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

TZONKO V MILEV

Allopathic & Osteopathic Physicians Internal Medicine Nephrology

NPI
1689644510
CMS profile
211884
Location
TUPELO, MS

General Payments · PY2018–2024

$4,320.08

  • Reported across 214 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,241.94

55 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 $1,016.94 54
Consulting Fee $225.00 1

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $237.64 14
PY2019 $366.56 20
PY2020 $163.28 10
PY2021 $571.06 27
PY2022 $697.35 39
PY2023 $1,042.25 49
PY2024 $1,241.94 55

Payment records · PY2024 (55)

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

Program year 2024 201820192020202120222023 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
AKEBIA THERAPEUTICS INC $15.78 03/13/2024 Food and Beverage Undisputed 01/23/2026 1145824628 CMS
AKEBIA THERAPEUTICS INC $16.21 05/20/2024 Food and Beverage Undisputed 01/23/2026 1145824630 CMS
AKEBIA THERAPEUTICS INC $14.20 08/26/2024 Food and Beverage Undisputed 01/23/2026 1145828572 CMS
Amgen Inc. $17.97 01/31/2024 Food and Beverage Undisputed 01/23/2026 1115932018 CMS
Amgen Inc. $22.87 02/06/2024 Food and Beverage Undisputed 01/23/2026 1117629872 CMS
Amgen Inc. $22.03 05/09/2024 Food and Beverage Undisputed 01/23/2026 1115932024 CMS
Amgen Inc. $20.79 06/13/2024 Food and Beverage Undisputed 01/23/2026 1117629874 CMS
Amgen Inc. $17.59 08/06/2024 Food and Beverage Undisputed 01/23/2026 1117629876 CMS
Amgen Inc. $19.86 08/15/2024 Food and Beverage Undisputed 01/23/2026 1115932031 CMS
Amgen Inc. $19.12 09/11/2024 Food and Beverage Undisputed 01/23/2026 1115932038 CMS
Amgen Inc. $21.78 09/26/2024 Food and Beverage Undisputed 01/23/2026 1117629878 CMS
Amgen Inc. $26.48 10/17/2024 Food and Beverage Undisputed 01/23/2026 1115932051 CMS
Amgen Inc. $25.51 10/18/2024 Food and Beverage Undisputed 01/23/2026 1115932044 CMS
Amgen Inc. $21.29 11/14/2024 Food and Beverage Undisputed 01/23/2026 1115932057 CMS
Ardelyx, Inc. $13.36 01/03/2024 Food and Beverage Undisputed 01/23/2026 1146695738 CMS
Ardelyx, Inc. $19.88 11/12/2024 Food and Beverage Undisputed 01/23/2026 1146695740 CMS
AstraZeneca Pharmaceuticals LP $13.54 01/29/2024 Food and Beverage Undisputed 01/23/2026 1104558312 CMS
AstraZeneca Pharmaceuticals LP $15.22 02/27/2024 Food and Beverage Undisputed 01/23/2026 1105872659 CMS
AstraZeneca Pharmaceuticals LP $29.70 04/03/2024 Food and Beverage Undisputed 01/23/2026 1105804023 CMS
AstraZeneca Pharmaceuticals LP $15.22 04/24/2024 Food and Beverage Undisputed 01/23/2026 1104597024 CMS
AstraZeneca Pharmaceuticals LP $15.44 05/02/2024 Food and Beverage Undisputed 01/23/2026 1105818675 CMS
AstraZeneca Pharmaceuticals LP $15.52 06/05/2024 Food and Beverage Undisputed 01/23/2026 1105811567 CMS
AstraZeneca Pharmaceuticals LP $13.39 09/09/2024 Food and Beverage Undisputed 01/23/2026 1105562968 CMS
AstraZeneca Pharmaceuticals LP $14.64 10/08/2024 Food and Beverage Undisputed 01/23/2026 1105556838 CMS
AstraZeneca Pharmaceuticals LP $17.05 11/04/2024 Food and Beverage Undisputed 01/23/2026 1105525719 CMS
Aurinia Pharma U.S., Inc. $21.17 02/01/2024 Food and Beverage Undisputed 01/23/2026 1150687547 CMS
