No dispute reported	06/30/2026	1248382175	CMS
Phathom Pharmaceuticals, Inc.	$6.46	10/01/2025	Food and Beverage	No dispute reported	06/30/2026	1219286736	CMS
ABBVIE INC.	$16.37	09/25/2025	Food and Beverage	No dispute reported	06/30/2026	1203429019	CMS
Janssen Biotech, Inc.	$22.60	09/24/2025	Food and Beverage	No dispute reported	06/30/2026	1174428340	CMS
Novo Nordisk Inc	$14.84	09/22/2025	Food and Beverage	No dispute reported	06/30/2026	1188219400	CMS
ABBVIE INC.	$2.53	09/18/2025	Food and Beverage	No dispute reported	06/30/2026	1203429013	CMS
Phathom Pharmaceuticals, Inc.	$8.68	09/17/2025	Food and Beverage	No dispute reported	06/30/2026	1219286744	CMS
Aimmune Therapeutics, Inc.	$1.87	09/16/2025	Food and Beverage	No dispute reported	06/30/2026	1249678921	CMS
VIVUS LLC	$15.30	09/16/2025	Food and Beverage	No dispute reported	06/30/2026	1188057673	CMS
ABBVIE INC.	$12.84	09/11/2025	Food and Beverage	No dispute reported	06/30/2026	1203429007	CMS
Aimmune Therapeutics, Inc.	$15.48	09/10/2025	Food and Beverage	No dispute reported	06/30/2026	1249678941	CMS
Madrigal Pharmaceuticals	$28.70	09/09/2025	Food and Beverage	No dispute reported	06/30/2026	1248382171	CMS
Phathom Pharmaceuticals, Inc.	$8.47	08/27/2025	Food and Beverage	No dispute reported	06/30/2026	1219286742	CMS
Aimmune Therapeutics, Inc.	$8.29	08/26/2025	Food and Beverage	No dispute reported	06/30/2026	1249678931	CMS
QOL Medical, LLC	$17.30	08/26/2025	Food and Beverage	No dispute reported	06/30/2026	1185007927	CMS
Madrigal Pharmaceuticals	$8.93	08/20/2025	Food and Beverage	No dispute reported	06/30/2026	1248382169	CMS
ABBVIE INC.	$6.31	08/19/2025	Food and Beverage	No dispute reported	06/30/2026	1203429001	CMS
Gilead Sciences, Inc.	$30.19	08/19/2025	Food and Beverage	No dispute reported	06/30/2026	1234436815	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$20.21	08/18/2025	Food and Beverage	No dispute reported	06/30/2026	1232090230	CMS
ABBVIE INC.	$14.44	08/14/2025	Food and Beverage	No dispute reported	06/30/2026	1203428995	CMS
Aimmune Therapeutics, Inc.	$15.22	08/12/2025	Food and Beverage	No dispute reported	06/30/2026	1249678939	CMS
CARDIVA MEDICAL, INC.	$17.48	08/12/2025	Food and Beverage	No dispute reported	06/30/2026	1227288263	CMS
Aimmune Therapeutics, Inc.	$7.53	08/06/2025	Food and Beverage	No dispute reported	06/30/2026	1249678929	CMS
Madrigal Pharmaceuticals	$30.97	08/06/2025	Food and Beverage	No dispute reported	06/30/2026	1248382166	CMS
Janssen Biotech, Inc.	$23.81	08/05/2025	Food and Beverage	No dispute reported	06/30/2026	1174425062	CMS
Organon LLC	$19.50	08/05/2025	Food and Beverage	No dispute reported	06/30/2026	1237735723	CMS
Phathom Pharmaceuticals, Inc.	$6.85	08/05/2025	Food and Beverage	No dispute reported	06/30/2026	1219286740	CMS
ABBVIE INC.	$24.97	07/30/2025	Food and Beverage	No dispute reported	06/30/2026	1203428989	CMS
Janssen Biotech, Inc.	$17.73	07/30/2025	Food and Beverage	No dispute reported	06/30/2026	1174425202	CMS
Phathom Pharmaceuticals, Inc.	$7.14	07/30/2025	Food and Beverage	No dispute reported	06/30/2026	1219286750	CMS
ABBVIE INC.	$6.32	07/29/2025	Food and Beverage	No dispute reported	06/30/2026	1203428983	CMS
Phathom Pharmaceuticals, Inc.	$5.80	07/23/2025	Food and Beverage	No dispute reported	06/30/2026	1219286748	CMS
ABBVIE INC.	$23.72	07/09/2025	Food and Beverage	No dispute reported	06/30/2026	1203428977	CMS
Aimmune Therapeutics, Inc.	$15.97	07/08/2025	Food and Beverage	No dispute reported	06/30/2026	1249678943	CMS
Phathom Pharmaceuticals, Inc.	$5.71	07/08/2025	Food and Beverage	No dispute reported	06/30/2026	1219286746	CMS
ABBVIE INC.	$14.45	07/02/2025	Food and Beverage	No dispute reported	06/30/2026	1203428971	CMS
