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

JOANNA NIGRELLI

Allopathic & Osteopathic Physicians Family Medicine

NPI
1609028992
CMS profile
344568
Location
GRAYLING, MI

General Payments · PY2018–2024

$1,236.37

  • Reported across 62 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$416.33

18 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 $416.33 18

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Lilly USA, LLC $149.26 3
ABBVIE INC. $72.67 4
Novo Nordisk AS $47.74 3
Axsome Therapeutics, Inc. $38.29 2
Acerta Pharma LLC $32.56 2
Alkermes, Inc. $26.78 1
Organon LLC $20.28 1
Astellas Pharma US Inc $18.19 1
Corium, Inc. $10.56 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $25.72 2
PY2019 $140.47 8
PY2020 $27.21 2
PY2021 $58.90 4
PY2022 $124.09 8
PY2023 $443.65 20
PY2024 $416.33 18

Payment records · PY2024 (18)

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

Program year 2024 201820192020202120222023 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. $18.24 03/06/2024 Food and Beverage Undisputed 01/23/2026 1105127289 CMS
ABBVIE INC. $19.55 05/15/2024 Food and Beverage Undisputed 01/23/2026 1105127291 CMS
ABBVIE INC. $14.81 06/17/2024 Food and Beverage Undisputed 01/23/2026 1105127293 CMS
ABBVIE INC. $20.07 08/26/2024 Food and Beverage Undisputed 01/23/2026 1105127295 CMS
Alkermes, Inc. $26.78 06/13/2024 Food and Beverage Undisputed 01/23/2026 1120563306 CMS
Astellas Pharma US Inc $18.19 08/28/2024 Food and Beverage Undisputed 01/23/2026 1139375500 CMS
AstraZeneca Pharmaceuticals LP $14.93 05/13/2024 Food and Beverage Undisputed 01/23/2026 1105813425 CMS
AstraZeneca Pharmaceuticals LP $17.63 08/15/2024 Food and Beverage Undisputed 01/23/2026 1104297538 CMS
Axsome Therapeutics, Inc. $17.67 03/20/2024 Food and Beverage Undisputed 01/23/2026 1148290751 CMS
Axsome Therapeutics, Inc. $20.62 07/16/2024 Food and Beverage Undisputed 01/23/2026 1148290753 CMS
Corium, LLC $10.56 01/03/2024 Food and Beverage Undisputed 01/23/2026 1100121824 CMS
Lilly USA, LLC $12.67 01/31/2024 Food and Beverage Undisputed 01/23/2026 1135065199 CMS
Lilly USA, LLC $12.67 07/31/2024 Food and Beverage Undisputed 01/23/2026 1135067165 CMS
Lilly USA, LLC $123.92 11/21/2024 Food and Beverage Undisputed 01/23/2026 1135025530 CMS
Novo Nordisk Inc $14.23 01/10/2024 Food and Beverage Undisputed 01/23/2026 1096993150 CMS
Novo Nordisk Inc $19.43 02/08/2024 Food and Beverage Undisputed 01/23/2026 1097534937 CMS
Novo Nordisk Inc $14.08 04/11/2024 Food and Beverage Undisputed 01/23/2026 1096894781 CMS
Organon Llc $20.28 05/16/2024 Food and Beverage Undisputed 01/23/2026 1136262488 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
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , 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.