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

NORA M LERSCH

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1639253115
CMS profile
10841790
Location
PORTLAND, OR

General Payments · PY2021–2024

$6,928.06

  • Reported across 35 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$6,050.70

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

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Merck Sharp & Dohme Corporation $4,777.02 12
INTUITIVE SURGICAL, INC. $839.09 5
Acerta Pharma LLC $239.66 2
GlaxoSmithKline, LLC. $194.93 5

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $229.40 4
PY2022 $389.21 4
PY2023 $258.75 3
PY2024 $6,050.70 24

Payment records · PY2024 (24)

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

Program year 2024 202120222023 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 $121.88 04/02/2024 Food and Beverage Undisputed 01/23/2026 1105509512 CMS
AstraZeneca Pharmaceuticals LP $117.78 08/15/2024 Food and Beverage Undisputed 01/23/2026 1104716145 CMS
GlaxoSmithKline, LLC. $39.99 03/16/2024 Food and Beverage Undisputed 01/23/2026 1116496740 CMS
GlaxoSmithKline, LLC. $10.58 04/16/2024 Food and Beverage Undisputed 01/23/2026 1116662487 CMS
GlaxoSmithKline, LLC. $16.66 10/18/2024 Food and Beverage Undisputed 01/23/2026 1116278918 CMS
GlaxoSmithKline, LLC. $118.80 11/21/2024 Food and Beverage Undisputed 01/23/2026 1116316366 CMS
GlaxoSmithKline, LLC. $8.90 12/03/2024 Food and Beverage Undisputed 01/23/2026 1115742922 CMS
INTUITIVE SURGICAL, INC. $413.50 03/07/2024 Travel and Lodging Undisputed 01/23/2026 1137120672 CMS
INTUITIVE SURGICAL, INC. $19.00 03/07/2024 Travel and Lodging Undisputed 01/23/2026 1137247082 CMS
INTUITIVE SURGICAL, INC. $290.59 05/07/2024 Travel and Lodging Undisputed 01/23/2026 1137165544 CMS
INTUITIVE SURGICAL, INC. $16.00 05/20/2024 Food and Beverage Undisputed 01/23/2026 1137144523 CMS
INTUITIVE SURGICAL, INC. $100.00 05/20/2024 Education Undisputed 01/23/2026 1137222252 CMS
Merck Sharp & Dohme LLC $42.58 03/17/2024 Food and Beverage Undisputed 01/23/2026 1141707334 CMS
Merck Sharp & Dohme LLC $64.83 08/19/2024 Food and Beverage Undisputed 01/23/2026 1141707332 CMS
Merck Sharp & Dohme LLC $214.22 08/19/2024 Travel and Lodging Undisputed 01/23/2026 1141873457 CMS
Merck Sharp & Dohme LLC $638.21 08/19/2024 Travel and Lodging Undisputed 01/23/2026 1141875252 CMS
Merck Sharp & Dohme LLC $1,365.00 09/11/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1141707142 CMS
Merck Sharp & Dohme LLC $150.00 09/13/2024 Travel and Lodging Undisputed 01/23/2026 1141707122 CMS
Merck Sharp & Dohme LLC $123.67 09/24/2024 Food and Beverage Undisputed 01/23/2026 1141873459 CMS
Merck Sharp & Dohme LLC $173.61 11/13/2024 Travel and Lodging Undisputed 01/23/2026 1141707140 CMS
Merck Sharp & Dohme LLC $392.06 11/13/2024 Travel and Lodging Undisputed 01/23/2026 1141707330 CMS
Merck Sharp & Dohme LLC $97.84 11/13/2024 Food and Beverage Undisputed 01/23/2026 1141707336 CMS
Merck Sharp & Dohme LLC $1,365.00 12/11/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1141707124 CMS
Merck Sharp & Dohme LLC $150.00 12/11/2024 Travel and Lodging Undisputed 01/23/2026 1141707138 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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