Covered recipient · General Payments record

JOSIER M NISNISAN

Allopathic & Osteopathic Physicians Internal Medicine

NPI: 1639391527
CMS profile: 347113
Location: SUGAR LAND, TX

General Payments · PY2018–2024

$26,629.06

Reported across 975 records
CMS publication 2026-01-23

Latest program year · PY2024

$3,414.61

140 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 payment	Amount	Records
Food and Beverage	$3,375.37	136
Education	$39.24	4

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$781.69	25
Amgen Inc.	$444.03	19
ABBVIE INC.	$261.29	8
NOVARTIS PHARMACEUTICALS CORPORATION	$248.02	16
Boehringer Ingelheim Pharmaceuticals, Inc.	$240.96	12
GlaxoSmithKline, LLC.	$230.11	7
Novo Nordisk AS	$208.45	5
Lilly USA, LLC	$171.69	12
Merck Sharp & Dohme Corporation	$140.16	9
PFIZER INC.	$136.76	6
Bayer HealthCare Pharmaceuticals Inc.	$127.73	2
Phathom Pharmaceuticals, Inc.	$87.96	3
Corcept Therapeutics	$63.45	3
Abbott Laboratories	$47.64	2
Otsuka America Pharmaceutical, Inc.	$44.43	2
Astellas Pharma US Inc	$36.26	2
ITI, Inc.	$25.51	1
DEXCOM, INC.	$24.68	1
Azurity Pharmaceuticals, Inc.	$24.10	1
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$18.26	1
E.R. Squibb & Sons, L.L.C.	$18.04	1
Exact Sciences Corporation	$17.85	1
Esperion Therapeutics, Inc.	$15.54	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$4,997.43	153
PY2019	$6,649.84	165
PY2020	$2,045.33	93
PY2021	$3,180.59	131
PY2022	$3,514.70	160
PY2023	$2,826.56	133
PY2024	$3,414.61	140

Payment records · PY2024 (140)

