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

JAMES GERARD KRINGS

Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

NPI
1629495676
CMS profile
6805997
Location
SAINT LOUIS, MO

General Payments · PY2019–2024

$25,411.05

  • Reported across 57 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$18,094.96

24 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
Consulting Fee $15,282.00 4
Travel and Lodging $1,499.31 6
Food and Beverage $1,313.65 14

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
GENZYME CORPORATION $14,472.84 14
Genentech USA, Inc. $3,464.48 4
Acerta Pharma LLC $136.00 5
Regeneron Pharmaceuticals, Inc. $21.64 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $125.00 1
PY2021 $1,975.70 5
PY2022 $2,963.06 11
PY2023 $2,252.33 16
PY2024 $18,094.96 24

Payment records · PY2024 (24)

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

Program year 2024 2019202120222023 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
AstraZeneca Pharmaceuticals LP $18.19 01/17/2024 Food and Beverage Undisputed 01/23/2026 1105375270 CMS
AstraZeneca Pharmaceuticals LP $21.64 03/27/2024 Food and Beverage Undisputed 01/23/2026 1105353903 CMS
AstraZeneca Pharmaceuticals LP $53.51 10/07/2024 Food and Beverage Undisputed 01/23/2026 1104307952 CMS
AstraZeneca Pharmaceuticals LP $19.99 10/31/2024 Food and Beverage Undisputed 01/23/2026 1105830631 CMS
AstraZeneca Pharmaceuticals LP $22.67 11/06/2024 Food and Beverage Undisputed 01/23/2026 1104481886 CMS
Genentech USA, Inc. $301.00 10/05/2024 Travel and Lodging Undisputed 01/23/2026 1133026186 CMS
Genentech USA, Inc. $325.90 10/05/2024 Food and Beverage Undisputed 01/23/2026 1133026190 CMS
Genentech USA, Inc. $2,430.00 10/05/2024 Consulting Fee Undisputed 01/23/2026 1133026194 CMS
Genentech USA, Inc. $407.58 10/05/2024 Travel and Lodging Undisputed 01/23/2026 1133026198 CMS
GENZYME CORPORATION $151.39 03/05/2024 Food and Beverage Undisputed 01/23/2026 1139594546 CMS
GENZYME CORPORATION $1,836.00 03/05/2024 Consulting Fee Undisputed 01/23/2026 1139594548 CMS
GENZYME CORPORATION $8.58 03/05/2024 Travel and Lodging Undisputed 01/23/2026 1139594550 CMS
GENZYME CORPORATION $24.14 03/15/2024 Food and Beverage Undisputed 01/23/2026 1139594542 CMS
GENZYME CORPORATION $284.28 08/16/2024 Food and Beverage Undisputed 01/23/2026 1139594608 CMS
GENZYME CORPORATION $292.67 08/16/2024 Travel and Lodging Undisputed 01/23/2026 1139594610 CMS
GENZYME CORPORATION $9,180.00 08/21/2024 Consulting Fee Undisputed 01/23/2026 1139594630 CMS
GENZYME CORPORATION $27.33 08/22/2024 Food and Beverage Undisputed 01/23/2026 1139594624 CMS
GENZYME CORPORATION $446.48 08/22/2024 Travel and Lodging Undisputed 01/23/2026 1139594626 CMS
GENZYME CORPORATION $43.00 08/22/2024 Travel and Lodging Undisputed 01/23/2026 1139594628 CMS
GENZYME CORPORATION $149.56 09/19/2024 Food and Beverage Undisputed 01/23/2026 1139594596 CMS
GENZYME CORPORATION $1,836.00 10/06/2024 Consulting Fee Undisputed 01/23/2026 1139594634 CMS
GENZYME CORPORATION $39.06 10/08/2024 Food and Beverage Undisputed 01/23/2026 1139594612 CMS
GENZYME CORPORATION $154.35 12/12/2024 Food and Beverage Undisputed 01/23/2026 1139594632 CMS
Regeneron Pharmaceuticals, Inc. $21.64 07/10/2024 Food and Beverage Undisputed 01/23/2026 1114401261 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
2019, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2019 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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