Covered recipient · General Payments record

MELANIE L CHESNUT

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI: 1578756821
CMS profile: 11011879
Location: BARBOURVILLE, KY

General Payments · PY2021–2024

$15,489.68

Reported across 626 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,588.32

153 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.

By nature of payment

PY2024 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$2,588.32	153

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
ABBVIE INC.	$415.31	29
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$322.42	24
Acerta Pharma LLC	$231.78	7
Phathom Pharmaceuticals, Inc.	$229.35	12
Lilly USA, LLC	$228.36	16
Janssen Biotech, Inc.	$207.72	12
Bayer HealthCare Pharmaceuticals Inc.	$183.62	9
GENZYME CORPORATION	$158.88	8
PFIZER INC.	$143.80	11
Novo Nordisk AS	$139.27	10
Gilead Sciences, Inc.	$100.69	4
Regeneron Healthcare Solutions, Inc.	$73.75	3
Astellas Pharma US Inc	$67.51	3
Madrigal Pharmaceuticals	$44.81	3
Takeda Pharmaceuticals U.S.A., Inc.	$41.05	2

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$4,457.94	196
PY2022	$2,263.74	161
PY2023	$6,179.68	116
PY2024	$2,588.32	153

Payment records · PY2024 (153)

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

Program year 2024 2021 2022 2023 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
ABBVIE INC.	$27.57	01/02/2024	Food and Beverage	Undisputed	01/23/2026	1106910316	CMS
ABBVIE INC.	$11.85	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1106910318	CMS
ABBVIE INC.	$12.68	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1106910320	CMS
ABBVIE INC.	$10.85	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1106910322	CMS
ABBVIE INC.	$8.65	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1106910324	CMS
ABBVIE INC.	$27.95	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1106910326	CMS
ABBVIE INC.	$4.10	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1106910328	CMS
ABBVIE INC.	$3.93	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1106910330	CMS
ABBVIE INC.	$7.25	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1106910332	CMS
ABBVIE INC.	$10.02	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1106910334	CMS
ABBVIE INC.	$6.61	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1106910336	CMS
ABBVIE INC.	$5.29	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1106910338	CMS
ABBVIE INC.	$19.85	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1106910340	CMS
ABBVIE INC.	$17.27	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1106910342	CMS
ABBVIE INC.	$21.52	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1106910344	CMS
ABBVIE INC.	$13.53	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1106910346	CMS
ABBVIE INC.	$14.76	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1106910348	CMS
ABBVIE INC.	$28.54	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1106910350	CMS
ABBVIE INC.	$11.28	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1106910352	CMS
ABBVIE INC.	$13.72	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1106910354	CMS
ABBVIE INC.	$13.34	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1106910356	CMS
ABBVIE INC.	$10.33	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1106910358	CMS
ABBVIE INC.	$11.44	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1106910360	CMS
ABBVIE INC.	$18.79	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1106910362	CMS
ABBVIE INC.	$24.12	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1106910364	CMS
ABBVIE INC.	$21.47	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1106910366	CMS
ABBVIE INC.	$13.85	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1106910368	CMS
ABBVIE INC.	$11.62	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1106910370	CMS
ABBVIE INC.	$13.13	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1106910372	CMS
Astellas Pharma US Inc	$40.56	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1139524104	CMS
Astellas Pharma US Inc	$13.07	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1139480152	CMS
Astellas Pharma US Inc	$13.88	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1139556591	CMS
AstraZeneca Pharmaceuticals LP	$15.99	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1105888595	CMS
AstraZeneca Pharmaceuticals LP	$124.74	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1104518902	CMS
AstraZeneca Pharmaceuticals LP	$15.60	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1105542485	CMS
AstraZeneca Pharmaceuticals LP	$27.61	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1105549661	CMS
AstraZeneca Pharmaceuticals LP	$16.54	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1105710614	CMS
AstraZeneca Pharmaceuticals LP	$14.75	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1105716702	CMS
AstraZeneca Pharmaceuticals LP	$16.55	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1104704007	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.25	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1086347095	CMS
Bayer Healthcare Pharmaceuticals Inc.	$17.00	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1086339037	CMS
Bayer Healthcare Pharmaceuticals Inc.	$20.45	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1086301194	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.14	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1086354750	CMS
Bayer Healthcare Pharmaceuticals Inc.	$23.61	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1086313151	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.25	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1086319640	CMS
Bayer Healthcare Pharmaceuticals Inc.	$18.54	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1086371043	CMS
Bayer Healthcare Pharmaceuticals Inc.	$19.13	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1086270944	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.25	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1086306929	CMS
GENZYME CORPORATION	$22.91	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1139785113	CMS
GENZYME CORPORATION	$19.22	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1139785139	CMS
GENZYME CORPORATION	$13.72	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1139785145	CMS
GENZYME CORPORATION	$22.14	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1139785155	CMS
GENZYME CORPORATION	$23.56	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1139785177	CMS
GENZYME CORPORATION	$18.38	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1139785205	CMS
GENZYME CORPORATION	$20.62	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1139785233	CMS
GENZYME CORPORATION	$18.33	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1139785269	CMS
Gilead Sciences, Inc.	$23.24	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1133650814	CMS
Gilead Sciences, Inc.	$19.06	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1133650816	CMS
Gilead Sciences, Inc.	$27.78	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1133650818	CMS
Gilead Sciences, Inc.	$30.61	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1133650820	CMS
Janssen Biotech, Inc.	$12.73	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1078644512	CMS
Janssen Biotech, Inc.	$19.38	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1078644509	CMS
Janssen Biotech, Inc.	$20.94	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1078644569	CMS
Janssen Biotech, Inc.	$16.18	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1078644524	CMS
Janssen Biotech, Inc.	$15.38	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1078644537	CMS
Janssen Biotech, Inc.	$11.54	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1078644565	CMS
Janssen Biotech, Inc.	$22.23	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1078644545	CMS
Janssen Biotech, Inc.	$11.68	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1078644556	CMS
Janssen Biotech, Inc.	$13.19	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1078644548	CMS
Janssen Biotech, Inc.	$22.74	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1078644505	CMS
Janssen Biotech, Inc.	$21.35	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1078644529	CMS
Janssen Biotech, Inc.	$20.38	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1078644552	CMS
Lilly USA, LLC	$14.53	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1135785706	CMS
Lilly USA, LLC	$11.78	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1135843376	CMS
