Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official 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.

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General Payments · PY2023 · Entire year

$1,796.64

90 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

“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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . 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 ↗

By nature of payment

PY2023 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,679.16 88
Education $60.99 1
Travel and Lodging $56.49 1

By paying entity

PY2023 · entire year · sorted by reported total

Page 1 of 2; records 1–50 of 90 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

KARA LINDSEY SIERRA

NPI 1568820389 · CMS profile ID 10591443

Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner / Family

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.

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.

General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 2; records 1–50 of 90 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1568820389?year=2023&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
KARA LINDSEY SIERRA, NPI 1568820389, CMS profile ID 10591443. General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 90 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1568820389?year=2023&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9.
APA 7
IndustryPayments. (2026). KARA LINDSEY SIERRA, NPI 1568820389, CMS profile ID 10591443. General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 90 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1568820389?year=2023&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9.
Bluebook
KARA LINDSEY SIERRA, NPI 1568820389, CMS profile ID 10591443, IndustryPayments, General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 2; records 1–50 of 90 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9. https://industrypayments.org/provider/npi-1568820389?year=2023&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2023

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

General Payments · PY2023 · Physicians and non-physician practitioners · CMS publication 2026-06-30

90 matching records · $1,796.64 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 90 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 90.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Enterra Medical, Inc. $56.4912/31/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1060561375 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $20.2712/20/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1057451567 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $21.3112/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1057380819 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $7.6712/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1057499691 CMS
ABBVIE INC. $25.5512/16/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1009810975 CMS
ABBVIE INC. $3.7012/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1009810971 CMS
Ironwood Pharmaceuticals, Inc $14.8012/06/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1045519089 CMS
NESTLE HEALTHCARE NUTRITION INC. $8.7312/05/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1012447299 CMS
ABBVIE INC. $10.3911/29/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1009810967 CMS
NESTLE HEALTHCARE NUTRITION INC. $12.0311/16/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1012450647 CMS
ABBVIE INC. $8.4711/15/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1009810963 CMS
Gilead Sciences, Inc. $15.8611/08/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1025967333 CMS
Janssen Biotech, Inc. $21.0411/03/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 988163155 CMS
ABBVIE INC. $11.5611/01/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1009810959 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.7811/01/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1057503025 CMS
ABBVIE INC. $7.6810/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1009810955 CMS
PFIZER INC. $19.3210/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1050155709 CMS
NESTLE HEALTHCARE NUTRITION INC. $7.3310/24/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1012475261 CMS
ABBVIE INC. $12.7810/16/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1009810951 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $18.7410/12/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 996440717 CMS
NESTLE HEALTHCARE NUTRITION INC. $9.0210/10/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1012475944 CMS
QOL Medical, LLC $18.6310/10/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1059293865 CMS
Ferring Pharmaceuticals Inc. $25.8510/04/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1044320827 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $23.5409/27/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1057137209 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $15.0309/27/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1057139187 CMS
ABBVIE INC. $10.6309/22/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1009810947 CMS
INTERCEPT PHARMACEUTICALS, INC. $12.9109/20/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1053851803 CMS
ABBVIE INC. $16.9609/19/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1009810943 CMS
ABBVIE INC. $28.6009/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1009810941 CMS
QOL Medical, LLC $8.3809/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1059293863 CMS
NESTLE HEALTHCARE NUTRITION INC. $19.9409/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1012494107 CMS
ABBVIE INC. $4.7809/07/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1009810937 CMS
Merck Sharp & Dohme LLC $21.7808/29/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1048508115 CMS
PFIZER INC. $15.5008/24/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1049964729 CMS
Ardelyx, Inc. $21.9008/23/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1053011141 CMS
Janssen Biotech, Inc. $13.5108/23/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 988163165 CMS
ABBVIE INC. $4.6008/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1009810933 CMS
NESTLE HEALTHCARE NUTRITION INC. $6.5008/15/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1012497835 CMS
Merck Sharp & Dohme LLC $23.4207/19/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1048508111 CMS
NESTLE HEALTHCARE NUTRITION INC. $11.9407/06/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1012437109 CMS
Regeneron Healthcare Solutions, Inc. $33.3907/05/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 999893599 CMS
ABBVIE INC. $12.1306/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1009810925 CMS
ABBVIE INC. $97.2006/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1009810929 CMS
ABBVIE INC. $13.8606/22/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1009810921 CMS
NESTLE HEALTHCARE NUTRITION INC. $9.3506/22/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1012437121 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $10.3206/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1057203829 CMS
ABBVIE INC. $20.2206/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1009810917 CMS
ABBVIE INC. $7.2006/08/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1009810913 CMS
Regeneron Healthcare Solutions, Inc. $26.4206/08/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 999893589 CMS
Merck Sharp & Dohme LLC $20.7105/31/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1048508117 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
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

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 and profile matching
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.