Aimmune Therapeutics, Inc.	$0.25	07/01/2025	Food and Beverage	No dispute reported	06/30/2026	1249678919	CMS
Aimmune Therapeutics, Inc.	$6.69	07/01/2025	Food and Beverage	No dispute reported	06/30/2026	1249678923	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.90	06/30/2025	Food and Beverage	No dispute reported	06/30/2026	1232090228	CMS
ABBVIE INC.	$7.88	06/18/2025	Food and Beverage	No dispute reported	06/30/2026	1203428965	CMS
Phathom Pharmaceuticals, Inc.	$9.81	06/18/2025	Food and Beverage	No dispute reported	06/30/2026	1219352232	CMS
ABBVIE INC.	$14.44	06/17/2025	Food and Beverage	No dispute reported	06/30/2026	1203428959	CMS
Janssen Biotech, Inc.	$17.50	06/17/2025	Food and Beverage	No dispute reported	06/30/2026	1174426210	CMS
ABBVIE INC.	$15.39	06/11/2025	Food and Beverage	No dispute reported	06/30/2026	1203428953	CMS
Aimmune Therapeutics, Inc.	$7.32	06/11/2025	Food and Beverage	No dispute reported	06/30/2026	1249678927	CMS
Ipsen Biopharmaceuticals, Inc	$16.93	06/11/2025	Food and Beverage	No dispute reported	06/30/2026	1208852941	CMS
ABBVIE INC.	$22.39	06/09/2025	Food and Beverage	No dispute reported	06/30/2026	1203428947	CMS
ABBVIE INC.	$8.72	06/04/2025	Food and Beverage	No dispute reported	06/30/2026	1203428941	CMS
Regeneron Healthcare Solutions, Inc.	$31.01	06/04/2025	Food and Beverage	No dispute reported	06/30/2026	1213207359	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$22.20	06/03/2025	Food and Beverage	No dispute reported	06/30/2026	1232090226	CMS
ABBVIE INC.	$7.05	05/28/2025	Food and Beverage	No dispute reported	06/30/2026	1203428935	CMS
Janssen Biotech, Inc.	$21.10	05/28/2025	Food and Beverage	No dispute reported	06/30/2026	1174423552	CMS
Aimmune Therapeutics, Inc.	$19.18	05/27/2025	Food and Beverage	No dispute reported	06/30/2026	1249678947	CMS
Madrigal Pharmaceuticals	$11.06	05/22/2025	Food and Beverage	No dispute reported	06/30/2026	1248382163	CMS
Gilead Sciences, Inc.	$29.59	05/21/2025	Food and Beverage	No dispute reported	06/30/2026	1234440617	CMS
Aimmune Therapeutics, Inc.	$13.09	05/20/2025	Food and Beverage	No dispute reported	06/30/2026	1249678935	CMS
Janssen Biotech, Inc.	$8.40	05/19/2025	Food and Beverage	No dispute reported	06/30/2026	1174425335	CMS
ABBVIE INC.	$12.33	05/15/2025	Food and Beverage	No dispute reported	06/30/2026	1203428929	CMS
Phathom Pharmaceuticals, Inc.	$5.77	05/15/2025	Food and Beverage	No dispute reported	06/30/2026	1219352230	CMS
ABBVIE INC.	$14.55	05/12/2025	Food and Beverage	No dispute reported	06/30/2026	1203428923	CMS
Phathom Pharmaceuticals, Inc.	$12.34	05/08/2025	Food and Beverage	No dispute reported	06/30/2026	1219352228	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$18.98	05/05/2025	Food and Beverage	No dispute reported	06/30/2026	1232090224	CMS
Ardelyx, Inc.	$24.06	04/30/2025	Food and Beverage	No dispute reported	06/30/2026	1247943133	CMS
Lilly USA, LLC	$14.99	04/29/2025	Food and Beverage	No dispute reported	06/30/2026	1187179695	CMS
ABBVIE INC.	$8.39	04/23/2025	Food and Beverage	No dispute reported	06/30/2026	1203428917	CMS
Janssen Biotech, Inc.	$26.27	04/23/2025	Food and Beverage	No dispute reported	06/30/2026	1174428837	CMS
ABBVIE INC.	$14.44	04/22/2025	Food and Beverage	No dispute reported	06/30/2026	1203428911	CMS
QOL Medical, LLC	$20.83	04/22/2025	Food and Beverage	No dispute reported	06/30/2026	1185007861	CMS
ABBVIE INC.	$23.24	04/16/2025	Food and Beverage	No dispute reported	06/30/2026	1203428905	CMS
Aimmune Therapeutics, Inc.	$9.38	04/16/2025	Food and Beverage	No dispute reported	06/30/2026	1249678933	CMS
Janssen Biotech, Inc.	$2.31	04/15/2025	Food and Beverage	No dispute reported	06/30/2026	1174427942	CMS
