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

LILLIE LYNN FISCHER

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1629851563
CMS profile
11515388
Location
OWENSBORO, KY

General Payments · PY2023–2024

$1,083.20

  • Reported across 73 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$955.74

65 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 $955.74 65

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2023 $127.46 8
PY2024 $955.74 65

Payment records · PY2024 (65)

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
Alnylam Pharmaceuticals Inc. $19.44 07/22/2024 Food and Beverage Undisputed 01/23/2026 1125853813 CMS
Alnylam Pharmaceuticals Inc. $25.83 10/07/2024 Food and Beverage Undisputed 01/23/2026 1125853849 CMS
Amgen Inc. $17.59 02/13/2024 Food and Beverage Undisputed 01/23/2026 1117261995 CMS
Amgen Inc. $21.58 05/15/2024 Food and Beverage Undisputed 01/23/2026 1117261997 CMS
Amgen Inc. $16.97 12/19/2024 Food and Beverage Undisputed 01/23/2026 1117261999 CMS
AstraZeneca Pharmaceuticals LP $19.27 06/28/2024 Food and Beverage Undisputed 01/23/2026 1104723325 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.12 08/18/2024 Food and Beverage Undisputed 01/23/2026 1086293094 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $13.46 05/14/2024 Food and Beverage Undisputed 01/23/2026 1118088112 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $13.79 06/25/2024 Food and Beverage Undisputed 01/23/2026 1118088114 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.93 07/25/2024 Food and Beverage Undisputed 01/23/2026 1118088116 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.52 09/17/2024 Food and Beverage Undisputed 01/23/2026 1118088108 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $22.72 10/24/2024 Food and Beverage Undisputed 01/23/2026 1118088110 CMS
Boston Scientific Corporation $22.77 03/14/2024 Food and Beverage Undisputed 01/23/2026 1092488546 CMS
Esperion Therapeutics, Inc. $13.35 03/05/2024 Food and Beverage Undisputed 01/23/2026 1129467254 CMS
Esperion Therapeutics, Inc. $14.66 04/23/2024 Food and Beverage Undisputed 01/23/2026 1129467256 CMS
Esperion Therapeutics, Inc. $14.61 05/06/2024 Food and Beverage Undisputed 01/23/2026 1129467258 CMS
Esperion Therapeutics, Inc. $14.48 07/10/2024 Food and Beverage Undisputed 01/23/2026 1129467260 CMS
Esperion Therapeutics, Inc. $15.91 08/07/2024 Food and Beverage Undisputed 01/23/2026 1129467262 CMS
Esperion Therapeutics, Inc. $20.40 09/23/2024 Food and Beverage Undisputed 01/23/2026 1129467264 CMS
Esperion Therapeutics, Inc. $16.71 12/10/2024 Food and Beverage Undisputed 01/23/2026 1129467266 CMS
Janssen Pharmaceuticals, Inc $11.79 01/11/2024 Food and Beverage Undisputed 01/23/2026 1078028918 CMS
Janssen Pharmaceuticals, Inc $18.67 02/14/2024 Food and Beverage Undisputed 01/23/2026 1078029170 CMS
Janssen Pharmaceuticals, Inc $19.60 03/12/2024 Food and Beverage Undisputed 01/23/2026 1078029194 CMS
Janssen Pharmaceuticals, Inc $15.85 04/19/2024 Food and Beverage Undisputed 01/23/2026 1078029020 CMS
Janssen Pharmaceuticals, Inc $15.48 05/09/2024 Food and Beverage Undisputed 01/23/2026 1078029012 CMS
Janssen Pharmaceuticals, Inc $20.19 05/21/2024 Food and Beverage Undisputed 01/23/2026 1078028954 CMS
Janssen Pharmaceuticals, Inc $0.53 05/21/2024 Food and Beverage Undisputed 01/23/2026 1078029310 CMS
Janssen Pharmaceuticals, Inc $40.24 06/20/2024 Food and Beverage Undisputed 01/23/2026 1078029354 CMS
Janssen Pharmaceuticals, Inc $14.37 07/31/2024 Food and Beverage Undisputed 01/23/2026 1078029282 CMS
Janssen Pharmaceuticals, Inc $16.09 08/15/2024 Food and Beverage Undisputed 01/23/2026 1078029388 CMS
Lexicon Pharmaceuticals, Inc. $15.59 03/20/2024 Food and Beverage Undisputed 01/23/2026 1081696567 CMS
Lexicon Pharmaceuticals, Inc. $16.80 04/17/2024 Food and Beverage Undisputed 01/23/2026 1081696569 CMS
