Covered recipient · General Payments record

MARK A EFIRD

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI: 1609832591
CMS profile: 11196750
Location: GASTONIA, NC

General Payments · PY2021–2024

$9,783.74

Reported across 617 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,256.17

143 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	$2,256.17	143

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
PFIZER INC.	$355.07	24
Lilly USA, LLC	$306.35	20
ABBVIE INC.	$251.78	16
Acerta Pharma LLC	$150.01	6
GlaxoSmithKline, LLC.	$142.62	11
Amgen Inc.	$136.81	11
Otsuka America Pharmaceutical, Inc.	$136.02	8
Bayer HealthCare Pharmaceuticals Inc.	$127.39	8
Exact Sciences Corporation	$83.25	5
Phathom Pharmaceuticals, Inc.	$61.89	4
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$60.69	4
SANOFI-AVENTIS U.S. LLC	$56.67	3
Takeda Pharmaceuticals U.S.A., Inc.	$49.69	3
Boehringer Ingelheim Pharmaceuticals, Inc.	$49.40	3
Lundbeck LLC	$48.63	3
Novo Nordisk AS	$42.34	3
Astellas Pharma US Inc	$38.38	2
Esperion Therapeutics, Inc.	$32.60	2
DEXCOM, INC.	$29.76	2
Abbott Laboratories	$28.67	1
ITI, Inc.	$18.69	1
Axsome Therapeutics, Inc.	$17.17	1
Merck Sharp & Dohme Corporation	$16.25	1
Kowa Pharmaceuticals America, Inc.	$16.04	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$2,466.18	160
PY2022	$2,723.72	172
PY2023	$2,337.67	142
PY2024	$2,256.17	143

Payment records · PY2024 (143)