Janssen Biotech, Inc.	$20.08	04/14/2025	Food and Beverage	No dispute reported	06/30/2026	1174432366	CMS
ABBVIE INC.	$5.67	04/09/2025	Food and Beverage	No dispute reported	06/30/2026	1203428899	CMS
Gilead Sciences, Inc.	$23.45	04/08/2025	Food and Beverage	No dispute reported	06/30/2026	1234490074	CMS
Phathom Pharmaceuticals, Inc.	$7.37	04/02/2025	Food and Beverage	No dispute reported	06/30/2026	1219352216	CMS
Janssen Biotech, Inc.	$7.58	03/31/2025	Food and Beverage	No dispute reported	06/30/2026	1174424592	CMS
Janssen Biotech, Inc.	$14.26	03/31/2025	Food and Beverage	No dispute reported	06/30/2026	1174433962	CMS
Aimmune Therapeutics, Inc.	$7.00	03/25/2025	Food and Beverage	No dispute reported	06/30/2026	1249678925	CMS
ABBVIE INC.	$9.03	03/20/2025	Food and Beverage	No dispute reported	06/30/2026	1203428892	CMS
QOL Medical, LLC	$13.78	03/19/2025	Food and Beverage	No dispute reported	06/30/2026	1185007809	CMS
Phathom Pharmaceuticals, Inc.	$7.93	03/18/2025	Food and Beverage	No dispute reported	06/30/2026	1219352282	CMS
VIVUS LLC	$15.35	03/12/2025	Food and Beverage	No dispute reported	06/30/2026	1188057671	CMS
Lilly USA, LLC	$20.75	03/11/2025	Food and Beverage	No dispute reported	06/30/2026	1187154013	CMS
Ipsen Biopharmaceuticals, Inc	$15.23	03/05/2025	Food and Beverage	No dispute reported	06/30/2026	1208852939	CMS
Phathom Pharmaceuticals, Inc.	$8.13	03/05/2025	Food and Beverage	No dispute reported	06/30/2026	1219352280	CMS
Janssen Biotech, Inc.	$8.04	03/03/2025	Food and Beverage	No dispute reported	06/30/2026	1174433804	CMS
ABBVIE INC.	$13.10	02/26/2025	Food and Beverage	No dispute reported	06/30/2026	1203428887	CMS
Lilly USA, LLC	$14.40	02/25/2025	Food and Beverage	No dispute reported	06/30/2026	1187162431	CMS
Phathom Pharmaceuticals, Inc.	$6.67	02/18/2025	Food and Beverage	No dispute reported	06/30/2026	1219352214	CMS
Gilead Sciences, Inc.	$32.25	02/12/2025	Food and Beverage	No dispute reported	06/30/2026	1234427202	CMS
Phathom Pharmaceuticals, Inc.	$6.71	02/05/2025	Food and Beverage	No dispute reported	06/30/2026	1219352278	CMS
VIVUS LLC	$18.64	02/05/2025	Food and Beverage	No dispute reported	06/30/2026	1188057669	CMS
Intercept Pharmaceuticals, Inc.	$14.44	01/29/2025	Food and Beverage	No dispute reported	06/30/2026	1249882968	CMS
Janssen Biotech, Inc.	$25.06	01/28/2025	Food and Beverage	No dispute reported	06/30/2026	1174430250	CMS
Phathom Pharmaceuticals, Inc.	$5.18	01/28/2025	Food and Beverage	No dispute reported	06/30/2026	1219352212	CMS
ABBVIE INC.	$11.77	01/21/2025	Food and Beverage	No dispute reported	06/30/2026	1203428881	CMS
Phathom Pharmaceuticals, Inc.	$4.58	01/21/2025	Food and Beverage	No dispute reported	06/30/2026	1219352208	CMS
Phathom Pharmaceuticals, Inc.	$5.77	01/21/2025	Food and Beverage	No dispute reported	06/30/2026	1219352210	CMS
ABBVIE INC.	$12.27	01/15/2025	Food and Beverage	No dispute reported	06/30/2026	1203428875	CMS
Janssen Biotech, Inc.	$25.33	01/13/2025	Food and Beverage	No dispute reported	06/30/2026	1174424602	CMS
Gilead Sciences, Inc.	$28.27	01/07/2025	Food and Beverage	No dispute reported	06/30/2026	1234449529	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: 2021, 2022, 2023, 2024, 2025
Source files: Dataset page · Bulk file · 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-1568820389

Plain: KARA LINDSEY SIERRA, NPI 1568820389. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1568820389.
APA 7: IndustryPayments. (2026). KARA LINDSEY SIERRA, NPI 1568820389 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1568820389
Bluebook: KARA LINDSEY SIERRA, NPI 1568820389, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1568820389.

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