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

THOMAS G VANCE

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1649654385
CMS profile
10749736
Location
SWEETWATER, TN

General Payments · PY2021–2024

$9,252.35

  • Reported across 590 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$3,077.36

169 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 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

Payment records · PY2024 (169)

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
Abbott Laboratories $17.64 09/05/2024 Food and Beverage Undisputed 01/23/2026 1125171639 CMS
ABBVIE INC. $15.07 01/08/2024 Food and Beverage Undisputed 01/23/2026 1108347792 CMS
ABBVIE INC. $19.76 01/08/2024 Food and Beverage Undisputed 01/23/2026 1108347794 CMS
ABBVIE INC. $20.78 01/25/2024 Food and Beverage Undisputed 01/23/2026 1108347796 CMS
ABBVIE INC. $15.51 01/29/2024 Food and Beverage Undisputed 01/23/2026 1108347798 CMS
ABBVIE INC. $19.02 02/05/2024 Food and Beverage Undisputed 01/23/2026 1108347800 CMS
ABBVIE INC. $2.90 02/16/2024 Food and Beverage Undisputed 01/23/2026 1108347802 CMS
ABBVIE INC. $24.45 02/16/2024 Food and Beverage Undisputed 01/23/2026 1108347804 CMS
ABBVIE INC. $13.36 02/21/2024 Food and Beverage Undisputed 01/23/2026 1108347806 CMS
ABBVIE INC. $16.41 03/01/2024 Food and Beverage Undisputed 01/23/2026 1108347808 CMS
ABBVIE INC. $24.30 03/07/2024 Food and Beverage Undisputed 01/23/2026 1108347810 CMS
ABBVIE INC. $16.53 03/07/2024 Food and Beverage Undisputed 01/23/2026 1108347812 CMS
ABBVIE INC. $14.20 03/18/2024 Food and Beverage Undisputed 01/23/2026 1108347814 CMS
ABBVIE INC. $9.45 03/28/2024 Food and Beverage Undisputed 01/23/2026 1108347816 CMS
ABBVIE INC. $17.61 04/08/2024 Food and Beverage Undisputed 01/23/2026 1108347818 CMS
ABBVIE INC. $13.25 04/09/2024 Food and Beverage Undisputed 01/23/2026 1108347820 CMS
ABBVIE INC. $20.43 04/19/2024 Food and Beverage Undisputed 01/23/2026 1108347822 CMS
ABBVIE INC. $19.07 04/22/2024 Food and Beverage Undisputed 01/23/2026 1108347824 CMS
ABBVIE INC. $13.64 04/23/2024 Food and Beverage Undisputed 01/23/2026 1108347826 CMS
ABBVIE INC. $8.25 04/25/2024 Food and Beverage Undisputed 01/23/2026 1108347828 CMS
ABBVIE INC. $32.37 04/25/2024 Food and Beverage Undisputed 01/23/2026 1108347830 CMS
ABBVIE INC. $1.26 04/26/2024 Food and Beverage Undisputed 01/23/2026 1108347832 CMS
ABBVIE INC. $20.51 05/03/2024 Food and Beverage Undisputed 01/23/2026 1108347834 CMS
ABBVIE INC. $4.46 05/17/2024 Food and Beverage Undisputed 01/23/2026 1108347836 CMS
ABBVIE INC. $1.16 05/20/2024 Food and Beverage Undisputed 01/23/2026 1108347838 CMS
ABBVIE INC. $11.81 05/29/2024 Food and Beverage Undisputed 01/23/2026 1108347840 CMS
ABBVIE INC. $11.19 06/01/2024 Food and Beverage Undisputed 01/23/2026 1108347842 CMS
ABBVIE INC. $13.84 06/04/2024 Food and Beverage Undisputed 01/23/2026 1108347844 CMS
ABBVIE INC. $7.52 06/07/2024 Food and Beverage Undisputed 01/23/2026 1108347846 CMS
ABBVIE INC. $28.04 06/14/2024 Food and Beverage Undisputed 01/23/2026 1108347848 CMS
ABBVIE INC. $23.77 06/14/2024 Food and Beverage Undisputed 01/23/2026 1108347850 CMS
ABBVIE INC. $20.66 06/24/2024 Food and Beverage Undisputed 01/23/2026 1108347852 CMS
ABBVIE INC. $20.21 06/26/2024 Food and Beverage Undisputed 01/23/2026 1108347854 CMS
