Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Covered recipient · General Payments record

PAUL GARDIAL

Allopathic & Osteopathic Physicians Family Medicine

NPI
1639170194
CMS profile
300698
Location
TEXARKANA, TX

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

General Payments · PY2025

$1,058.78

54 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

“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.
  • Methodology & Data — sourcing, labeling, and limitations.

Data mirrored . 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 ↗

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,058.78 54

By paying entity

PY2025 · sorted by reported total

Payment records · PY2025 (54)

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

Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Exact Sciences Corporation $24.30 12/09/2025 Food and Beverage No dispute reported 06/30/2026 1235321328 CMS
Novo Nordisk Inc $15.31 12/08/2025 Food and Beverage No dispute reported 06/30/2026 1188738056 CMS
Abbott Laboratories $21.80 12/03/2025 Food and Beverage No dispute reported 06/30/2026 1240686012 CMS
Abbott Laboratories $24.95 12/03/2025 Food and Beverage No dispute reported 06/30/2026 1240686344 CMS
Amgen Inc. $20.19 12/01/2025 Food and Beverage No dispute reported 06/30/2026 1228267391 CMS
Novo Nordisk Inc $18.17 11/20/2025 Food and Beverage No dispute reported 06/30/2026 1188194371 CMS
PFIZER INC. $22.35 11/19/2025 Food and Beverage No dispute reported 06/30/2026 1230893734 CMS
PFIZER INC. $22.31 11/17/2025 Food and Beverage No dispute reported 06/30/2026 1230695642 CMS
Otsuka America Pharmaceutical, Inc. $17.11 11/13/2025 Food and Beverage No dispute reported 06/30/2026 1227331167 CMS
E.R. Squibb & Sons, L.L.C. $21.63 11/03/2025 Food and Beverage No dispute reported 06/30/2026 1184955716 CMS
Amgen Inc. $15.55 10/29/2025 Food and Beverage No dispute reported 06/30/2026 1228267389 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.65 10/28/2025 Food and Beverage No dispute reported 06/30/2026 1222979245 CMS
Novo Nordisk Inc $22.00 10/09/2025 Food and Beverage No dispute reported 06/30/2026 1188366561 CMS
Phathom Pharmaceuticals, Inc. $24.08 10/09/2025 Food and Beverage No dispute reported 06/30/2026 1219262441 CMS
AstraZeneca Pharmaceuticals LP $16.20 10/03/2025 Food and Beverage No dispute reported 06/30/2026 1206478593 CMS
PFIZER INC. $16.26 09/30/2025 Food and Beverage No dispute reported 06/30/2026 1230616800 CMS
Novo Nordisk Inc $17.83 08/21/2025 Food and Beverage No dispute reported 06/30/2026 1188221392 CMS
Lundbeck LLC $20.92 08/19/2025 Food and Beverage No dispute reported 06/30/2026 1251797067 CMS
AstraZeneca Pharmaceuticals LP $19.47 08/15/2025 Food and Beverage No dispute reported 06/30/2026 1207170185 CMS
PFIZER INC. $4.67 08/13/2025 Food and Beverage No dispute reported 06/30/2026 1230591432 CMS
Abbott Laboratories $13.61 08/07/2025 Food and Beverage No dispute reported 06/30/2026 1240963345 CMS
PFIZER INC. $24.34 08/04/2025 Food and Beverage No dispute reported 06/30/2026 1230515444 CMS
PFIZER INC. $26.29 07/28/2025 Food and Beverage No dispute reported 06/30/2026 1230517777 CMS
AstraZeneca Pharmaceuticals LP $15.87 07/18/2025 Food and Beverage No dispute reported 06/30/2026 1207117983 CMS
Abbott Laboratories $21.70 07/15/2025 Food and Beverage No dispute reported 06/30/2026 1240956611 CMS
Phathom Pharmaceuticals, Inc. $14.29 07/13/2025 Food and Beverage No dispute reported 06/30/2026 1219262439 CMS
Axsome Therapeutics, Inc. $25.40 07/02/2025 Food and Beverage No dispute reported 06/30/2026 1235408981 CMS
