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

ALEXANDER E TZOUANAKIS

Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

NPI
1700890506
CMS profile
213477
Location
LEXINGTON, KY

General Payments · PY2018–2024

$4,624.02

  • Reported across 200 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$664.02

27 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 $564.03 26
Education $99.99 1

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $750.55 37
PY2019 $1,047.26 45
PY2020 $327.65 15
PY2021 $395.74 22
PY2022 $344.37 20
PY2023 $1,094.43 34
PY2024 $664.02 27

Payment records · PY2024 (27)

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
Avadel CNS Pharmaceuticals, LLC $14.30 01/29/2024 Food and Beverage Undisputed 01/23/2026 1123389178 CMS
Avadel CNS Pharmaceuticals, LLC $16.82 08/02/2024 Food and Beverage Undisputed 01/23/2026 1123389180 CMS
Axsome Therapeutics, Inc. $28.25 02/09/2024 Food and Beverage Undisputed 01/23/2026 1148262529 CMS
Axsome Therapeutics, Inc. $21.21 04/01/2024 Food and Beverage Undisputed 01/23/2026 1148262531 CMS
Axsome Therapeutics, Inc. $25.44 10/30/2024 Food and Beverage Undisputed 01/23/2026 1148262533 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $24.41 04/12/2024 Food and Beverage Undisputed 01/23/2026 1118120919 CMS
GENZYME CORPORATION $17.98 03/08/2024 Food and Beverage Undisputed 01/23/2026 1139624187 CMS
Gilead Sciences, Inc. $17.88 02/08/2024 Food and Beverage Undisputed 01/23/2026 1133826943 CMS
Gilead Sciences, Inc. $20.77 09/17/2024 Food and Beverage Undisputed 01/23/2026 1133826945 CMS
GlaxoSmithKline, LLC. $22.13 04/26/2024 Food and Beverage Undisputed 01/23/2026 1115920222 CMS
GlaxoSmithKline, LLC. $19.11 08/20/2024 Food and Beverage Undisputed 01/23/2026 1115753254 CMS
GlaxoSmithKline, LLC. $21.32 10/01/2024 Food and Beverage Undisputed 01/23/2026 1116158393 CMS
GlaxoSmithKline, LLC. $17.52 11/15/2024 Food and Beverage Undisputed 01/23/2026 1116540227 CMS
Grifols USA, LLC $27.74 08/09/2024 Food and Beverage Undisputed 01/23/2026 1124721327 CMS
Grifols USA, LLC $21.41 11/05/2024 Food and Beverage Undisputed 01/23/2026 1124721329 CMS
Harmony Biosciences Llc $21.45 11/19/2024 Food and Beverage Undisputed 01/23/2026 1141476942 CMS
Harmony Biosciences Llc $20.40 12/04/2024 Food and Beverage Undisputed 01/23/2026 1141476718 CMS
HARMONY BIOSCIENCES LLC $99.99 09/03/2024 Education Undisputed 01/23/2026 1126070536 CMS
HARMONY BIOSCIENCES LLC $17.57 09/03/2024 Food and Beverage Undisputed 01/23/2026 1126070538 CMS
Insmed, Inc. $17.39 09/18/2024 Food and Beverage Undisputed 01/23/2026 1089558294 CMS
Inspire Medical Systems, Inc. $23.48 02/06/2024 Food and Beverage Undisputed 01/23/2026 1148120287 CMS
Regeneron Healthcare Solutions, Inc. $37.16 01/06/2024 Food and Beverage Undisputed 01/23/2026 1114228162 CMS
Regeneron Healthcare Solutions, Inc. $26.92 08/27/2024 Food and Beverage Undisputed 01/23/2026 1114228170 CMS
Regeneron Healthcare Solutions, Inc. $27.15 12/20/2024 Food and Beverage Undisputed 01/23/2026 1114228177 CMS
Takeda Pharmaceuticals U.S.A., Inc. $13.21 11/04/2024 Food and Beverage Undisputed 01/23/2026 1137690315 CMS
United Therapeutics Corporation $20.02 06/21/2024 Food and Beverage Undisputed 01/23/2026 1149454581 CMS
United Therapeutics Corporation $22.99 08/09/2024 Food and Beverage Undisputed 01/23/2026 1149469432 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

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