ABBVIE INC. $22.00 06/26/2024 Food and Beverage Undisputed 01/23/2026 1108347856 CMS
ABBVIE INC. $15.78 07/09/2024 Food and Beverage Undisputed 01/23/2026 1108347858 CMS
ABBVIE INC. $13.85 07/19/2024 Food and Beverage Undisputed 01/23/2026 1108347860 CMS
ABBVIE INC. $12.57 07/22/2024 Food and Beverage Undisputed 01/23/2026 1108347862 CMS
ABBVIE INC. $17.68 07/25/2024 Food and Beverage Undisputed 01/23/2026 1108347864 CMS
ABBVIE INC. $10.97 08/09/2024 Food and Beverage Undisputed 01/23/2026 1108347866 CMS
ABBVIE INC. $17.93 08/13/2024 Food and Beverage Undisputed 01/23/2026 1108347868 CMS
ABBVIE INC. $15.85 08/19/2024 Food and Beverage Undisputed 01/23/2026 1108347870 CMS
ABBVIE INC. $10.18 08/27/2024 Food and Beverage Undisputed 01/23/2026 1108347872 CMS
ABBVIE INC. $27.22 09/03/2024 Food and Beverage Undisputed 01/23/2026 1108347874 CMS
ABBVIE INC. $7.60 09/11/2024 Food and Beverage Undisputed 01/23/2026 1108347876 CMS
ABBVIE INC. $2.50 09/13/2024 Food and Beverage Undisputed 01/23/2026 1108347878 CMS
ABBVIE INC. $0.55 09/13/2024 Food and Beverage Undisputed 01/23/2026 1108347880 CMS
ABBVIE INC. $22.44 09/17/2024 Food and Beverage Undisputed 01/23/2026 1108347882 CMS
ABBVIE INC. $27.32 10/14/2024 Food and Beverage Undisputed 01/23/2026 1108347884 CMS
ABBVIE INC. $31.60 10/16/2024 Food and Beverage Undisputed 01/23/2026 1108347886 CMS
ABBVIE INC. $6.15 10/17/2024 Food and Beverage Undisputed 01/23/2026 1108347888 CMS
ABBVIE INC. $13.25 10/22/2024 Food and Beverage Undisputed 01/23/2026 1108347890 CMS
ABBVIE INC. $17.75 10/29/2024 Food and Beverage Undisputed 01/23/2026 1108347892 CMS
ABBVIE INC. $8.05 11/04/2024 Food and Beverage Undisputed 01/23/2026 1108347894 CMS
ABBVIE INC. $14.21 11/07/2024 Food and Beverage Undisputed 01/23/2026 1108347896 CMS
ABBVIE INC. $3.59 11/12/2024 Food and Beverage Undisputed 01/23/2026 1108347898 CMS
ABBVIE INC. $10.23 11/15/2024 Food and Beverage Undisputed 01/23/2026 1108347900 CMS
ABBVIE INC. $18.89 11/19/2024 Food and Beverage Undisputed 01/23/2026 1108347902 CMS
ABBVIE INC. $19.75 11/23/2024 Food and Beverage Undisputed 01/23/2026 1108347904 CMS
ABBVIE INC. $14.32 12/17/2024 Food and Beverage Undisputed 01/23/2026 1108347906 CMS
AIMMUNE THERAPEUTICS, INC. $16.84 11/26/2024 Food and Beverage Undisputed 01/23/2026 1147007462 CMS
Alkermes, Inc. $15.26 03/11/2024 Food and Beverage Undisputed 01/23/2026 1120613255 CMS
Alkermes, Inc. $18.58 07/23/2024 Food and Beverage Undisputed 01/23/2026 1120613257 CMS
Amgen Inc. $20.08 01/09/2024 Food and Beverage Undisputed 01/23/2026 1117404862 CMS
Amgen Inc. $19.73 06/26/2024 Food and Beverage Undisputed 01/23/2026 1117707596 CMS
Amgen Inc. $14.87 06/28/2024 Food and Beverage Undisputed 01/23/2026 1117404860 CMS
Astellas Pharma US Inc $21.67 01/04/2024 Food and Beverage Undisputed 01/23/2026 1139477466 CMS
Astellas Pharma US Inc $30.99 04/16/2024 Food and Beverage Undisputed 01/23/2026 1139500360 CMS
AstraZeneca Pharmaceuticals LP $115.39 02/02/2024 Food and Beverage Undisputed 01/23/2026 1104640805 CMS
AstraZeneca Pharmaceuticals LP $79.36 02/13/2024 Food and Beverage Undisputed 01/23/2026 1104476910 CMS
AstraZeneca Pharmaceuticals LP $15.16 05/08/2024 Food and Beverage Undisputed 01/23/2026 1105273450 CMS
AstraZeneca Pharmaceuticals LP $14.10 06/10/2024 Food and Beverage Undisputed 01/23/2026 1105551288 CMS