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

Program year 2024 2018 2019 2020 2021 2022 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
Abbott Laboratories	$23.18	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1125165451	CMS
Abbott Laboratories	$24.46	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1125165453	CMS
ABBVIE INC.	$120.27	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1105129013	CMS
ABBVIE INC.	$24.41	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1105129015	CMS
ABBVIE INC.	$29.87	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1105129017	CMS
ABBVIE INC.	$8.45	04/11/2024	Education	Undisputed	01/23/2026	1105129019	CMS
ABBVIE INC.	$8.45	07/22/2024	Education	Undisputed	01/23/2026	1105129021	CMS
ABBVIE INC.	$8.45	08/21/2024	Education	Undisputed	01/23/2026	1105129023	CMS
ABBVIE INC.	$29.54	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1105129025	CMS
ABBVIE INC.	$31.85	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1105129027	CMS
Amgen Inc.	$16.01	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1117340513	CMS
Amgen Inc.	$25.92	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1111662975	CMS
Amgen Inc.	$12.97	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1117340515	CMS
Amgen Inc.	$9.36	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1117340517	CMS
Amgen Inc.	$18.59	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1111662977	CMS
Amgen Inc.	$13.89	03/04/2024	Education	Undisputed	01/23/2026	1117642273	CMS
Amgen Inc.	$17.08	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1117340519	CMS
Amgen Inc.	$11.93	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1117340521	CMS
Amgen Inc.	$19.94	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1111662979	CMS
Amgen Inc.	$19.64	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1117340523	CMS
Amgen Inc.	$124.40	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1111662983	CMS
Amgen Inc.	$10.76	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1117340525	CMS
Amgen Inc.	$24.22	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1111662981	CMS
Amgen Inc.	$19.62	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1117340527	CMS
Amgen Inc.	$16.96	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1117340529	CMS
Amgen Inc.	$23.47	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1117340533	CMS
Amgen Inc.	$16.43	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1111662985	CMS
Amgen Inc.	$25.82	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1117340535	CMS
Amgen Inc.	$17.02	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1117340531	CMS
Astellas Pharma US Inc	$21.74	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1139268978	CMS
Astellas Pharma US Inc	$14.52	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1139299972	CMS
AstraZeneca Pharmaceuticals LP	$16.91	01/02/2024	Food and Beverage	Undisputed	01/23/2026	1104280529	CMS
AstraZeneca Pharmaceuticals LP	$16.24	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1104718731	CMS
AstraZeneca Pharmaceuticals LP	$19.56	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1104727601	CMS
AstraZeneca Pharmaceuticals LP	$19.17	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1105638876	CMS
AstraZeneca Pharmaceuticals LP	$18.78	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1105319661	CMS
AstraZeneca Pharmaceuticals LP	$15.92	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1104429939	CMS
AstraZeneca Pharmaceuticals LP	$44.43	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1105734129	CMS
AstraZeneca Pharmaceuticals LP	$15.87	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1105470657	CMS
AstraZeneca Pharmaceuticals LP	$15.42	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1105676039	CMS
AstraZeneca Pharmaceuticals LP	$22.99	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1105843695	CMS
AstraZeneca Pharmaceuticals LP	$18.37	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1104726797	CMS
AstraZeneca Pharmaceuticals LP	$121.86	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1105266360	CMS
AstraZeneca Pharmaceuticals LP	$19.07	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1104666957	CMS
AstraZeneca Pharmaceuticals LP	$17.64	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1105493591	CMS
AstraZeneca Pharmaceuticals LP	$104.54	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1105224287	CMS
AstraZeneca Pharmaceuticals LP	$16.76	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1105443097	CMS
AstraZeneca Pharmaceuticals LP	$19.58	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1104745207	CMS
AstraZeneca Pharmaceuticals LP	$21.65	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1105694568	CMS
AstraZeneca Pharmaceuticals LP	$25.59	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1104391401	CMS
AstraZeneca Pharmaceuticals LP	$18.75	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1105698242	CMS
AstraZeneca Pharmaceuticals LP	$124.99	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1104635997	CMS
AstraZeneca Pharmaceuticals LP	$16.36	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1104536863	CMS
AstraZeneca Pharmaceuticals LP	$21.08	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1105797100	CMS
AstraZeneca Pharmaceuticals LP	$16.29	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1104268289	CMS
AstraZeneca Pharmaceuticals LP	$13.87	12/20/2024	Food and Beverage	Undisputed	01/23/2026	1104368929	CMS
Azurity Pharmaceuticals, Inc.	$24.10	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1134010493	CMS
Bayer Healthcare Pharmaceuticals Inc.	$104.19	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1086159306	CMS
Bayer Healthcare Pharmaceuticals Inc.	$23.54	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1086157410	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.62	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1118090900	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$21.97	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1118090906	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.20	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1118090902	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$21.78	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1118090904	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$22.15	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1118090908	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$22.78	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1118090914	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$15.47	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1118090894	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.02	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1118090898	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$22.24	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1118090910	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.39	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1118090892	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.85	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1118090896	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$22.49	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1118090912	CMS
