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 RENE' AKER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health

NPI
1689284895
CMS profile
10869296
Location
SOMERSET, KY

General Payments · PY2021–2024

$1,849.84

  • Reported across 99 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$411.11

20 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 $411.11 20

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
SHIELD THERAPEUTICS INC $99.25 3
Novo Nordisk AS $50.74 3
MAYNE PHARMA COMMERCIAL LLC $50.11 1
ABBVIE INC. $48.24 3
Astellas Pharma US Inc $42.40 3
Sumitomo Pharma America, Inc. $35.78 2
Organon LLC $20.98 1
Exact Sciences Corporation $19.31 1
Exeltis, USA Inc. $16.31 1
Lilly USA, LLC $14.21 1
PFIZER INC. $13.78 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $348.83 24
PY2022 $529.82 32
PY2023 $560.08 23
PY2024 $411.11 20

Payment records · PY2024 (20)

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
ABBVIE INC. $13.63 02/09/2024 Food and Beverage Undisputed 01/23/2026 1106419422 CMS
ABBVIE INC. $15.43 02/22/2024 Food and Beverage Undisputed 01/23/2026 1106419424 CMS
ABBVIE INC. $19.18 06/10/2024 Food and Beverage Undisputed 01/23/2026 1106419426 CMS
Astellas Pharma US Inc $13.63 01/29/2024 Food and Beverage Undisputed 01/23/2026 1139476096 CMS
Astellas Pharma US Inc $14.77 04/29/2024 Food and Beverage Undisputed 01/23/2026 1139501318 CMS
Astellas Pharma US Inc $14.00 07/22/2024 Food and Beverage Undisputed 01/23/2026 1139472116 CMS
Exact Sciences Corporation $19.31 10/14/2024 Food and Beverage Undisputed 01/23/2026 1114550399 CMS
Exeltis, USA Inc. $16.31 01/09/2024 Food and Beverage Undisputed 01/23/2026 1150008256 CMS
Lilly USA, LLC $14.21 01/05/2024 Food and Beverage Undisputed 01/23/2026 1135818324 CMS
MAYNE PHARMA COMMERCIAL LLC $50.11 10/01/2024 Food and Beverage Undisputed 01/23/2026 1154751555 CMS
Novo Nordisk Inc $18.05 02/12/2024 Food and Beverage Undisputed 01/23/2026 1100556683 CMS
Novo Nordisk Inc $18.00 08/09/2024 Food and Beverage Undisputed 01/23/2026 1100400969 CMS
Novo Nordisk Inc $14.69 11/25/2024 Food and Beverage Undisputed 01/23/2026 1100315772 CMS
Organon Llc $20.98 06/06/2024 Food and Beverage Undisputed 01/23/2026 1136227195 CMS
PFIZER INC. $13.78 09/23/2024 Food and Beverage Undisputed 01/23/2026 1131626179 CMS
SHIELD THERAPEUTICS INC $36.25 09/13/2024 Food and Beverage Undisputed 01/23/2026 1150145930 CMS
SHIELD THERAPEUTICS INC $42.00 10/24/2024 Food and Beverage Undisputed 01/23/2026 1150151034 CMS
SHIELD THERAPEUTICS INC $21.00 12/12/2024 Food and Beverage Undisputed 01/23/2026 1150157466 CMS
Sumitomo Pharma America, Inc. $19.24 05/12/2024 Food and Beverage Undisputed 01/23/2026 1148940629 CMS
Sumitomo Pharma America, Inc. $16.54 12/01/2024 Food and Beverage Undisputed 01/23/2026 1148940631 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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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.