Covered recipient · General Payments record

ALEX S FIERSTEIN

Allopathic & Osteopathic Physicians Family Medicine

NPI: 1598392565
CMS profile: 11442441
Location: LANSDALE, PA

General Payments · PY2023–2024

$2,276.03

Reported across 131 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,678.94

99 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	$1,678.94	99

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Novo Nordisk AS	$225.55	13
ABBVIE INC.	$201.96	26
NOVARTIS PHARMACEUTICALS CORPORATION	$152.04	8
Acerta Pharma LLC	$131.18	7
PFIZER INC.	$122.08	6
Lilly USA, LLC	$91.28	4
DEXCOM, INC.	$68.44	3
Sumitomo Pharma America, Inc.	$66.05	3
Abbott Laboratories	$65.77	3
GlaxoSmithKline, LLC.	$55.58	3
Otsuka America Pharmaceutical, Inc.	$53.09	2
Daiichi Sankyo Inc.	$51.54	2
Exact Sciences Corporation	$50.91	3
Amgen Inc.	$48.50	2
Inspire Medical Systems, Inc.	$46.03	2
Phathom Pharmaceuticals, Inc.	$44.81	2
Lundbeck LLC	$41.64	2
Bayer HealthCare Pharmaceuticals Inc.	$38.44	2
Astellas Pharma US Inc	$25.72	1
Gilead Sciences, Inc.	$23.54	1
Vertos Medical, Inc.	$21.67	1
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$21.37	1
SANOFI US SERVICES INC.	$17.76	1
IDORSIA PHARMACEUTICALS US INC	$13.99	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2023	$597.09	32
PY2024	$1,678.94	99

Payment records · PY2024 (99)

