Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

MICHELE ADAMS

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1588184808
CMS profile
11116432
Location
TONAWANDA, NY

General Payments · PY2022–2024

$1,407.70

  • Reported across 66 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$517.19

23 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 paymentAmountRecords
Food and Beverage $432.20 22
Education $84.99 1

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $140.22 7
PY2023 $750.29 36
PY2024 $517.19 23

Payment records · PY2024 (23)

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

Program year 2024 20222023 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
Agile Therapeutics, Inc. $20.23 03/05/2024 Food and Beverage Undisputed 01/23/2026 1154841651 CMS
Astellas Pharma US Inc $30.92 01/23/2024 Food and Beverage Undisputed 01/23/2026 1139469320 CMS
Astellas Pharma US Inc $30.58 02/27/2024 Food and Beverage Undisputed 01/23/2026 1139490586 CMS
Astellas Pharma US Inc $28.12 03/14/2024 Food and Beverage Undisputed 01/23/2026 1139482324 CMS
Astellas Pharma US Inc $84.99 03/14/2024 Education Undisputed 01/23/2026 1139504775 CMS
Astellas Pharma US Inc $29.67 03/26/2024 Food and Beverage Undisputed 01/23/2026 1139494456 CMS
Astellas Pharma US Inc $23.10 05/14/2024 Food and Beverage Undisputed 01/23/2026 1139515079 CMS
Astellas Pharma US Inc $19.85 07/10/2024 Food and Beverage Undisputed 01/23/2026 1139472144 CMS
CooperSurgical, Inc. $18.31 02/13/2024 Food and Beverage Undisputed 01/23/2026 1150786723 CMS
CooperSurgical, Inc. $15.09 05/08/2024 Food and Beverage Undisputed 01/23/2026 1150786735 CMS
CooperSurgical, Inc. $15.22 06/25/2024 Food and Beverage Undisputed 01/23/2026 1150786738 CMS
CooperSurgical, Inc. $15.85 07/03/2024 Food and Beverage Undisputed 01/23/2026 1150786740 CMS
Hologic Sales and Service, LLC $14.75 10/21/2024 Food and Beverage Undisputed 01/23/2026 1084918052 CMS
Lilly USA, LLC $19.20 03/19/2024 Food and Beverage Undisputed 01/23/2026 1135834229 CMS
Lilly USA, LLC $16.32 04/11/2024 Food and Beverage Undisputed 01/23/2026 1135904751 CMS
Lilly USA, LLC $15.65 07/22/2024 Food and Beverage Undisputed 01/23/2026 1135835296 CMS
MAYNE PHARMA COMMERCIAL LLC $12.69 01/30/2024 Food and Beverage Undisputed 01/23/2026 1154675907 CMS
MAYNE PHARMA COMMERCIAL LLC $16.31 04/23/2024 Food and Beverage Undisputed 01/23/2026 1154675927 CMS
MAYNE PHARMA COMMERCIAL LLC $22.09 05/02/2024 Food and Beverage Undisputed 01/23/2026 1154675971 CMS
MAYNE PHARMA COMMERCIAL LLC $19.33 06/06/2024 Food and Beverage Undisputed 01/23/2026 1154675949 CMS
Merck Sharp & Dohme LLC $19.31 06/04/2024 Food and Beverage Undisputed 01/23/2026 1141590049 CMS
Novo Nordisk Inc $16.09 02/07/2024 Food and Beverage Undisputed 01/23/2026 1100578922 CMS
SHIELD THERAPEUTICS INC $13.52 03/12/2024 Food and Beverage Undisputed 01/23/2026 1150123441 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
2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_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.