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

Covered recipient · General Payments record

LANY S AVAKIAN

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1689849879
CMS profile
10934944
Location
FRESNO, CA

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.

Saved items

Saved only in this browser. No account or alerts.

Filter and download payment records

General Payments · PY2022 · Entire year

$1,316.97

79 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

“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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . 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 ↗

By nature of payment

PY2022 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,316.97 79

By paying entity

PY2022 · entire year · sorted by reported total

Page 1 of 2; records 1–50 of 79 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

LANY S AVAKIAN

NPI 1689849879 · CMS profile ID 10934944

Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner

FRESNO, CA

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.

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.

General Payments, PY2022; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 2; records 1–50 of 79 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1689849879?year=2022&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
LANY S AVAKIAN, NPI 1689849879, CMS profile ID 10934944. General Payments, PY2022; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 79 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1689849879?year=2022&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c.
APA 7
IndustryPayments. (2026). LANY S AVAKIAN, NPI 1689849879, CMS profile ID 10934944. General Payments, PY2022; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 79 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1689849879?year=2022&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c.
Bluebook
LANY S AVAKIAN, NPI 1689849879, CMS profile ID 10934944, IndustryPayments, General Payments, PY2022; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 2; records 1–50 of 79 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c. https://industrypayments.org/provider/npi-1689849879?year=2022&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2022

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

General Payments · PY2022 · Physicians and non-physician practitioners · CMS publication 2026-06-30

79 matching records · $1,316.97 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 79 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 79.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
EISAI INC. $19.7812/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 908130087 CMS
Daiichi Sankyo Inc. $4.5312/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930861617 CMS
Daiichi Sankyo Inc. $17.0212/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930861767 CMS
Daiichi Sankyo Inc. $0.8112/20/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930861619 CMS
Daiichi Sankyo Inc. $1.6112/20/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930861623 CMS
Puma Biotechnology, Inc. $20.4912/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 965577715 CMS
AstraZeneca Pharmaceuticals LP $16.3912/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 914690585 CMS
Daiichi Sankyo Inc. $3.2712/06/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930861605 CMS
Daiichi Sankyo Inc. $27.6412/06/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930861607 CMS
Daiichi Sankyo Inc. $1.2112/05/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930861819 CMS
PFIZER INC. $16.9311/28/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 949452009 CMS
Seagen Inc. $12.7511/28/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 904087651 CMS
Heron Therapeutics, Inc. $15.2511/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 910507105 CMS
Daiichi Sankyo Inc. $26.9611/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930880253 CMS
Daiichi Sankyo Inc. $0.7211/06/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930881333 CMS
Mylan Institutional Inc. $15.9211/03/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 964215775 CMS
Seagen Inc. $13.6310/26/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 904087665 CMS
Seagen Inc. $0.6010/26/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 904087671 CMS
TerSera Therapeutics LLC $36.5110/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 943249841 CMS
Boston Scientific Corporation $12.6210/11/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 916841287 CMS
Amgen Inc. $16.6409/29/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 939497983 CMS
Seagen Inc. $22.2509/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 904087637 CMS
Merck Sharp & Dohme LLC $14.6709/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 944213229 CMS
Daiichi Sankyo Inc. $1.9309/16/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930837989 CMS
Daiichi Sankyo Inc. $20.6009/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930838253 CMS
Daiichi Sankyo Inc. $23.7709/12/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930837925 CMS
Daiichi Sankyo Inc. $0.5509/12/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930838791 CMS
EMD Serono, Inc. $32.1208/29/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 941556209 CMS
Seagen Inc. $20.3108/25/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 904087619 CMS
Daiichi Sankyo Inc. $22.5808/10/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930817295 CMS
Daiichi Sankyo Inc. $0.5308/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930827013 CMS
Seagen Inc. $20.3808/05/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 904087613 CMS
Merck Sharp & Dohme LLC $18.4408/03/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 944196347 CMS
AstraZeneca Pharmaceuticals LP $12.1907/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 915623865 CMS
PUMA BIOTECHNOLOGY, INC. $15.0806/30/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 942287475 CMS
GlaxoSmithKline, LLC. $29.8806/29/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 945047183 CMS
Merck Sharp & Dohme LLC $17.2706/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 944332315 CMS
Daiichi Sankyo Inc. $19.8506/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930854715 CMS
AstraZeneca Pharmaceuticals LP $12.7706/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 915212735 CMS
Novartis Pharmaceuticals Corporation $18.7206/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 894476529 CMS
Daiichi Sankyo Inc. $17.3506/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930848989 CMS
AstraZeneca Pharmaceuticals LP $22.6605/26/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 915826509 CMS
Amgen Inc. $19.9505/25/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 939497979 CMS
Heron Therapeutics, Inc. $19.9305/19/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 910506503 CMS
AstraZeneca Pharmaceuticals LP $13.7005/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 914644139 CMS
Boston Scientific Corporation $17.8305/04/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 916841289 CMS
Daiichi Sankyo Inc. $2.8204/28/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930826635 CMS
Merck Sharp & Dohme LLC $21.2404/26/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 944368815 CMS
GlaxoSmithKline, LLC. $25.4204/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 945047187 CMS
Daiichi Sankyo Inc. $17.3704/19/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930826469 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,588.59 89
PY2022 $1,316.97 79
PY2023 $1,227.44 63
PY2024 $106.21 1
PY2025 $97.45 1

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 and profile matching
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.