Corcept Therapeutics	$21.49	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1117795943	CMS
Corcept Therapeutics	$19.46	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1117796007	CMS
Corcept Therapeutics	$22.50	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1117796039	CMS
Dexcom, Inc.	$24.68	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1153311870	CMS
E.R. Squibb & Sons, L.L.C.	$18.04	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1101287610	CMS
Esperion Therapeutics, Inc.	$15.54	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1129448780	CMS
Exact Sciences Corporation	$17.85	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1114810822	CMS
GlaxoSmithKline, LLC.	$25.00	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1116407799	CMS
GlaxoSmithKline, LLC.	$13.09	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1116121336	CMS
GlaxoSmithKline, LLC.	$23.90	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1116131433	CMS
GlaxoSmithKline, LLC.	$19.63	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1116312620	CMS
GlaxoSmithKline, LLC.	$21.86	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1116564054	CMS
GlaxoSmithKline, LLC.	$3.00	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1115836835	CMS
GlaxoSmithKline, LLC.	$123.63	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1116441307	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$25.51	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1143287810	CMS
Lilly USA, LLC	$10.87	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1135088683	CMS
Lilly USA, LLC	$26.37	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1135087250	CMS
Lilly USA, LLC	$3.19	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1135107315	CMS
Lilly USA, LLC	$19.80	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1135109686	CMS
Lilly USA, LLC	$9.33	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1135107313	CMS
Lilly USA, LLC	$5.89	06/15/2024	Food and Beverage	Undisputed	01/23/2026	1135096206	CMS
Lilly USA, LLC	$0.75	06/15/2024	Food and Beverage	Undisputed	01/23/2026	1135096208	CMS
Lilly USA, LLC	$19.33	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1135096204	CMS
Lilly USA, LLC	$15.73	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1135083556	CMS
Lilly USA, LLC	$20.86	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1135108750	CMS
Lilly USA, LLC	$25.03	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1135088681	CMS
Lilly USA, LLC	$14.54	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1135108748	CMS
Merck Sharp & Dohme LLC	$13.66	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1141554548	CMS
Merck Sharp & Dohme LLC	$15.76	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1141950003	CMS
Merck Sharp & Dohme LLC	$8.49	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1141822099	CMS
Merck Sharp & Dohme LLC	$22.46	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1141908534	CMS
Merck Sharp & Dohme LLC	$16.46	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1141554550	CMS
Merck Sharp & Dohme LLC	$17.46	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1141554546	CMS
Merck Sharp & Dohme LLC	$15.30	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1141822097	CMS
Merck Sharp & Dohme LLC	$10.49	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1141554552	CMS
Merck Sharp & Dohme LLC	$20.08	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1141554554	CMS
Novartis Pharmaceuticals Corporation	$21.48	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1087066930	CMS
Novartis Pharmaceuticals Corporation	$20.02	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1087066922	CMS
Novartis Pharmaceuticals Corporation	$25.39	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1087066932	CMS
Novartis Pharmaceuticals Corporation	$7.05	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1087066934	CMS
Novartis Pharmaceuticals Corporation	$22.70	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1087066936	CMS
Novartis Pharmaceuticals Corporation	$18.83	05/03/2024	Food and Beverage	Undisputed	01/23/2026	1087066938	CMS
Novartis Pharmaceuticals Corporation	$16.07	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1087066940	CMS
Novartis Pharmaceuticals Corporation	$19.06	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1087066950	CMS
Novartis Pharmaceuticals Corporation	$16.06	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1087066956	CMS
Novartis Pharmaceuticals Corporation	$8.35	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1087066958	CMS
Novartis Pharmaceuticals Corporation	$20.40	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1087066954	CMS
Novartis Pharmaceuticals Corporation	$2.24	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1087066968	CMS
Novartis Pharmaceuticals Corporation	$13.05	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1087066970	CMS
Novartis Pharmaceuticals Corporation	$21.03	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1087066972	CMS
Novartis Pharmaceuticals Corporation	$4.82	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1087066980	CMS
Novartis Pharmaceuticals Corporation	$11.47	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1087066982	CMS
Novo Nordisk Inc	$23.28	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1096910965	CMS
Novo Nordisk Inc	$116.69	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1096693731	CMS
Novo Nordisk Inc	$17.86	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1097090287	CMS
Novo Nordisk Inc	$21.78	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1097104325	CMS
Novo Nordisk Inc	$28.84	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1096712357	CMS
Otsuka America Pharmaceutical, Inc.	$25.34	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1118951968	CMS
Otsuka America Pharmaceutical, Inc.	$19.09	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1118951970	CMS
PFIZER INC.	$1.66	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1132040057	CMS
PFIZER INC.	$11.16	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1132040065	CMS
PFIZER INC.	$0.25	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1132040329	CMS
PFIZER INC.	$18.90	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1131256938	CMS
PFIZER INC.	$22.17	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1131478445	CMS
PFIZER INC.	$82.62	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1130881372	CMS
Phathom Pharmaceuticals, Inc.	$34.05	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1151102931	CMS
Phathom Pharmaceuticals, Inc.	$18.02	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1151102933	CMS
Phathom Pharmaceuticals, Inc.	$35.89	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1151102935	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$18.26	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1153668492	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: 2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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