AstraZeneca Pharmaceuticals LP $11.72 06/11/2024 Food and Beverage Undisputed 01/23/2026 1105739374 CMS
AstraZeneca Pharmaceuticals LP $14.09 07/10/2024 Food and Beverage Undisputed 01/23/2026 1105783096 CMS
AstraZeneca Pharmaceuticals LP $21.39 10/02/2024 Food and Beverage Undisputed 01/23/2026 1104519850 CMS
AstraZeneca Pharmaceuticals LP $14.23 12/03/2024 Food and Beverage Undisputed 01/23/2026 1104254775 CMS
Axsome Therapeutics, Inc. $14.92 05/31/2024 Food and Beverage Undisputed 01/23/2026 1148415749 CMS
Daiichi Sankyo Inc. $24.66 04/29/2024 Food and Beverage Undisputed 01/23/2026 1089493946 CMS
E.R. Squibb & Sons, L.L.C. $17.43 07/03/2024 Food and Beverage Undisputed 01/23/2026 1101817503 CMS
Edwards Lifesciences Corporation $31.54 08/21/2024 Food and Beverage Undisputed 01/23/2026 1138840356 CMS
Eko Health, Inc. $150.00 11/08/2024 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 1121364055 CMS
Gilead Sciences, Inc. $21.20 02/07/2024 Food and Beverage Undisputed 01/23/2026 1133680348 CMS
Gilead Sciences, Inc. $25.64 10/07/2024 Food and Beverage Undisputed 01/23/2026 1133680350 CMS
GlaxoSmithKline, LLC. $15.53 01/12/2024 Food and Beverage Undisputed 01/23/2026 1116322862 CMS
GlaxoSmithKline, LLC. $14.35 01/18/2024 Food and Beverage Undisputed 01/23/2026 1116500685 CMS
GlaxoSmithKline, LLC. $12.59 01/22/2024 Food and Beverage Undisputed 01/23/2026 1116072956 CMS
GlaxoSmithKline, LLC. $13.12 03/04/2024 Food and Beverage Undisputed 01/23/2026 1116288104 CMS
GlaxoSmithKline, LLC. $15.17 03/15/2024 Food and Beverage Undisputed 01/23/2026 1116049439 CMS
GlaxoSmithKline, LLC. $12.99 03/29/2024 Food and Beverage Undisputed 01/23/2026 1115995107 CMS
GlaxoSmithKline, LLC. $10.60 04/29/2024 Food and Beverage Undisputed 01/23/2026 1116629420 CMS
GlaxoSmithKline, LLC. $15.46 06/21/2024 Food and Beverage Undisputed 01/23/2026 1116551921 CMS
GlaxoSmithKline, LLC. $14.12 07/20/2024 Food and Beverage Undisputed 01/23/2026 1116683569 CMS
GlaxoSmithKline, LLC. $7.18 08/19/2024 Food and Beverage Undisputed 01/23/2026 1116313215 CMS
GlaxoSmithKline, LLC. $13.27 11/12/2024 Food and Beverage Undisputed 01/23/2026 1116436689 CMS
Inspire Medical Systems, Inc. $44.55 10/24/2024 Food and Beverage Undisputed 01/23/2026 1148171247 CMS
IRONWOOD PHARMACEUTICALS, INC $15.99 01/26/2024 Food and Beverage Undisputed 01/23/2026 1153763873 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $18.98 01/30/2024 Food and Beverage Undisputed 01/23/2026 1143620763 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $18.10 03/01/2024 Food and Beverage Undisputed 01/23/2026 1143620765 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $18.92 03/25/2024 Food and Beverage Undisputed 01/23/2026 1143620767 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $19.53 05/07/2024 Food and Beverage Undisputed 01/23/2026 1143620769 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $15.59 06/11/2024 Food and Beverage Undisputed 01/23/2026 1143620771 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $5.90 08/12/2024 Food and Beverage Undisputed 01/23/2026 1143620773 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $21.03 09/16/2024 Food and Beverage Undisputed 01/23/2026 1143620775 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $18.00 11/11/2024 Food and Beverage Undisputed 01/23/2026 1143620777 CMS
