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

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. 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 ↗

Covered recipient · General Payments record

THOMAS G VANCE

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1649654385
CMS profile
10749736
Location
SWEETWATER, TN

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 · PY2021–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$2,612.07

151 records · 0 disputed

“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.
  • Featured-page threshold (a presentation gate, not a judgment): (records>=3 OR total>=100) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,983.68 138
PY2022 $2,012.48 140
PY2023 $2,178.83 143
PY2024 $3,077.36 169
PY2025 $2,612.07 151

Payment records · PY2025 (151)

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

Program year 2025 2021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Bayer Healthcare Pharmaceuticals Inc. $18.74 12/19/2025 Food and Beverage No dispute reported 06/30/2026 1225870299 CMS
PFIZER INC. $10.19 12/18/2025 Food and Beverage No dispute reported 06/30/2026 1230868609 CMS
Novartis Pharmaceuticals Corporation $26.39 12/16/2025 Food and Beverage No dispute reported 06/30/2026 1200465610 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $22.40 12/15/2025 Food and Beverage No dispute reported 06/30/2026 1241709781 CMS
Madrigal Pharmaceuticals $22.11 12/12/2025 Food and Beverage No dispute reported 06/30/2026 1248388720 CMS
AstraZeneca Pharmaceuticals LP $15.32 12/11/2025 Food and Beverage No dispute reported 06/30/2026 1206594078 CMS
ABBVIE INC. $17.69 12/10/2025 Food and Beverage No dispute reported 06/30/2026 1203911208 CMS
Aimmune Therapeutics, Inc. $22.47 12/10/2025 Food and Beverage No dispute reported 06/30/2026 1249661590 CMS
Dexcom, Inc. $20.87 12/08/2025 Food and Beverage No dispute reported 06/30/2026 1250586319 CMS
ABBVIE INC. $26.77 12/04/2025 Food and Beverage No dispute reported 06/30/2026 1203911203 CMS
ABBVIE INC. $22.25 12/02/2025 Food and Beverage No dispute reported 06/30/2026 1203911197 CMS
VERTEX PHARMACEUTICALS INCORPORATED $15.93 12/02/2025 Food and Beverage No dispute reported 06/30/2026 1213859498 CMS
Lundbeck LLC $20.03 11/26/2025 Food and Beverage No dispute reported 06/30/2026 1251979275 CMS
PFIZER INC. $10.77 11/24/2025 Food and Beverage No dispute reported 06/30/2026 1230952079 CMS
ABBVIE INC. $17.31 11/17/2025 Food and Beverage No dispute reported 06/30/2026 1203911191 CMS
Gilead Sciences, Inc. $20.77 11/11/2025 Food and Beverage No dispute reported 06/30/2026 1234520537 CMS
Novartis Pharmaceuticals Corporation $19.79 11/10/2025 Food and Beverage No dispute reported 06/30/2026 1200418183 CMS
ABBVIE INC. $11.43 11/07/2025 Food and Beverage No dispute reported 06/30/2026 1203911185 CMS
ABBVIE INC. $9.80 11/05/2025 Food and Beverage No dispute reported 06/30/2026 1203911177 CMS
ABBVIE INC. $14.18 11/04/2025 Food and Beverage No dispute reported 06/30/2026 1203911171 CMS
Novo Nordisk Inc $19.35 11/01/2025 Food and Beverage No dispute reported 06/30/2026 1188889311 CMS
Novo Nordisk Inc $15.98 10/29/2025 Food and Beverage No dispute reported 06/30/2026 1188606144 CMS
Madrigal Pharmaceuticals $27.01 10/28/2025 Food and Beverage No dispute reported 06/30/2026 1248388718 CMS
PFIZER INC. $19.82 10/28/2025 Food and Beverage No dispute reported 06/30/2026 1230678291 CMS