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
Abbott Laboratories	$28.67	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1125150500	CMS
ABBVIE INC.	$17.05	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1107062926	CMS
ABBVIE INC.	$13.43	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1107062928	CMS
ABBVIE INC.	$12.69	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1107062930	CMS
ABBVIE INC.	$15.45	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1107062932	CMS
ABBVIE INC.	$12.44	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1107062934	CMS
ABBVIE INC.	$20.20	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1107062936	CMS
ABBVIE INC.	$15.47	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1107062938	CMS
ABBVIE INC.	$25.18	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1107062940	CMS
ABBVIE INC.	$12.59	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1107062942	CMS
ABBVIE INC.	$11.36	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1107062944	CMS
ABBVIE INC.	$16.78	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1107062946	CMS
ABBVIE INC.	$13.26	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1107062948	CMS
ABBVIE INC.	$7.73	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1107062950	CMS
ABBVIE INC.	$29.72	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1107062952	CMS
ABBVIE INC.	$5.67	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1107062954	CMS
ABBVIE INC.	$22.76	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1107062956	CMS
Amgen Inc.	$7.34	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1117547305	CMS
Amgen Inc.	$14.58	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1117547307	CMS
Amgen Inc.	$17.44	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1117547309	CMS
Amgen Inc.	$17.05	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1117547311	CMS
Amgen Inc.	$7.13	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1117547313	CMS
Amgen Inc.	$6.11	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1117547315	CMS
Amgen Inc.	$13.88	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1117547323	CMS
Amgen Inc.	$6.63	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1117547317	CMS
Amgen Inc.	$10.05	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1117244575	CMS
Amgen Inc.	$19.67	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1117547319	CMS
Amgen Inc.	$16.93	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1117547321	CMS
Astellas Pharma US Inc	$20.33	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1139501494	CMS
Astellas Pharma US Inc	$18.05	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1139467634	CMS
AstraZeneca Pharmaceuticals LP	$15.30	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1105454193	CMS
AstraZeneca Pharmaceuticals LP	$19.46	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1104566198	CMS
AstraZeneca Pharmaceuticals LP	$32.09	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1104410291	CMS
AstraZeneca Pharmaceuticals LP	$47.72	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1105721300	CMS
AstraZeneca Pharmaceuticals LP	$22.02	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1105452805	CMS
AstraZeneca Pharmaceuticals LP	$13.42	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1104278615	CMS
Axsome Therapeutics, Inc.	$17.17	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1148389232	CMS
Bayer Healthcare Pharmaceuticals Inc.	$16.39	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1086307717	CMS
Bayer Healthcare Pharmaceuticals Inc.	$18.73	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1086294412	CMS
Bayer Healthcare Pharmaceuticals Inc.	$16.40	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1086356156	CMS
Bayer Healthcare Pharmaceuticals Inc.	$14.95	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1086363651	CMS
Bayer Healthcare Pharmaceuticals Inc.	$13.39	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1086275098	CMS
Bayer Healthcare Pharmaceuticals Inc.	$15.69	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1086365209	CMS
Bayer Healthcare Pharmaceuticals Inc.	$14.72	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1086371701	CMS
Bayer Healthcare Pharmaceuticals Inc.	$17.12	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1086299352	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.29	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1118078934	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.50	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1118078936	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.61	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1118078938	CMS
Dexcom, Inc.	$14.19	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1153377054	CMS
Dexcom, Inc.	$15.57	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1153377056	CMS
Esperion Therapeutics, Inc.	$17.66	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1129465708	CMS
Esperion Therapeutics, Inc.	$14.94	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1129465710	CMS
Exact Sciences Corporation	$17.54	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1114413232	CMS
Exact Sciences Corporation	$20.39	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1114413236	CMS
Exact Sciences Corporation	$13.33	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1114413239	CMS
Exact Sciences Corporation	$18.45	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1114413243	CMS
Exact Sciences Corporation	$13.54	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1114413247	CMS
GlaxoSmithKline, LLC.	$12.12	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1116561972	CMS
GlaxoSmithKline, LLC.	$19.38	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1116217085	CMS
GlaxoSmithKline, LLC.	$12.59	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1116365379	CMS
GlaxoSmithKline, LLC.	$15.88	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1115946990	CMS
GlaxoSmithKline, LLC.	$19.23	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1115797564	CMS
GlaxoSmithKline, LLC.	$0.37	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1116604062	CMS
GlaxoSmithKline, LLC.	$10.39	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1116148120	CMS
GlaxoSmithKline, LLC.	$3.26	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1116708267	CMS
GlaxoSmithKline, LLC.	$17.82	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1116710489	CMS
GlaxoSmithKline, LLC.	$14.95	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1116023102	CMS
GlaxoSmithKline, LLC.	$16.63	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1115907207	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$18.69	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1143437531	CMS
Kowa Pharmaceuticals America, Inc.	$16.04	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1113472771	CMS
Lilly USA, LLC	$14.44	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1135777076	CMS
Lilly USA, LLC	$15.49	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1135814439	CMS
Lilly USA, LLC	$20.40	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1135743670	CMS
Lilly USA, LLC	$16.02	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1135808239	CMS
Lilly USA, LLC	$16.74	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1135755763	CMS
Lilly USA, LLC	$13.11	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1135813607	CMS
Lilly USA, LLC	$16.16	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1135838053	CMS
Lilly USA, LLC	$16.43	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1135806719	CMS
Lilly USA, LLC	$15.12	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1135743672	CMS
Lilly USA, LLC	$16.41	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1135755765	CMS
Lilly USA, LLC	$23.10	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1135806717	CMS
Lilly USA, LLC	$12.65	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1135814441	CMS
Lilly USA, LLC	$14.81	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1135808235	CMS
Lilly USA, LLC	$12.89	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1135806721	CMS
Lilly USA, LLC	$13.87	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1135838057	CMS
Lilly USA, LLC	$18.02	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1135814437	CMS
Lilly USA, LLC	$4.76	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1135808237	CMS
Lilly USA, LLC	$16.31	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1135814443	CMS
Lilly USA, LLC	$13.35	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1135743674	CMS
Lilly USA, LLC	$16.27	12/27/2024	Food and Beverage	Undisputed	01/23/2026	1135777074	CMS
Lundbeck LLC	$15.83	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1146017427	CMS
Lundbeck LLC	$17.43	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1146017429	CMS
Lundbeck LLC	$15.37	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1146017431	CMS
Merck Sharp & Dohme LLC	$16.25	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1141905932	CMS
Novo Nordisk Inc	$13.20	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1100395670	CMS
Novo Nordisk Inc	$14.14	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1100610782	CMS
Novo Nordisk Inc	$15.00	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1100575266	CMS
Otsuka America Pharmaceutical, Inc.	$13.83	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1119064914	CMS
Otsuka America Pharmaceutical, Inc.	$24.79	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1119064916	CMS
Otsuka America Pharmaceutical, Inc.	$5.89	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1119064918	CMS
Otsuka America Pharmaceutical, Inc.	$14.74	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1119064920	CMS
Otsuka America Pharmaceutical, Inc.	$22.05	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1119064922	CMS
Otsuka America Pharmaceutical, Inc.	$15.22	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1119064924	CMS
Otsuka America Pharmaceutical, Inc.	$24.44	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1119064926	CMS
Otsuka America Pharmaceutical, Inc.	$15.06	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1119064928	CMS
PFIZER INC.	$5.76	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1131519243	CMS
PFIZER INC.	$15.66	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1131091793	CMS
PFIZER INC.	$17.52	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1130989536	CMS
PFIZER INC.	$11.67	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1131546901	CMS
PFIZER INC.	$15.66	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1132016269	CMS
PFIZER INC.	$18.14	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1131243264	CMS
PFIZER INC.	$19.75	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1131213571	CMS
PFIZER INC.	$17.06	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1131287830	CMS
PFIZER INC.	$14.73	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1131385087	CMS
PFIZER INC.	$16.69	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1131495683	CMS
PFIZER INC.	$6.49	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1131454267	CMS
PFIZER INC.	$17.63	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1131624661	CMS
PFIZER INC.	$16.72	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1131680131	CMS
PFIZER INC.	$16.87	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1131747784	CMS
PFIZER INC.	$17.42	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1131876990	CMS
PFIZER INC.	$13.58	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1131881703	CMS
PFIZER INC.	$5.05	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1131934062	CMS
PFIZER INC.	$21.02	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1131972297	CMS
PFIZER INC.	$17.47	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1131947736	CMS
PFIZER INC.	$5.79	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1131996323	CMS
PFIZER INC.	$17.78	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1132135017	CMS
PFIZER INC.	$15.06	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1132072092	CMS
PFIZER INC.	$13.06	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1131128701	CMS
PFIZER INC.	$18.49	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1131266710	CMS
Phathom Pharmaceuticals, Inc.	$16.60	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1151162978	CMS
Phathom Pharmaceuticals, Inc.	$15.54	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1151162980	CMS
Phathom Pharmaceuticals, Inc.	$13.38	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1151162982	CMS
Phathom Pharmaceuticals, Inc.	$16.37	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1151162984	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$13.92	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1153622751	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.04	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1153663688	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$14.13	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1153549653	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.60	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1153579871	CMS
SANOFI-AVENTIS U.S. LLC	$17.95	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1139685017	CMS
SANOFI-AVENTIS U.S. LLC	$19.30	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1139685023	CMS
SANOFI-AVENTIS U.S. LLC	$19.42	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1139685067	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$18.00	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1137738391	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$15.64	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1137738395	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$16.05	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1137738399	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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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.