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

Program year 2024 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
Abbott Laboratories	$23.11	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1125144571	CMS
Abbott Laboratories	$23.67	10/11/2024	Food and Beverage	Undisputed	01/23/2026	1125144573	CMS
Abbott Laboratories	$18.99	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1125144575	CMS
ABBVIE INC.	$2.96	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1103727440	CMS
ABBVIE INC.	$14.94	02/24/2024	Food and Beverage	Undisputed	01/23/2026	1103727442	CMS
ABBVIE INC.	$18.74	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1103727444	CMS
ABBVIE INC.	$13.91	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1103727446	CMS
ABBVIE INC.	$6.07	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1103727448	CMS
ABBVIE INC.	$3.06	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1103727450	CMS
ABBVIE INC.	$3.79	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1103727452	CMS
ABBVIE INC.	$3.95	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1103727454	CMS
ABBVIE INC.	$15.65	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1103727456	CMS
ABBVIE INC.	$4.99	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1103727458	CMS
ABBVIE INC.	$2.91	05/03/2024	Food and Beverage	Undisputed	01/23/2026	1103727460	CMS
ABBVIE INC.	$11.36	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1103727462	CMS
ABBVIE INC.	$4.86	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1103727464	CMS
ABBVIE INC.	$2.37	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1103727466	CMS
ABBVIE INC.	$22.92	07/04/2024	Food and Beverage	Undisputed	01/23/2026	1103727468	CMS
ABBVIE INC.	$2.67	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1103727470	CMS
ABBVIE INC.	$7.98	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1103727472	CMS
ABBVIE INC.	$2.45	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1103727474	CMS
ABBVIE INC.	$2.41	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1103727476	CMS
ABBVIE INC.	$3.51	10/05/2024	Food and Beverage	Undisputed	01/23/2026	1103727478	CMS
ABBVIE INC.	$15.38	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1103727480	CMS
ABBVIE INC.	$11.25	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1103727482	CMS
ABBVIE INC.	$2.57	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1103727484	CMS
ABBVIE INC.	$14.41	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1103727486	CMS
ABBVIE INC.	$2.61	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1103727488	CMS
ABBVIE INC.	$4.24	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1103727490	CMS
Amgen Inc.	$26.13	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1117250859	CMS
Amgen Inc.	$22.37	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1117250861	CMS
Astellas Pharma US Inc	$25.72	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1139353185	CMS
AstraZeneca Pharmaceuticals LP	$18.10	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1104647875	CMS
AstraZeneca Pharmaceuticals LP	$27.54	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1104578682	CMS
AstraZeneca Pharmaceuticals LP	$18.77	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1104222331	CMS
AstraZeneca Pharmaceuticals LP	$18.05	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1104271881	CMS
AstraZeneca Pharmaceuticals LP	$13.83	08/17/2024	Food and Beverage	Undisputed	01/23/2026	1104230717	CMS
AstraZeneca Pharmaceuticals LP	$18.57	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1104303448	CMS
AstraZeneca Pharmaceuticals LP	$16.32	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1105691719	CMS
Bayer Healthcare Pharmaceuticals Inc.	$24.42	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1086203711	CMS
Bayer Healthcare Pharmaceuticals Inc.	$14.02	12/22/2024	Food and Beverage	Undisputed	01/23/2026	1086152509	CMS
Daiichi Sankyo Inc.	$29.15	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1089421326	CMS
Daiichi Sankyo Inc.	$22.39	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1089421328	CMS
Dexcom, Inc.	$25.73	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1153277376	CMS
Dexcom, Inc.	$25.13	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1153277380	CMS
Dexcom, Inc.	$17.58	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1153277378	CMS
Exact Sciences Corporation	$16.09	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1114553853	CMS
Exact Sciences Corporation	$20.80	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1114553856	CMS
Exact Sciences Corporation	$14.02	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1114553860	CMS
Gilead Sciences, Inc.	$23.54	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1133633514	CMS
GlaxoSmithKline, LLC.	$21.92	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1116239733	CMS
GlaxoSmithKline, LLC.	$14.49	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1115748669	CMS
GlaxoSmithKline, LLC.	$19.17	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1116502349	CMS
IDORSIA PHARMACEUTICALS US INC	$13.99	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1146773828	CMS
Inspire Medical Systems, Inc.	$21.93	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1148054010	CMS
Inspire Medical Systems, Inc.	$24.10	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1148054012	CMS
Lilly USA, LLC	$21.47	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1136016103	CMS
Lilly USA, LLC	$22.87	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1136016105	CMS
Lilly USA, LLC	$24.12	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1136018271	CMS
Lilly USA, LLC	$22.82	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1136021006	CMS
Lundbeck LLC	$21.20	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1145915403	CMS
Lundbeck LLC	$20.44	10/20/2024	Food and Beverage	Undisputed	01/23/2026	1145915405	CMS
Novartis Pharmaceuticals Corporation	$28.38	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1086928303	CMS
Novartis Pharmaceuticals Corporation	$14.89	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1086928307	CMS
Novartis Pharmaceuticals Corporation	$10.87	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1086928321	CMS
Novartis Pharmaceuticals Corporation	$18.16	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1086928325	CMS
Novartis Pharmaceuticals Corporation	$22.92	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1086928329	CMS
Novartis Pharmaceuticals Corporation	$17.67	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1086928331	CMS
Novartis Pharmaceuticals Corporation	$16.23	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1086928333	CMS
Novartis Pharmaceuticals Corporation	$22.92	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1086928335	CMS
Novo Nordisk Inc	$10.97	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1096905507	CMS
Novo Nordisk Inc	$14.47	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1096621268	CMS
Novo Nordisk Inc	$18.91	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1097121406	CMS
Novo Nordisk Inc	$16.09	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1096911696	CMS
Novo Nordisk Inc	$19.89	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1097213632	CMS
Novo Nordisk Inc	$15.86	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1097507574	CMS
Novo Nordisk Inc	$12.56	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1096606925	CMS
Novo Nordisk Inc	$19.38	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1096567290	CMS
Novo Nordisk Inc	$20.47	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1097410687	CMS
Novo Nordisk Inc	$24.99	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1097523921	CMS
Novo Nordisk Inc	$1.87	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1096838366	CMS
Novo Nordisk Inc	$29.89	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1097186658	CMS
Novo Nordisk Inc	$20.20	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1096571098	CMS
Otsuka America Pharmaceutical, Inc.	$23.30	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1118892588	CMS
Otsuka America Pharmaceutical, Inc.	$29.79	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1118892590	CMS
PFIZER INC.	$18.66	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1131194999	CMS
PFIZER INC.	$23.48	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1131246699	CMS
PFIZER INC.	$15.84	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1131347620	CMS
PFIZER INC.	$24.75	09/27/2024	Food and Beverage	Undisputed	01/23/2026	1131987871	CMS
PFIZER INC.	$14.60	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1132093102	CMS
PFIZER INC.	$24.75	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1131117619	CMS
Phathom Pharmaceuticals, Inc.	$23.21	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1151061067	CMS
Phathom Pharmaceuticals, Inc.	$21.60	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1151061069	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$21.37	11/27/2024	Food and Beverage	Undisputed	01/23/2026	1153530341	CMS
SANOFI US SERVICES INC.	$17.76	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1139572816	CMS
Sumitomo Pharma America, Inc.	$19.07	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1148850895	CMS
Sumitomo Pharma America, Inc.	$23.43	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1148850897	CMS
Sumitomo Pharma America, Inc.	$23.55	11/22/2024	Food and Beverage	Undisputed	01/23/2026	1148850899	CMS
Vertos Medical, Inc.	$21.67	05/03/2024	Food and Beverage	Undisputed	01/23/2026	1133349247	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: 2023, 2024
Source files: Dataset page · Bulk file · PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.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.