PFIZER INC. $4.60 10/23/2025 Food and Beverage No dispute reported 06/30/2026 1230662997 CMS
Aimmune Therapeutics, Inc. $24.02 10/22/2025 Food and Beverage No dispute reported 06/30/2026 1249661592 CMS
Janssen Biotech, Inc. $14.15 10/17/2025 Food and Beverage No dispute reported 06/30/2026 1174910851 CMS
ABBVIE INC. $17.64 10/16/2025 Food and Beverage No dispute reported 06/30/2026 1203911165 CMS
Verona Pharma, Inc. $30.85 10/15/2025 Food and Beverage No dispute reported 06/30/2026 1233790200 CMS
ABBVIE INC. $15.78 10/13/2025 Food and Beverage No dispute reported 06/30/2026 1203911158 CMS
Mallinckrodt Hospital Products Inc. $27.24 10/10/2025 Food and Beverage No dispute reported 06/30/2026 1212028934 CMS
PFIZER INC. $16.13 10/09/2025 Food and Beverage No dispute reported 06/30/2026 1230698149 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $26.02 10/01/2025 Food and Beverage No dispute reported 06/30/2026 1241709779 CMS
Abbott Laboratories $17.61 09/30/2025 Food and Beverage No dispute reported 06/30/2026 1240977855 CMS
Aimmune Therapeutics, Inc. $20.26 09/24/2025 Food and Beverage No dispute reported 06/30/2026 1249661588 CMS
Novartis Pharmaceuticals Corporation $20.99 09/23/2025 Food and Beverage No dispute reported 06/30/2026 1200418179 CMS
ABBVIE INC. $11.92 09/22/2025 Food and Beverage No dispute reported 06/30/2026 1203911151 CMS
PFIZER INC. $10.19 09/22/2025 Food and Beverage No dispute reported 06/30/2026 1230388759 CMS
ABBVIE INC. $12.76 09/19/2025 Food and Beverage No dispute reported 06/30/2026 1203911145 CMS
ABBVIE INC. $6.52 09/16/2025 Food and Beverage No dispute reported 06/30/2026 1203911139 CMS
Xeris Pharmaceuticals, Inc. $24.46 09/15/2025 Food and Beverage No dispute reported 06/30/2026 1250205451 CMS
Abbott Laboratories $16.06 09/10/2025 Food and Beverage No dispute reported 06/30/2026 1240972955 CMS
Novo Nordisk Inc $21.26 09/09/2025 Food and Beverage No dispute reported 06/30/2026 1188667102 CMS
Axsome Therapeutics, Inc. $13.76 09/08/2025 Food and Beverage No dispute reported 06/30/2026 1235517530 CMS
PFIZER INC. $10.66 09/05/2025 Food and Beverage No dispute reported 06/30/2026 1229769764 CMS
Aimmune Therapeutics, Inc. $24.13 08/29/2025 Food and Beverage No dispute reported 06/30/2026 1249661594 CMS
PFIZER INC. $11.01 08/26/2025 Food and Beverage No dispute reported 06/30/2026 1229715135 CMS
Mallinckrodt Hospital Products Inc. $25.22 08/22/2025 Food and Beverage No dispute reported 06/30/2026 1212028932 CMS
Novartis Pharmaceuticals Corporation $19.17 08/19/2025 Food and Beverage No dispute reported 06/30/2026 1200418175 CMS
Takeda Pharmaceuticals U.S.A., Inc. $17.66 08/19/2025 Food and Beverage No dispute reported 06/30/2026 1223995620 CMS
VERTEX PHARMACEUTICALS INCORPORATED $20.82 08/18/2025 Food and Beverage No dispute reported 06/30/2026 1213888853 CMS
GlaxoSmithKline, LLC. $14.22 08/16/2025 Food and Beverage No dispute reported 06/30/2026 1191653007 CMS
ABBVIE INC. $28.26 08/13/2025 Food and Beverage No dispute reported 06/30/2026 1203911133 CMS
ABBVIE INC. $8.57 08/12/2025 Food and Beverage No dispute reported 06/30/2026 1203911125 CMS
Neurocrine BioSciences, Inc. $21.61 08/12/2025 Food and Beverage No dispute reported 06/30/2026 1242874356 CMS
Abbott Laboratories $20.76 08/11/2025 Food and Beverage No dispute reported 06/30/2026 1240964432 CMS
ABBVIE INC. $5.69 08/11/2025 Food and Beverage No dispute reported 06/30/2026 1203911117 CMS