Lilly USA, LLC	$16.77	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1135843380	CMS
Lilly USA, LLC	$16.31	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1135827802	CMS
Lilly USA, LLC	$12.33	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1135785704	CMS
Lilly USA, LLC	$15.61	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1135827794	CMS
Lilly USA, LLC	$18.78	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1135827798	CMS
Lilly USA, LLC	$18.65	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1135817892	CMS
Lilly USA, LLC	$12.41	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1135815468	CMS
Lilly USA, LLC	$17.52	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1135843384	CMS
Lilly USA, LLC	$15.01	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1135824833	CMS
Lilly USA, LLC	$14.26	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1135817894	CMS
Lilly USA, LLC	$6.23	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1135785708	CMS
Lilly USA, LLC	$14.92	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1135817896	CMS
Lilly USA, LLC	$11.51	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1135843388	CMS
Lilly USA, LLC	$11.74	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1135815470	CMS
Madrigal Pharmaceuticals	$14.18	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1144188940	CMS
Madrigal Pharmaceuticals	$15.07	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1144188942	CMS
Madrigal Pharmaceuticals	$15.56	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1144188944	CMS
Novo Nordisk Inc	$12.59	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1100446873	CMS
Novo Nordisk Inc	$9.95	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1100519351	CMS
Novo Nordisk Inc	$10.35	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1100523403	CMS
Novo Nordisk Inc	$13.44	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1100381101	CMS
Novo Nordisk Inc	$11.82	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1100430747	CMS
Novo Nordisk Inc	$14.44	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1100543294	CMS
Novo Nordisk Inc	$12.03	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1100553909	CMS
Novo Nordisk Inc	$15.20	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1100564102	CMS
Novo Nordisk Inc	$18.68	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1100380457	CMS
Novo Nordisk Inc	$20.77	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1100225078	CMS
PFIZER INC.	$12.27	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1131261614	CMS
PFIZER INC.	$12.96	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1130900084	CMS
PFIZER INC.	$6.96	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1130900526	CMS
PFIZER INC.	$17.19	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1131323682	CMS
PFIZER INC.	$15.45	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1131434105	CMS
PFIZER INC.	$13.11	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1131676989	CMS
PFIZER INC.	$18.95	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1131852247	CMS
PFIZER INC.	$18.00	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1131966737	CMS
PFIZER INC.	$10.44	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1130981947	CMS
PFIZER INC.	$5.35	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1131048837	CMS
PFIZER INC.	$13.12	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1131404151	CMS
Phathom Pharmaceuticals, Inc.	$11.02	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1151155281	CMS
Phathom Pharmaceuticals, Inc.	$124.74	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1151155283	CMS
Phathom Pharmaceuticals, Inc.	$11.36	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1151155285	CMS
Phathom Pharmaceuticals, Inc.	$10.23	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1151155287	CMS
Phathom Pharmaceuticals, Inc.	$4.41	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1151155289	CMS
Phathom Pharmaceuticals, Inc.	$1.88	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1151155291	CMS
Phathom Pharmaceuticals, Inc.	$8.63	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1151155293	CMS
Phathom Pharmaceuticals, Inc.	$11.44	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1151155295	CMS
Phathom Pharmaceuticals, Inc.	$10.40	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1151155297	CMS
Phathom Pharmaceuticals, Inc.	$15.59	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1151155299	CMS
Phathom Pharmaceuticals, Inc.	$12.13	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1151155301	CMS
Phathom Pharmaceuticals, Inc.	$7.52	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1151155303	CMS
Regeneron Healthcare Solutions, Inc.	$30.06	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1114284181	CMS
Regeneron Healthcare Solutions, Inc.	$23.14	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1114284183	CMS
Regeneron Healthcare Solutions, Inc.	$20.55	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1114284185	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$8.46	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1153482118	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$7.50	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1153539792	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.89	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1153447179	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$12.79	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1153487389	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.05	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1153742713	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.42	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1153713461	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$10.14	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1153698309	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$11.14	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1153483750	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$19.32	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1153609728	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$11.23	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1153604663	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.25	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1153580731	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$12.10	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1153497738	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$16.88	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1153476098	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$10.35	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1153736169	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$12.53	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1153541360	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$12.63	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1153696077	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.15	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1153454479	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$16.04	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1153677300	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$13.34	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1153655719	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$22.83	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1153439903	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$8.33	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1153491203	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$13.42	11/27/2024	Food and Beverage	Undisputed	01/23/2026	1153450925	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$13.12	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1153732549	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$11.51	12/23/2024	Food and Beverage	Undisputed	01/23/2026	1153633452	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$18.76	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1137725174	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$22.29	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1137725176	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: 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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