Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

IANI SILVEIRA

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1578935821
CMS profile
10815068
Location
PINECREST, FL

General Payments · PY2021–2025

$131,537.20

  • Reported across 369 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$32,713.96

34 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Consulting Fee $30,934.00 10
Food and Beverage $1,779.96 24

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
MERZ NORTH AMERICA, INC. $32,713.96 34

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $560.72 11
PY2022 $7,086.23 47
PY2023 $49,000.67 166
PY2024 $42,175.62 111
PY2025 $32,713.96 34

Payment records · PY2025 (34)

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

Program year 2025 2021202220232024 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
MERZ NORTH AMERICA, INC. $34.83 01/08/2025 Food and Beverage Undisputed 06/30/2026 1236982856 CMS
MERZ NORTH AMERICA, INC. $2,500.00 01/16/2025 Consulting Fee Undisputed 06/30/2026 1236982836 CMS
MERZ NORTH AMERICA, INC. $4,478.00 01/16/2025 Consulting Fee Undisputed 06/30/2026 1236982842 CMS
MERZ NORTH AMERICA, INC. $72.33 01/22/2025 Food and Beverage Undisputed 06/30/2026 1236982862 CMS
MERZ NORTH AMERICA, INC. $7.61 01/29/2025 Food and Beverage Undisputed 06/30/2026 1236982858 CMS
MERZ NORTH AMERICA, INC. $12.31 01/29/2025 Food and Beverage Undisputed 06/30/2026 1236982860 CMS
MERZ NORTH AMERICA, INC. $39.12 02/15/2025 Food and Beverage Undisputed 06/30/2026 1236982866 CMS
MERZ NORTH AMERICA, INC. $2,500.00 02/20/2025 Consulting Fee Undisputed 06/30/2026 1236982838 CMS
MERZ NORTH AMERICA, INC. $50.04 02/28/2025 Food and Beverage Undisputed 06/30/2026 1236982878 CMS
MERZ NORTH AMERICA, INC. $26.15 03/07/2025 Food and Beverage Undisputed 06/30/2026 1236982864 CMS
MERZ NORTH AMERICA, INC. $3.14 03/07/2025 Food and Beverage Undisputed 06/30/2026 1236982872 CMS
MERZ NORTH AMERICA, INC. $99.36 03/12/2025 Food and Beverage Undisputed 06/30/2026 1236982874 CMS
MERZ NORTH AMERICA, INC. $28.36 03/12/2025 Food and Beverage Undisputed 06/30/2026 1236982876 CMS
MERZ NORTH AMERICA, INC. $16.94 03/13/2025 Food and Beverage Undisputed 06/30/2026 1236982834 CMS
MERZ NORTH AMERICA, INC. $46.66 03/14/2025 Food and Beverage Undisputed 06/30/2026 1236982868 CMS
MERZ NORTH AMERICA, INC. $49.30 03/14/2025 Food and Beverage Undisputed 06/30/2026 1236982882 CMS
MERZ NORTH AMERICA, INC. $92.42 03/15/2025 Food and Beverage Undisputed 06/30/2026 1236982870 CMS
MERZ NORTH AMERICA, INC. $4,478.00 03/18/2025 Consulting Fee Undisputed 06/30/2026 1236982844 CMS
MERZ NORTH AMERICA, INC. $2,500.00 03/20/2025 Consulting Fee Undisputed 06/30/2026 1236982840 CMS
MERZ NORTH AMERICA, INC. $33.36 04/11/2025 Food and Beverage Undisputed 06/30/2026 1236982880 CMS
MERZ NORTH AMERICA, INC. $2,500.00 04/15/2025 Consulting Fee Undisputed 06/30/2026 1236982846 CMS
MERZ NORTH AMERICA, INC. $2,500.00 05/15/2025 Consulting Fee Undisputed 06/30/2026 1236982848 CMS
MERZ NORTH AMERICA, INC. $174.45 05/22/2025 Food and Beverage Undisputed 06/30/2026 1236982884 CMS
MERZ NORTH AMERICA, INC. $4,478.00 06/05/2025 Consulting Fee Undisputed 06/30/2026 1236982852 CMS
MERZ NORTH AMERICA, INC. $2,500.00 06/12/2025 Consulting Fee Undisputed 06/30/2026 1236982850 CMS
MERZ NORTH AMERICA, INC. $171.95 06/20/2025 Food and Beverage Undisputed 06/30/2026 1236982888 CMS
MERZ NORTH AMERICA, INC. $45.78 06/28/2025 Food and Beverage Undisputed 06/30/2026 1236982886 CMS
MERZ NORTH AMERICA, INC. $2,500.00 07/17/2025 Consulting Fee Undisputed 06/30/2026 1236982854 CMS
MERZ NORTH AMERICA, INC. $90.00 08/03/2025 Food and Beverage Undisputed 06/30/2026 1236982896 CMS
MERZ NORTH AMERICA, INC. $1.50 08/24/2025 Food and Beverage Undisputed 06/30/2026 1236982892 CMS
MERZ NORTH AMERICA, INC. $48.71 08/24/2025 Food and Beverage Undisputed 06/30/2026 1236982894 CMS
MERZ NORTH AMERICA, INC. $22.50 08/26/2025 Food and Beverage Undisputed 06/30/2026 1236982890 CMS
MERZ NORTH AMERICA, INC. $102.57 08/26/2025 Food and Beverage Undisputed 06/30/2026 1236982898 CMS
MERZ NORTH AMERICA, INC. $510.57 09/12/2025 Food and Beverage Undisputed 06/30/2026 1236982900 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

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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.