ABBVIE INC. $18.02 06/27/2025 Food and Beverage No dispute reported 06/30/2026 1201902525 CMS
Sumitomo Pharma America, Inc. $21.20 06/10/2025 Food and Beverage No dispute reported 06/30/2026 1176655159 CMS
Lilly USA, LLC $19.13 05/19/2025 Food and Beverage No dispute reported 06/30/2026 1186754883 CMS
PFIZER INC. $2.80 05/19/2025 Food and Beverage No dispute reported 06/30/2026 1230593644 CMS
ABBVIE INC. $13.77 05/14/2025 Food and Beverage No dispute reported 06/30/2026 1201902523 CMS
AstraZeneca Pharmaceuticals LP $16.50 05/10/2025 Food and Beverage No dispute reported 06/30/2026 1206706101 CMS
ABBVIE INC. $25.82 04/25/2025 Food and Beverage No dispute reported 06/30/2026 1201902521 CMS
Phathom Pharmaceuticals, Inc. $1.63 04/24/2025 Food and Beverage No dispute reported 06/30/2026 1219357834 CMS
Phathom Pharmaceuticals, Inc. $16.24 04/23/2025 Food and Beverage No dispute reported 06/30/2026 1219357752 CMS
Axsome Therapeutics, Inc. $22.37 04/08/2025 Food and Beverage No dispute reported 06/30/2026 1235558206 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.57 04/01/2025 Food and Beverage No dispute reported 06/30/2026 1222979243 CMS
Exact Sciences Corporation $21.19 03/31/2025 Food and Beverage No dispute reported 06/30/2026 1235321315 CMS
AstraZeneca Pharmaceuticals LP $16.50 03/28/2025 Food and Beverage No dispute reported 06/30/2026 1206787526 CMS
Otsuka America Pharmaceutical, Inc. $27.86 03/28/2025 Food and Beverage No dispute reported 06/30/2026 1227331165 CMS
Novo Nordisk Inc $21.12 03/26/2025 Food and Beverage No dispute reported 06/30/2026 1188254607 CMS
PFIZER INC. $18.32 03/23/2025 Food and Beverage No dispute reported 06/30/2026 1230486683 CMS
Lilly USA, LLC $15.47 03/18/2025 Food and Beverage No dispute reported 06/30/2026 1186793817 CMS
PFIZER INC. $16.11 03/07/2025 Food and Beverage No dispute reported 06/30/2026 1230485626 CMS
Inspire Medical Systems, Inc. $60.10 03/03/2025 Food and Beverage No dispute reported 06/30/2026 1251467007 CMS
Otsuka America Pharmaceutical, Inc. $27.76 02/28/2025 Food and Beverage No dispute reported 06/30/2026 1227331163 CMS
PFIZER INC. $14.72 02/21/2025 Food and Beverage No dispute reported 06/30/2026 1230484235 CMS
ABBVIE INC. $16.13 02/20/2025 Food and Beverage No dispute reported 06/30/2026 1201902519 CMS
Axsome Therapeutics, Inc. $22.21 02/03/2025 Food and Beverage No dispute reported 06/30/2026 1235372095 CMS
PFIZER INC. $19.10 01/31/2025 Food and Beverage No dispute reported 06/30/2026 1230526937 CMS
Phathom Pharmaceuticals, Inc. $21.87 01/30/2025 Food and Beverage No dispute reported 06/30/2026 1219357750 CMS
Bayer Healthcare Pharmaceuticals Inc. $26.99 01/27/2025 Food and Beverage No dispute reported 06/30/2026 1225546374 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $18.03 01/07/2025 Food and Beverage No dispute reported 06/30/2026 1222979241 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $799.14 67
PY2020 $1,286.38 88
PY2021 $1,462.98 100
PY2022 $1,127.43 76
PY2023 $1,068.17 75
PY2024 $935.29 61
PY2025 $1,058.78 54

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
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files and profile matching
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.

Cite this record.

Plain
PAUL GARDIAL, NPI 1639170194. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1639170194.
APA 7
IndustryPayments. (2026). PAUL GARDIAL, NPI 1639170194 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1639170194
Bluebook
PAUL GARDIAL, NPI 1639170194, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1639170194.

Source: Centers for Medicare & Medicaid Services, Open Payments.