Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

Covered recipient · General Payments record

NATALIE G NIEMEL

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI: 1619758927
CMS profile: 11542136
Location: WILLIAMSVILLE, NY

A name match is not confirmation of identity. Check the NPI, specialty, and location before drawing any conclusion about a specific person.

General Payments · PY2024–2025

$1,627.49

Reported across 79 records
CMS publication 2026-06-30

Latest program year · PY2025

$1,585.68

77 records · 0 disputed

“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”
— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated

This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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) AND records>=2 AND NPI identity (all years).
Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$1,486.68	76
Education	$99.00	1

By paying entity

PY2025 · sorted by reported total

Paying entity	Amount	Records
Janssen Biotech, Inc.	$196.92	12
Acerta Pharma LLC	$163.83	10
Incyte Corporation	$157.22	3
Merck Sharp & Dohme Corporation	$138.78	7
AVEO Pharmaceuticals, Inc.	$99.00	1
NOVARTIS PHARMACEUTICALS CORPORATION	$73.69	4
Takeda Pharmaceuticals U.S.A., Inc.	$70.07	4
Genentech USA, Inc.	$62.90	3
Rigel Pharmaceuticals, Inc.	$57.81	3
Ipsen Biopharmaceuticals, Inc	$48.56	2
PFIZER INC.	$47.33	2
EISAI INC.	$41.24	2
ARRAY BIOPHARMA INC	$39.23	2
Exelixis Inc.	$36.13	2
Ferring Pharmaceuticals Inc.	$35.22	2
BeOne Medicines USA, Inc.	$34.19	2
Alnylam Pharmaceuticals Inc.	$33.40	2
Sumitomo Pharma America, Inc.	$31.23	2
GlaxoSmithKline, LLC.	$28.17	1
TerSera Therapeutics LLC	$22.79	1
Regeneron Healthcare Solutions, Inc.	$20.87	1
Bayer HealthCare Pharmaceuticals Inc.	$20.05	1
PUMA BIOTECHNOLOGY, INC.	$18.24	1
ABBVIE INC.	$17.23	1
ACCORD HEALTHCARE, INC.	$16.83	1
EMD Serono, Inc.	$16.64	1
GENZYME CORPORATION	$15.29	1
Geron Corporation	$15.19	1
Alexion Pharmaceuticals, Inc.	$14.11	1
Genmab U.S., Inc.	$13.52	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2024	$41.81	2
PY2025	$1,585.68	77

Payment records · PY2025 (77)

