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

CYNTHIA BYLER

Allopathic & Osteopathic Physicians Preventive Medicine Occupational Medicine

NPI
1649373994
CMS profile
951100
Location
SAINT LOUIS, MO

General Payments · PY2018–2019

$2,459.49

  • Reported across 19 records
  • CMS publication 2026-01-23

Latest program year · PY2019

$2,388.59

15 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

PY2019 · sorted by reported total

Nature of paymentAmountRecords
Education $2,108.00 1
Food and Beverage $280.59 14

By paying entity

PY2019 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $70.90 4
PY2019 $2,388.59 15

Payment records · PY2019 (15)

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

Program year 2019 2018 Record-level detail is published for PY2019; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
AcelRx Pharmaceuticals, Inc. $13.08 10/20/2019 Food and Beverage Undisputed 01/23/2026 703449139 CMS
DePuy Synthes Sales Inc. $15.55 10/05/2019 Food and Beverage Undisputed 01/23/2026 648680237 CMS
Elite Orthopedics, LLC $2,108.00 02/12/2019 Education Undisputed 01/23/2026 660593257 CMS
Ferring Pharmaceuticals Inc. $17.84 04/18/2019 Food and Beverage Undisputed 01/23/2026 655179023 CMS
Ferring Pharmaceuticals Inc. $14.42 08/16/2019 Food and Beverage Undisputed 01/23/2026 655179025 CMS
FIDIA PHARMA USA INC. $11.31 03/12/2019 Food and Beverage Undisputed 01/23/2026 694978149 CMS
FIDIA PHARMA USA INC. $10.41 04/16/2019 Food and Beverage Undisputed 01/23/2026 694978159 CMS
FIDIA PHARMA USA INC. $9.42 05/28/2019 Food and Beverage Undisputed 01/23/2026 694978175 CMS
FIDIA PHARMA USA INC. $9.87 06/18/2019 Food and Beverage Undisputed 01/23/2026 694978179 CMS
Flexion Therapeutics, Inc. $14.12 01/03/2019 Food and Beverage Undisputed 01/23/2026 705855999 CMS
Flexion Therapeutics, Inc. $12.71 02/22/2019 Food and Beverage Undisputed 01/23/2026 705856001 CMS
Flexion Therapeutics, Inc. $17.55 07/26/2019 Food and Beverage Undisputed 01/23/2026 705856003 CMS
Flexion Therapeutics, Inc. $12.20 10/01/2019 Food and Beverage Undisputed 01/23/2026 705856005 CMS
Flexion Therapeutics, Inc. $13.24 11/09/2019 Food and Beverage Undisputed 01/23/2026 705856007 CMS
Novo Nordisk Inc $108.87 02/21/2019 Food and Beverage Undisputed 01/23/2026 703516125 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
Source files
Dataset page · Bulk file · PY2018 , PY2019
Generated from
OP_DTL_GNRL_PGYR2019_P01232026_01102026.csv

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