ABBVIE INC. $21.55 08/10/2025 Food and Beverage No dispute reported 06/30/2026 1203911111 CMS
Janssen Biotech, Inc. $17.64 08/08/2025 Food and Beverage No dispute reported 06/30/2026 1174910842 CMS
PFIZER INC. $10.80 08/04/2025 Food and Beverage No dispute reported 06/30/2026 1229652457 CMS
PFIZER INC. $17.54 08/01/2025 Food and Beverage No dispute reported 06/30/2026 1229686646 CMS
ABBVIE INC. $20.66 07/30/2025 Food and Beverage No dispute reported 06/30/2026 1203911105 CMS
ABBVIE INC. $4.29 07/29/2025 Food and Beverage No dispute reported 06/30/2026 1203911097 CMS
Xeris Pharmaceuticals, Inc. $23.33 07/28/2025 Food and Beverage No dispute reported 06/30/2026 1250205449 CMS
ABBVIE INC. $14.32 07/25/2025 Food and Beverage No dispute reported 06/30/2026 1203911091 CMS
Aimmune Therapeutics, Inc. $17.81 07/23/2025 Food and Beverage No dispute reported 06/30/2026 1249661586 CMS
Abbott Laboratories $49.95 07/21/2025 Long term medical supply or device loan No dispute reported 06/30/2026 1240589989 CMS
Alkermes, Inc. $15.81 07/21/2025 Food and Beverage No dispute reported 06/30/2026 1222659546 CMS
Radius Health, Inc. $16.61 07/16/2025 Food and Beverage No dispute reported 06/30/2026 1249564059 CMS
ABBVIE INC. $11.84 07/15/2025 Food and Beverage No dispute reported 06/30/2026 1203911085 CMS
AstraZeneca Pharmaceuticals LP $16.55 07/15/2025 Food and Beverage No dispute reported 06/30/2026 1206277100 CMS
ABBVIE INC. $17.51 07/09/2025 Food and Beverage No dispute reported 06/30/2026 1203911073 CMS
ABBVIE INC. $16.55 07/09/2025 Food and Beverage No dispute reported 06/30/2026 1203911079 CMS
Otsuka America Pharmaceutical, Inc. $14.57 07/07/2025 Food and Beverage No dispute reported 06/30/2026 1228031614 CMS
Janssen Biotech, Inc. $18.13 07/02/2025 Food and Beverage No dispute reported 06/30/2026 1174910933 CMS
ABBVIE INC. $4.42 07/01/2025 Food and Beverage No dispute reported 06/30/2026 1203911067 CMS
Lundbeck LLC $22.62 06/30/2025 Food and Beverage No dispute reported 06/30/2026 1251979273 CMS
Aimmune Therapeutics, Inc. $29.57 06/25/2025 Food and Beverage No dispute reported 06/30/2026 1249661598 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $14.56 06/23/2025 Food and Beverage No dispute reported 06/30/2026 1173732040 CMS
Neurocrine BioSciences, Inc. $22.64 06/19/2025 Food and Beverage No dispute reported 06/30/2026 1242867255 CMS
Axsome Therapeutics, Inc. $18.30 06/16/2025 Food and Beverage No dispute reported 06/30/2026 1235320127 CMS
ABBVIE INC. $14.66 06/13/2025 Food and Beverage No dispute reported 06/30/2026 1203911061 CMS
Otsuka America Pharmaceutical, Inc. $23.34 06/06/2025 Food and Beverage No dispute reported 06/30/2026 1228031610 CMS
PFIZER INC. $19.72 06/06/2025 Food and Beverage No dispute reported 06/30/2026 1229302252 CMS
Abbott Laboratories $17.25 06/05/2025 Food and Beverage No dispute reported 06/30/2026 1240942494 CMS
ABBVIE INC. $15.70 06/04/2025 Food and Beverage No dispute reported 06/30/2026 1203911055 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $20.64 06/04/2025 Food and Beverage No dispute reported 06/30/2026 1241709777 CMS
ABBVIE INC. $26.56 06/03/2025 Food and Beverage No dispute reported 06/30/2026 1203911049 CMS
ABBVIE INC. $17.51 05/30/2025 Food and Beverage No dispute reported 06/30/2026 1203911042 CMS
Sumitomo Pharma America, Inc. $17.41 05/30/2025 Food and Beverage No dispute reported 06/30/2026 1176808829 CMS