Aurinia Pharma U.S., Inc. $22.09 02/27/2024 Food and Beverage Undisputed 01/23/2026 1150687549 CMS
Aurinia Pharma U.S., Inc. $17.43 04/01/2024 Food and Beverage Undisputed 01/23/2026 1150687551 CMS
Baxter Healthcare $24.51 07/23/2024 Food and Beverage Undisputed 01/23/2026 1120637520 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.36 03/20/2024 Food and Beverage Undisputed 01/23/2026 1086114706 CMS
Bayer Healthcare Pharmaceuticals Inc. $14.36 09/25/2024 Food and Beverage Undisputed 01/23/2026 1086117320 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.28 04/26/2024 Food and Beverage Undisputed 01/23/2026 1118111425 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.63 12/10/2024 Food and Beverage Undisputed 01/23/2026 1118111423 CMS
CALLIDITAS THERAPEUTICS US INC. $14.91 10/25/2024 Food and Beverage Undisputed 01/23/2026 1141525638 CMS
Daiichi Sankyo Inc. $17.57 09/05/2024 Food and Beverage Undisputed 01/23/2026 1089457268 CMS
Fresenius USA Marketing, Inc. $20.00 01/04/2024 Food and Beverage Undisputed 01/23/2026 1154197412 CMS
Fresenius USA Marketing, Inc. $22.00 01/25/2024 Food and Beverage Undisputed 01/23/2026 1154197406 CMS
Fresenius USA Marketing, Inc. $20.84 02/20/2024 Food and Beverage Undisputed 01/23/2026 1154197404 CMS
Fresenius USA Marketing, Inc. $22.00 03/28/2024 Food and Beverage Undisputed 01/23/2026 1154197408 CMS
Fresenius USA Marketing, Inc. $18.46 10/22/2024 Food and Beverage Undisputed 01/23/2026 1154197410 CMS
Mallinckrodt Hospital Products Inc. $16.27 02/08/2024 Food and Beverage Undisputed 01/23/2026 1145107780 CMS
Mallinckrodt Hospital Products Inc. $23.42 09/23/2024 Food and Beverage Undisputed 01/23/2026 1145107784 CMS
Novartis Pharmaceuticals Corporation $21.24 04/12/2024 Food and Beverage Undisputed 01/23/2026 1087133072 CMS
Novartis Pharmaceuticals Corporation $22.61 09/04/2024 Food and Beverage Undisputed 01/23/2026 1087133104 CMS
Novartis Pharmaceuticals Corporation $20.65 09/20/2024 Food and Beverage Undisputed 01/23/2026 1087133158 CMS
Novo Nordisk Inc $13.80 05/30/2024 Food and Beverage Undisputed 01/23/2026 1097815565 CMS
Otsuka America Pharmaceutical, Inc. $21.55 01/25/2024 Food and Beverage Undisputed 01/23/2026 1118942889 CMS
Otsuka America Pharmaceutical, Inc. $22.14 02/13/2024 Food and Beverage Undisputed 01/23/2026 1118942891 CMS
Otsuka America Pharmaceutical, Inc. $23.67 04/10/2024 Food and Beverage Undisputed 01/23/2026 1118942893 CMS
Otsuka America Pharmaceutical, Inc. $21.14 05/14/2024 Food and Beverage Undisputed 01/23/2026 1118942895 CMS
Otsuka America Pharmaceutical, Inc. $21.25 06/18/2024 Food and Beverage Undisputed 01/23/2026 1118942897 CMS
Otsuka America Pharmaceutical, Inc. $20.41 09/10/2024 Food and Beverage Undisputed 01/23/2026 1118942899 CMS
Travere Therapeutics, Inc. $7.45 03/21/2024 Food and Beverage Undisputed 01/23/2026 1149944635 CMS
Travere Therapeutics, Inc. $225.00 10/04/2024 Consulting Fee Undisputed 01/23/2026 1149944643 CMS
Travere Therapeutics, Inc. $17.29 11/07/2024 Food and Beverage Undisputed 01/23/2026 1149944639 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, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , 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.