Janssen Biotech, Inc. $14.75 03/21/2024 Food and Beverage Undisputed 01/23/2026 1078678597 CMS
Janssen Biotech, Inc. $19.91 04/09/2024 Food and Beverage Undisputed 01/23/2026 1078678574 CMS
Janssen Biotech, Inc. $16.11 05/15/2024 Food and Beverage Undisputed 01/23/2026 1078678569 CMS
Janssen Biotech, Inc. $13.50 06/04/2024 Food and Beverage Undisputed 01/23/2026 1078678588 CMS
Janssen Biotech, Inc. $21.01 10/08/2024 Food and Beverage Undisputed 01/23/2026 1078678558 CMS
Lundbeck LLC $20.03 09/11/2024 Food and Beverage Undisputed 01/23/2026 1146102257 CMS
Madrigal Pharmaceuticals $17.41 12/22/2024 Food and Beverage Undisputed 01/23/2026 1144200041 CMS
Medtronic, Inc. $22.48 04/01/2024 Food and Beverage Undisputed 01/23/2026 1116973415 CMS
Mylan Specialty L.P. $25.55 08/24/2024 Food and Beverage Undisputed 01/23/2026 1147284182 CMS
Neurocrine Biosciences, Inc. $17.33 01/24/2024 Food and Beverage Undisputed 01/23/2026 1150993174 CMS
Neurocrine Biosciences, Inc. $24.50 03/21/2024 Food and Beverage Undisputed 01/23/2026 1150957222 CMS
Neurocrine Biosciences, Inc. $23.84 04/18/2024 Food and Beverage Undisputed 01/23/2026 1150959940 CMS
Neurocrine Biosciences, Inc. $23.61 07/15/2024 Food and Beverage Undisputed 01/23/2026 1150961096 CMS
Neurocrine Biosciences, Inc. $22.82 11/25/2024 Food and Beverage Undisputed 01/23/2026 1150964871 CMS
Novartis Pharmaceuticals Corporation $14.54 02/22/2024 Food and Beverage Undisputed 01/23/2026 1087358110 CMS
Novartis Pharmaceuticals Corporation $2.83 02/26/2024 Food and Beverage Undisputed 01/23/2026 1087358112 CMS
Novartis Pharmaceuticals Corporation $16.05 03/12/2024 Food and Beverage Undisputed 01/23/2026 1087358114 CMS
Novartis Pharmaceuticals Corporation $24.77 04/05/2024 Food and Beverage Undisputed 01/23/2026 1087358108 CMS
Novartis Pharmaceuticals Corporation $17.56 05/03/2024 Food and Beverage Undisputed 01/23/2026 1087358118 CMS
Novartis Pharmaceuticals Corporation $22.89 05/21/2024 Food and Beverage Undisputed 01/23/2026 1087358120 CMS
Novartis Pharmaceuticals Corporation $10.77 06/10/2024 Food and Beverage Undisputed 01/23/2026 1087358122 CMS
Novartis Pharmaceuticals Corporation $17.72 07/01/2024 Food and Beverage Undisputed 01/23/2026 1087358124 CMS
Novartis Pharmaceuticals Corporation $8.32 08/21/2024 Food and Beverage Undisputed 01/23/2026 1087358128 CMS
Novartis Pharmaceuticals Corporation $7.66 09/11/2024 Food and Beverage Undisputed 01/23/2026 1087358126 CMS
Novartis Pharmaceuticals Corporation $10.26 09/19/2024 Food and Beverage Undisputed 01/23/2026 1087358132 CMS
Novartis Pharmaceuticals Corporation $11.57 10/22/2024 Food and Beverage Undisputed 01/23/2026 1087358134 CMS
Novartis Pharmaceuticals Corporation $4.95 10/31/2024 Food and Beverage Undisputed 01/23/2026 1087358136 CMS
Novartis Pharmaceuticals Corporation $9.21 11/07/2024 Food and Beverage Undisputed 01/23/2026 1087358138 CMS
Novartis Pharmaceuticals Corporation $22.98 12/17/2024 Food and Beverage Undisputed 01/23/2026 1087358142 CMS
Novo Nordisk Inc $19.83 01/23/2024 Food and Beverage Undisputed 01/23/2026 1100281624 CMS
Novo Nordisk Inc $15.31 03/13/2024 Food and Beverage Undisputed 01/23/2026 1100638240 CMS
Novo Nordisk Inc $15.06 04/27/2024 Food and Beverage Undisputed 01/23/2026 1100465982 CMS
Novo Nordisk Inc $17.54 05/06/2024 Food and Beverage Undisputed 01/23/2026 1100367019 CMS