Madrigal Pharmaceuticals $16.70 05/29/2025 Food and Beverage No dispute reported 06/30/2026 1248388716 CMS
Aimmune Therapeutics, Inc. $28.55 05/28/2025 Food and Beverage No dispute reported 06/30/2026 1249661596 CMS
ABBVIE INC. $8.17 05/22/2025 Food and Beverage No dispute reported 06/30/2026 1203911035 CMS
Novartis Pharmaceuticals Corporation $21.09 05/20/2025 Food and Beverage No dispute reported 06/30/2026 1200418171 CMS
ABBVIE INC. $17.29 05/16/2025 Food and Beverage No dispute reported 06/30/2026 1203911030 CMS
Radius Health, Inc. $17.08 05/14/2025 Food and Beverage No dispute reported 06/30/2026 1249564062 CMS
Regeneron Healthcare Solutions, Inc. $13.47 05/14/2025 Food and Beverage No dispute reported 06/30/2026 1213222276 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $10.89 05/05/2025 Food and Beverage No dispute reported 06/30/2026 1173732044 CMS
Alkermes, Inc. $20.28 05/02/2025 Food and Beverage No dispute reported 06/30/2026 1222659544 CMS
ABBVIE INC. $1.13 04/30/2025 Food and Beverage No dispute reported 06/30/2026 1203911023 CMS
Madrigal Pharmaceuticals $14.38 04/30/2025 Food and Beverage No dispute reported 06/30/2026 1248388714 CMS
Takeda Pharmaceuticals U.S.A., Inc. $18.20 04/28/2025 Food and Beverage No dispute reported 06/30/2026 1224000774 CMS
ABBVIE INC. $10.83 04/25/2025 Food and Beverage No dispute reported 06/30/2026 1203911017 CMS
Novartis Pharmaceuticals Corporation $13.38 04/24/2025 Food and Beverage No dispute reported 06/30/2026 1200418169 CMS
PFIZER INC. $10.20 04/22/2025 Food and Beverage No dispute reported 06/30/2026 1229618159 CMS
PFIZER INC. $0.47 04/22/2025 Food and Beverage No dispute reported 06/30/2026 1229634946 CMS
ABBVIE INC. $2.36 04/15/2025 Food and Beverage No dispute reported 06/30/2026 1203911011 CMS
Neurocrine BioSciences, Inc. $15.59 04/09/2025 Food and Beverage No dispute reported 06/30/2026 1242914813 CMS
ABBVIE INC. $14.87 04/07/2025 Food and Beverage No dispute reported 06/30/2026 1203910997 CMS
ABBVIE INC. $10.04 04/07/2025 Food and Beverage No dispute reported 06/30/2026 1203911003 CMS
Novo Nordisk Inc $24.42 04/04/2025 Food and Beverage No dispute reported 06/30/2026 1188495087 CMS
Abbott Laboratories $9.77 04/01/2025 Food and Beverage No dispute reported 06/30/2026 1240918113 CMS
PFIZER INC. $10.84 04/01/2025 Food and Beverage No dispute reported 06/30/2026 1229814419 CMS
ABBVIE INC. $13.69 03/28/2025 Food and Beverage No dispute reported 06/30/2026 1203910991 CMS
Janssen Biotech, Inc. $14.96 03/25/2025 Food and Beverage No dispute reported 06/30/2026 1174910832 CMS
PFIZER INC. $10.81 03/25/2025 Food and Beverage No dispute reported 06/30/2026 1229578023 CMS
Takeda Pharmaceuticals U.S.A., Inc. $22.54 03/24/2025 Food and Beverage No dispute reported 06/30/2026 1224040885 CMS
ABBVIE INC. $13.68 03/19/2025 Food and Beverage No dispute reported 06/30/2026 1203910984 CMS
Amgen Inc. $13.59 03/19/2025 Food and Beverage No dispute reported 06/30/2026 1229417906 CMS
Novartis Pharmaceuticals Corporation $18.42 03/18/2025 Food and Beverage No dispute reported 06/30/2026 1200418165 CMS
Novartis Pharmaceuticals Corporation $0.22 03/18/2025 Food and Beverage No dispute reported 06/30/2026 1200418167 CMS
Viatris Specialty LLC $13.78 03/17/2025 Food and Beverage No dispute reported 06/30/2026 1238498583 CMS
Lundbeck LLC $22.62 03/10/2025 Food and Beverage No dispute reported 06/30/2026 1251979271 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $18.57 03/10/2025 Food and Beverage No dispute reported 06/30/2026 1173732036 CMS