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Program year 2025 2024 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
Janssen Biotech, Inc.	$16.77	12/30/2025	Food and Beverage	Undisputed	06/30/2026	1174296003	CMS
Merck Sharp & Dohme LLC	$18.88	12/16/2025	Food and Beverage	Undisputed	06/30/2026	1238305421	CMS
Genmab U.S., Inc.	$13.52	12/10/2025	Food and Beverage	Undisputed	06/30/2026	1235938892	CMS
GlaxoSmithKline, LLC.	$28.17	12/04/2025	Food and Beverage	Undisputed	06/30/2026	1191642796	CMS
AstraZeneca Pharmaceuticals LP	$17.55	11/20/2025	Food and Beverage	Undisputed	06/30/2026	1207199408	CMS
AstraZeneca Pharmaceuticals LP	$0.39	11/20/2025	Food and Beverage	Undisputed	06/30/2026	1207283616	CMS
Janssen Biotech, Inc.	$17.23	11/19/2025	Food and Beverage	Undisputed	06/30/2026	1174293311	CMS
AstraZeneca Pharmaceuticals LP	$24.47	11/17/2025	Food and Beverage	Undisputed	06/30/2026	1207302290	CMS
Merck Sharp & Dohme LLC	$22.39	10/28/2025	Food and Beverage	Undisputed	06/30/2026	1238218892	CMS
Sumitomo Pharma America, Inc.	$14.94	10/24/2025	Food and Beverage	Undisputed	06/30/2026	1176789278	CMS
Rigel Pharmaceuticals, Inc.	$22.32	10/16/2025	Food and Beverage	Undisputed	06/30/2026	1247378611	CMS
Exelixis Inc.	$21.36	10/14/2025	Food and Beverage	Undisputed	06/30/2026	1218821338	CMS
Genentech USA, Inc.	$26.08	10/07/2025	Food and Beverage	Undisputed	06/30/2026	1211660950	CMS
AstraZeneca Pharmaceuticals LP	$17.43	10/02/2025	Food and Beverage	Undisputed	06/30/2026	1206521527	CMS
ARRAY BIOPHARMA INC	$23.60	09/25/2025	Food and Beverage	Undisputed	06/30/2026	1229485113	CMS
Janssen Biotech, Inc.	$11.22	09/22/2025	Food and Beverage	Undisputed	06/30/2026	1174289408	CMS
Regeneron Healthcare Solutions, Inc.	$20.87	09/18/2025	Food and Beverage	Undisputed	06/30/2026	1213180481	CMS
Alexion Pharmaceuticals, Inc.	$14.11	09/12/2025	Food and Beverage	Undisputed	06/30/2026	1202935462	CMS
BeOne Medicines USA, Inc.	$14.99	09/11/2025	Food and Beverage	Undisputed	06/30/2026	1202908443	CMS
Alnylam Pharmaceuticals Inc.	$15.11	09/09/2025	Food and Beverage	Undisputed	06/30/2026	1212755035	CMS
PFIZER INC.	$25.51	09/02/2025	Food and Beverage	Undisputed	06/30/2026	1229126090	CMS
Rigel Pharmaceuticals, Inc.	$17.98	08/28/2025	Food and Beverage	Undisputed	06/30/2026	1247377010	CMS
AstraZeneca Pharmaceuticals LP	$17.87	08/22/2025	Food and Beverage	Undisputed	06/30/2026	1206239815	CMS
Janssen Biotech, Inc.	$32.77	08/22/2025	Food and Beverage	Undisputed	06/30/2026	1174291012	CMS
GENZYME CORPORATION	$15.29	08/21/2025	Food and Beverage	Undisputed	06/30/2026	1233243601	CMS
Merck Sharp & Dohme LLC	$21.04	08/12/2025	Food and Beverage	Undisputed	06/30/2026	1237993138	CMS
Janssen Biotech, Inc.	$23.17	08/01/2025	Food and Beverage	Undisputed	06/30/2026	1174287666	CMS
Incyte Corporation	$13.66	07/31/2025	Food and Beverage	Undisputed	06/30/2026	1226145406	CMS
Janssen Biotech, Inc.	$21.22	07/24/2025	Food and Beverage	Undisputed	06/30/2026	1174296856	CMS
Janssen Biotech, Inc.	$6.82	07/16/2025	Food and Beverage	Undisputed	06/30/2026	1174291390	CMS
AstraZeneca Pharmaceuticals LP	$14.34	07/15/2025	Food and Beverage	Undisputed	06/30/2026	1206737258	CMS
Novartis Pharmaceuticals Corporation	$14.28	07/02/2025	Food and Beverage	Undisputed	06/30/2026	1200762641	CMS
Genentech USA, Inc.	$21.74	06/26/2025	Food and Beverage	Undisputed	06/30/2026	1211660946	CMS
AstraZeneca Pharmaceuticals LP	$17.52	06/17/2025	Food and Beverage	Undisputed	06/30/2026	1207283546	CMS
Novartis Pharmaceuticals Corporation	$27.26	06/17/2025	Food and Beverage	Undisputed	06/30/2026	1200762643	CMS
Ipsen Biopharmaceuticals, Inc	$27.02	06/12/2025	Food and Beverage	Undisputed	06/30/2026	1208879922	CMS
Merck Sharp & Dohme LLC	$19.41	06/10/2025	Food and Beverage	Undisputed	06/30/2026	1238216078	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$13.48	06/03/2025	Food and Beverage	Undisputed	06/30/2026	1223960966	CMS
Janssen Biotech, Inc.	$8.75	06/02/2025	Food and Beverage	Undisputed	06/30/2026	1174289973	CMS