Novo Nordisk Inc $12.65 05/18/2024 Food and Beverage Undisputed 01/23/2026 1100272696 CMS
Novo Nordisk Inc $18.97 05/22/2024 Food and Beverage Undisputed 01/23/2026 1100651829 CMS
Novo Nordisk Inc $17.48 06/12/2024 Food and Beverage Undisputed 01/23/2026 1100253246 CMS
Novo Nordisk Inc $14.26 07/12/2024 Food and Beverage Undisputed 01/23/2026 1100558655 CMS
Novo Nordisk Inc $14.59 08/23/2024 Food and Beverage Undisputed 01/23/2026 1100357618 CMS
Otsuka America Pharmaceutical, Inc. $21.08 02/23/2024 Food and Beverage Undisputed 01/23/2026 1119205873 CMS
Otsuka America Pharmaceutical, Inc. $18.38 04/17/2024 Food and Beverage Undisputed 01/23/2026 1119205875 CMS
PFIZER INC. $15.43 02/29/2024 Food and Beverage Undisputed 01/23/2026 1131706291 CMS
PFIZER INC. $18.29 03/17/2024 Food and Beverage Undisputed 01/23/2026 1131716626 CMS
PFIZER INC. $18.29 05/06/2024 Food and Beverage Undisputed 01/23/2026 1131724550 CMS
PFIZER INC. $18.94 06/06/2024 Food and Beverage Undisputed 01/23/2026 1131736134 CMS
PFIZER INC. $15.43 07/16/2024 Food and Beverage Undisputed 01/23/2026 1131758802 CMS
PFIZER INC. $19.32 07/29/2024 Food and Beverage Undisputed 01/23/2026 1131742834 CMS
PFIZER INC. $2.20 09/10/2024 Food and Beverage Undisputed 01/23/2026 1132068221 CMS
PFIZER INC. $9.55 10/10/2024 Food and Beverage Undisputed 01/23/2026 1132068007 CMS
PFIZER INC. $19.96 10/15/2024 Food and Beverage Undisputed 01/23/2026 1132096039 CMS
PFIZER INC. $20.91 11/05/2024 Food and Beverage Undisputed 01/23/2026 1131016497 CMS
PFIZER INC. $4.27 11/14/2024 Food and Beverage Undisputed 01/23/2026 1132109817 CMS
PFIZER INC. $16.76 12/06/2024 Food and Beverage Undisputed 01/23/2026 1131015435 CMS
Radius Health, Inc. $14.31 03/06/2024 Food and Beverage Undisputed 01/23/2026 1090043558 CMS
Regeneron Healthcare Solutions, Inc. $28.32 01/31/2024 Food and Beverage Undisputed 01/23/2026 1114384977 CMS
Regeneron Healthcare Solutions, Inc. $22.27 07/24/2024 Food and Beverage Undisputed 01/23/2026 1114384979 CMS
Sumitomo Pharma America, Inc. $23.49 09/25/2024 Food and Beverage Undisputed 01/23/2026 1149001218 CMS
Takeda Pharmaceuticals U.S.A., Inc. $19.80 09/18/2024 Food and Beverage Undisputed 01/23/2026 1137837761 CMS
Takeda Pharmaceuticals U.S.A., Inc. $21.75 10/02/2024 Food and Beverage Undisputed 01/23/2026 1137837763 CMS
Takeda Pharmaceuticals U.S.A., Inc. $14.92 11/25/2024 Food and Beverage Undisputed 01/23/2026 1137837765 CMS
Xeris Pharmaceuticals, Inc. $16.34 02/14/2024 Food and Beverage Undisputed 01/23/2026 1144640072 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $13.75 02/02/2024 Food and Beverage Undisputed 01/23/2026 1080708838 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $23.88 03/01/2024 Food and Beverage Undisputed 01/23/2026 1080708894 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $16.92 07/24/2024 Food and Beverage Undisputed 01/23/2026 1080709098 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $5.56 08/22/2024 Food and Beverage Undisputed 01/23/2026 1080709144 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $20.87 09/10/2024 Food and Beverage Undisputed 01/23/2026 1080709176 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $15.27 10/18/2024 Food and Beverage Undisputed 01/23/2026 1080709248 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

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.