ABBVIE INC. $12.74 03/05/2025 Food and Beverage No dispute reported 06/30/2026 1203910978 CMS
Abbott Laboratories $13.24 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1240908803 CMS
Xeris Pharmaceuticals, Inc. $15.49 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1250205447 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $18.67 02/28/2025 Food and Beverage No dispute reported 06/30/2026 1241709775 CMS
Lundbeck LLC $20.24 02/26/2025 Food and Beverage No dispute reported 06/30/2026 1251979269 CMS
ABBVIE INC. $17.91 02/24/2025 Food and Beverage No dispute reported 06/30/2026 1203910972 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $12.47 02/24/2025 Food and Beverage No dispute reported 06/30/2026 1173732042 CMS
Eko Health, Inc. $75.00 02/21/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported 06/30/2026 1225389825 CMS
Novartis Pharmaceuticals Corporation $27.39 02/20/2025 Food and Beverage No dispute reported 06/30/2026 1200418163 CMS
Madrigal Pharmaceuticals $17.41 02/18/2025 Food and Beverage No dispute reported 06/30/2026 1248388712 CMS
PFIZER INC. $14.54 02/14/2025 Food and Beverage No dispute reported 06/30/2026 1229099076 CMS
Janssen Biotech, Inc. $18.22 02/10/2025 Food and Beverage No dispute reported 06/30/2026 1174910922 CMS
PFIZER INC. $19.77 02/10/2025 Food and Beverage No dispute reported 06/30/2026 1228997621 CMS
ABBVIE INC. $8.04 02/06/2025 Food and Beverage No dispute reported 06/30/2026 1203910966 CMS
ABBVIE INC. $15.47 02/04/2025 Food and Beverage No dispute reported 06/30/2026 1203910959 CMS
ABBVIE INC. $9.21 02/03/2025 Food and Beverage No dispute reported 06/30/2026 1203910954 CMS
PFIZER INC. $18.52 01/31/2025 Food and Beverage No dispute reported 06/30/2026 1228951822 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $17.62 01/30/2025 Food and Beverage No dispute reported 06/30/2026 1173732038 CMS
Novartis Pharmaceuticals Corporation $29.63 01/29/2025 Food and Beverage No dispute reported 06/30/2026 1200418161 CMS
ABBVIE INC. $17.69 01/28/2025 Food and Beverage No dispute reported 06/30/2026 1203910948 CMS
ABBVIE INC. $11.85 01/24/2025 Food and Beverage No dispute reported 06/30/2026 1203910942 CMS
GlaxoSmithKline, LLC. $13.75 01/24/2025 Food and Beverage No dispute reported 06/30/2026 1191002721 CMS
Lundbeck LLC $23.13 01/22/2025 Food and Beverage No dispute reported 06/30/2026 1251979267 CMS
Takeda Pharmaceuticals U.S.A., Inc. $19.43 01/21/2025 Food and Beverage No dispute reported 06/30/2026 1224012641 CMS
Janssen Biotech, Inc. $14.50 01/17/2025 Food and Beverage No dispute reported 06/30/2026 1174910874 CMS
ABBVIE INC. $4.66 01/15/2025 Food and Beverage No dispute reported 06/30/2026 1203910935 CMS
Xeris Pharmaceuticals, Inc. $14.87 01/08/2025 Food and Beverage No dispute reported 06/30/2026 1250205445 CMS

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
2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024 , PY2025
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
THOMAS G VANCE, NPI 1649654385. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1649654385.
APA 7
IndustryPayments. (2026). THOMAS G VANCE, NPI 1649654385 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1649654385
Bluebook
THOMAS G VANCE, NPI 1649654385, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1649654385.

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