Merck Sharp & Dohme LLC	$18.27	05/21/2025	Food and Beverage	Undisputed	06/30/2026	1238026932	CMS
Alnylam Pharmaceuticals Inc.	$18.29	05/19/2025	Food and Beverage	Undisputed	06/30/2026	1212754979	CMS
EMD Serono, Inc.	$16.64	05/15/2025	Food and Beverage	Undisputed	06/30/2026	1236884916	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$21.79	05/15/2025	Food and Beverage	Undisputed	06/30/2026	1224034460	CMS
Eisai Inc.	$16.87	05/13/2025	Food and Beverage	Undisputed	06/30/2026	1244546318	CMS
AstraZeneca Pharmaceuticals LP	$18.58	05/08/2025	Food and Beverage	Undisputed	06/30/2026	1206280926	CMS
BeOne Medicines USA, Inc.	$19.20	05/01/2025	Food and Beverage	Undisputed	06/30/2026	1202908445	CMS
PUMA BIOTECHNOLOGY, INC.	$18.24	05/01/2025	Food and Beverage	Undisputed	06/30/2026	1251746526	CMS
TerSera Therapeutics LLC	$22.79	04/24/2025	Food and Beverage	Undisputed	06/30/2026	1244069640	CMS
PFIZER INC.	$21.82	04/17/2025	Food and Beverage	Undisputed	06/30/2026	1231433570	CMS
Ferring Pharmaceuticals Inc.	$16.31	04/15/2025	Food and Beverage	Undisputed	06/30/2026	1242100594	CMS
ARRAY BIOPHARMA INC	$15.63	04/01/2025	Food and Beverage	Undisputed	06/30/2026	1228826332	CMS
Merck Sharp & Dohme LLC	$20.73	04/01/2025	Food and Beverage	Undisputed	06/30/2026	1238351580	CMS
Bayer Healthcare Pharmaceuticals Inc.	$20.05	03/19/2025	Food and Beverage	Undisputed	06/30/2026	1225672918	CMS
Novartis Pharmaceuticals Corporation	$17.19	03/18/2025	Food and Beverage	Undisputed	06/30/2026	1200762635	CMS
ABBVIE INC.	$17.23	03/13/2025	Food and Beverage	Undisputed	06/30/2026	1205163526	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$18.37	03/13/2025	Food and Beverage	Undisputed	06/30/2026	1224002296	CMS
Exelixis Inc.	$14.77	03/12/2025	Food and Beverage	Undisputed	06/30/2026	1218821334	CMS
Merck Sharp & Dohme LLC	$18.06	03/11/2025	Food and Beverage	Undisputed	06/30/2026	1238304157	CMS
Novartis Pharmaceuticals Corporation	$14.96	03/11/2025	Food and Beverage	Undisputed	06/30/2026	1200762633	CMS
Rigel Pharmaceuticals, Inc.	$17.51	03/04/2025	Food and Beverage	Undisputed	06/30/2026	1247370605	CMS
Janssen Biotech, Inc.	$20.98	02/27/2025	Food and Beverage	Undisputed	06/30/2026	1174288286	CMS
Janssen Biotech, Inc.	$3.60	02/26/2025	Food and Beverage	Undisputed	06/30/2026	1174288513	CMS
AstraZeneca Pharmaceuticals LP	$17.50	02/25/2025	Food and Beverage	Undisputed	06/30/2026	1206221494	CMS
AstraZeneca Pharmaceuticals LP	$18.18	02/20/2025	Food and Beverage	Undisputed	06/30/2026	1206604469	CMS
Eisai Inc.	$24.37	02/13/2025	Food and Beverage	Undisputed	06/30/2026	1244546316	CMS
ACCORD HEALTHCARE, INC.	$16.83	02/11/2025	Food and Beverage	Undisputed	06/30/2026	1248745986	CMS
Sumitomo Pharma America, Inc.	$16.29	02/11/2025	Food and Beverage	Undisputed	06/30/2026	1176789276	CMS
Ferring Pharmaceuticals Inc.	$18.91	02/04/2025	Food and Beverage	Undisputed	06/30/2026	1242100592	CMS
Ipsen Biopharmaceuticals, Inc	$21.54	02/04/2025	Food and Beverage	Undisputed	06/30/2026	1208879920	CMS
Geron Corporation	$15.19	01/28/2025	Food and Beverage	Undisputed	06/30/2026	1238900833	CMS
Janssen Biotech, Inc.	$18.61	01/24/2025	Food and Beverage	Undisputed	06/30/2026	1174288779	CMS
Genentech USA, Inc.	$15.08	01/21/2025	Food and Beverage	Undisputed	06/30/2026	1211660944	CMS
Incyte Corporation	$125.42	01/14/2025	Food and Beverage	Undisputed	06/30/2026	1226060473	CMS
Incyte Corporation	$18.14	01/14/2025	Food and Beverage	Undisputed	06/30/2026	1226061255	CMS
Aveo Pharmaceuticals, Inc.	$99.00	01/09/2025	Education	Undisputed	06/30/2026	1199908497	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$16.43	01/07/2025	Food and Beverage	Undisputed	06/30/2026	1223984397	CMS
Janssen Biotech, Inc.	$15.78	01/06/2025	Food and Beverage	Undisputed	06/30/2026	1174293045	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: 2024, 2025
Source files: Dataset page · Bulk file · PY2024 , PY2025
Generated from: OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.