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

MELISSA RUARK

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1659722700
CMS profile
10618688
Location
GAINESVILLE, GA

General Payments · PY2021–2024

$2,081.02

  • Reported across 97 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$870.98

39 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 paymentAmountRecords
Food and Beverage $870.98 39

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $53.09 3
PY2022 $329.52 17
PY2023 $827.43 38
PY2024 $870.98 39

Payment records · PY2024 (39)

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
ABIOMED $108.56 12/04/2024 Food and Beverage Undisputed 01/23/2026 1142217684 CMS
Amgen Inc. $17.94 01/04/2024 Food and Beverage Undisputed 01/23/2026 1117370073 CMS
Amgen Inc. $5.51 01/08/2024 Food and Beverage Undisputed 01/23/2026 1117370075 CMS
Amgen Inc. $3.25 02/15/2024 Food and Beverage Undisputed 01/23/2026 1117370077 CMS
Amgen Inc. $14.83 02/27/2024 Food and Beverage Undisputed 01/23/2026 1117370079 CMS
Amgen Inc. $98.91 03/26/2024 Food and Beverage Undisputed 01/23/2026 1117370083 CMS
Amgen Inc. $5.90 05/03/2024 Food and Beverage Undisputed 01/23/2026 1117370081 CMS
Amgen Inc. $19.48 07/09/2024 Food and Beverage Undisputed 01/23/2026 1117370085 CMS
Amgen Inc. $16.79 08/27/2024 Food and Beverage Undisputed 01/23/2026 1117370087 CMS
AstraZeneca Pharmaceuticals LP $21.68 04/23/2024 Food and Beverage Undisputed 01/23/2026 1104267373 CMS
AstraZeneca Pharmaceuticals LP $19.47 08/26/2024 Food and Beverage Undisputed 01/23/2026 1105726651 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.35 09/19/2024 Food and Beverage Undisputed 01/23/2026 1086337733 CMS
Bayer Healthcare Pharmaceuticals Inc. $15.88 12/05/2024 Food and Beverage Undisputed 01/23/2026 1086280628 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.33 10/10/2024 Food and Beverage Undisputed 01/23/2026 1118100310 CMS
E.R. Squibb & Sons, L.L.C. $16.49 11/21/2024 Food and Beverage Undisputed 01/23/2026 1101855130 CMS
Esperion Therapeutics, Inc. $15.06 07/12/2024 Food and Beverage Undisputed 01/23/2026 1129475416 CMS
Janssen Pharmaceuticals, Inc $14.31 01/12/2024 Food and Beverage Undisputed 01/23/2026 1077991882 CMS
Janssen Pharmaceuticals, Inc $16.50 03/05/2024 Food and Beverage Undisputed 01/23/2026 1077991932 CMS
Janssen Pharmaceuticals, Inc $16.11 03/28/2024 Food and Beverage Undisputed 01/23/2026 1077991994 CMS
Janssen Pharmaceuticals, Inc $23.29 04/16/2024 Food and Beverage Undisputed 01/23/2026 1077992000 CMS
Janssen Pharmaceuticals, Inc $19.43 08/22/2024 Food and Beverage Undisputed 01/23/2026 1077992052 CMS
Lexicon Pharmaceuticals, Inc. $26.52 03/25/2024 Food and Beverage Undisputed 01/23/2026 1081732555 CMS
Lexicon Pharmaceuticals, Inc. $18.02 04/12/2024 Food and Beverage Undisputed 01/23/2026 1081732551 CMS
Lexicon Pharmaceuticals, Inc. $23.21 07/29/2024 Food and Beverage Undisputed 01/23/2026 1081732553 CMS
Merck Sharp & Dohme LLC $20.70 02/01/2024 Food and Beverage Undisputed 01/23/2026 1141665390 CMS
Merck Sharp & Dohme LLC $24.03 03/15/2024 Food and Beverage Undisputed 01/23/2026 1141858504 CMS
Merck Sharp & Dohme LLC $19.42 06/03/2024 Food and Beverage Undisputed 01/23/2026 1141858502 CMS
Merck Sharp & Dohme LLC $18.53 09/17/2024 Food and Beverage Undisputed 01/23/2026 1141665284 CMS
Merck Sharp & Dohme LLC $19.03 11/04/2024 Food and Beverage Undisputed 01/23/2026 1141665392 CMS
Merck Sharp & Dohme LLC $23.53 12/12/2024 Food and Beverage Undisputed 01/23/2026 1141926096 CMS
Novartis Pharmaceuticals Corporation $25.92 01/25/2024 Food and Beverage Undisputed 01/23/2026 1087186235 CMS
Novartis Pharmaceuticals Corporation $14.61 03/26/2024 Food and Beverage Undisputed 01/23/2026 1087186237 CMS
Novartis Pharmaceuticals Corporation $20.12 07/16/2024 Food and Beverage Undisputed 01/23/2026 1087186241 CMS
Novartis Pharmaceuticals Corporation $16.38 08/15/2024 Food and Beverage Undisputed 01/23/2026 1087186243 CMS
Novartis Pharmaceuticals Corporation $13.90 11/14/2024 Food and Beverage Undisputed 01/23/2026 1087186249 CMS
PFIZER INC. $22.95 05/15/2024 Food and Beverage Undisputed 01/23/2026 1131318655 CMS
PFIZER INC. $25.52 08/08/2024 Food and Beverage Undisputed 01/23/2026 1131892405 CMS
PFIZER INC. $22.56 10/31/2024 Food and Beverage Undisputed 01/23/2026 1132072192 CMS
SCPHARMACEUTICALS INC. $16.96 06/20/2024 Food and Beverage Undisputed 01/23/2026 1132282962 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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