Lexicon Pharmaceuticals, Inc. $20.67 06/12/2024 Food and Beverage Undisputed 01/23/2026 1081696571 CMS
Lexicon Pharmaceuticals, Inc. $20.72 08/13/2024 Food and Beverage Undisputed 01/23/2026 1081696573 CMS
Lexicon Pharmaceuticals, Inc. $15.32 08/28/2024 Food and Beverage Undisputed 01/23/2026 1081696565 CMS
Merck Sharp & Dohme LLC $16.92 01/30/2024 Food and Beverage Undisputed 01/23/2026 1141944489 CMS
Merck Sharp & Dohme LLC $17.57 03/04/2024 Food and Beverage Undisputed 01/23/2026 1141797293 CMS
Novartis Pharmaceuticals Corporation $12.74 01/02/2024 Food and Beverage Undisputed 01/23/2026 1086927633 CMS
Novartis Pharmaceuticals Corporation $6.72 01/23/2024 Food and Beverage Undisputed 01/23/2026 1086927637 CMS
Novartis Pharmaceuticals Corporation $11.86 02/05/2024 Food and Beverage Undisputed 01/23/2026 1086927639 CMS
Novartis Pharmaceuticals Corporation $5.43 02/12/2024 Food and Beverage Undisputed 01/23/2026 1086927641 CMS
Novartis Pharmaceuticals Corporation $11.11 02/27/2024 Food and Beverage Undisputed 01/23/2026 1086927643 CMS
Novartis Pharmaceuticals Corporation $11.28 04/09/2024 Food and Beverage Undisputed 01/23/2026 1086927645 CMS
Novartis Pharmaceuticals Corporation $1.24 04/09/2024 Food and Beverage Undisputed 01/23/2026 1086927647 CMS
Novartis Pharmaceuticals Corporation $0.58 05/30/2024 Food and Beverage Undisputed 01/23/2026 1086927655 CMS
Novartis Pharmaceuticals Corporation $10.74 05/30/2024 Food and Beverage Undisputed 01/23/2026 1086927657 CMS
Novartis Pharmaceuticals Corporation $13.77 06/24/2024 Food and Beverage Undisputed 01/23/2026 1086927665 CMS
Novartis Pharmaceuticals Corporation $9.80 07/11/2024 Food and Beverage Undisputed 01/23/2026 1086927667 CMS
Novartis Pharmaceuticals Corporation $11.99 08/21/2024 Food and Beverage Undisputed 01/23/2026 1086927679 CMS
Novartis Pharmaceuticals Corporation $0.87 08/21/2024 Food and Beverage Undisputed 01/23/2026 1086927681 CMS
Novartis Pharmaceuticals Corporation $3.11 08/29/2024 Food and Beverage Undisputed 01/23/2026 1086927677 CMS
Novartis Pharmaceuticals Corporation $11.66 09/20/2024 Food and Beverage Undisputed 01/23/2026 1086927689 CMS
Novartis Pharmaceuticals Corporation $1.05 10/15/2024 Food and Beverage Undisputed 01/23/2026 1086927693 CMS
Novartis Pharmaceuticals Corporation $10.66 10/15/2024 Food and Beverage Undisputed 01/23/2026 1086927695 CMS
Novartis Pharmaceuticals Corporation $6.27 11/22/2024 Food and Beverage Undisputed 01/23/2026 1086927701 CMS
Novartis Pharmaceuticals Corporation $9.72 12/11/2024 Food and Beverage Undisputed 01/23/2026 1086927707 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $19.77 01/22/2024 Food and Beverage Undisputed 01/23/2026 1080650039 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $21.47 02/19/2024 Food and Beverage Undisputed 01/23/2026 1080650041 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $19.18 03/06/2024 Food and Beverage Undisputed 01/23/2026 1080650043 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $15.36 05/20/2024 Food and Beverage Undisputed 01/23/2026 1080650045 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $18.10 06/11/2024 Food and Beverage Undisputed 01/23/2026 1080650047 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $16.27 07/09/2024 Food and Beverage Undisputed 01/23/2026 1080650049 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $18.80 09/10/2024 Food and Beverage Undisputed 01/23/2026 1080650051 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $21.72 10/16/2024 Food and Beverage Undisputed 01/23/2026 1080650053 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $9.96 12/05/2024 Food and Beverage Undisputed 01/23/2026 1080650055 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

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.