Covered recipient · General Payments record

MICHAEL R TOWARNICKY

Allopathic & Osteopathic Physicians Internal Medicine

NPI: 1740273242
CMS profile: 33433
Location: JACKSONVILLE, NC

General Payments · PY2018–2024

$9,533.09

Reported across 624 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,826.29

103 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 payment	Amount	Records
Food and Beverage	$1,826.29	103

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
NOVARTIS PHARMACEUTICALS CORPORATION	$417.41	20
Bayer HealthCare Pharmaceuticals Inc.	$250.28	12
Daiichi Sankyo Inc.	$153.91	15
Janssen Pharmaceuticals, Inc	$83.55	5
Novo Nordisk AS	$83.08	4
Phathom Pharmaceuticals, Inc.	$75.75	4
Lilly USA, LLC	$75.13	5
Merck Sharp & Dohme Corporation	$74.43	4
E.R. Squibb & Sons, L.L.C.	$74.43	4
Acerta Pharma LLC	$66.94	4
PFIZER INC.	$50.16	3
Amgen Inc.	$45.44	3
Abbott Laboratories	$44.73	2
EISAI INC.	$44.41	2
iRhythm Technologies, Inc.	$37.86	2
ABBVIE INC.	$34.27	2
Lexicon Pharmaceuticals, Inc.	$33.44	2
Exact Sciences Corporation	$31.13	2
Boehringer Ingelheim Pharmaceuticals, Inc.	$27.66	1
Esperion Therapeutics, Inc.	$20.47	1
IRONWOOD PHARMACEUTICALS, INC	$19.73	1
Philips Electronics North America Corporation	$17.97	1
Astellas Pharma US Inc	$17.39	1
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$17.35	1
GENZYME CORPORATION	$15.19	1
Edwards Lifesciences Corporation	$14.18	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$1,470.87	114
PY2019	$1,521.98	108
PY2020	$1,074.17	78
PY2021	$811.82	53
PY2022	$1,398.49	81
PY2023	$1,429.47	87
PY2024	$1,826.29	103

Payment records · PY2024 (103)

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

Program year 2024 2018 2019 2020 2021 2022 2023 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
Abbott Laboratories	$20.21	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1125230149	CMS
Abbott Laboratories	$24.52	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1125230154	CMS
ABBVIE INC.	$16.36	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1106236280	CMS
ABBVIE INC.	$17.91	07/01/2024	Food and Beverage	Undisputed	01/23/2026	1106236282	CMS
Amgen Inc.	$15.51	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1117400770	CMS
Amgen Inc.	$16.02	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1117400772	CMS
Amgen Inc.	$13.91	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1116181738	CMS
Astellas Pharma US Inc	$17.39	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1139310116	CMS
AstraZeneca Pharmaceuticals LP	$15.87	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1105509266	CMS
AstraZeneca Pharmaceuticals LP	$22.28	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1104383287	CMS
AstraZeneca Pharmaceuticals LP	$15.68	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1104581496	CMS
AstraZeneca Pharmaceuticals LP	$13.11	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1105583768	CMS
Bayer Healthcare Pharmaceuticals Inc.	$17.07	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1086224784	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.40	03/03/2024	Food and Beverage	Undisputed	01/23/2026	1086137853	CMS
Bayer Healthcare Pharmaceuticals Inc.	$12.62	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1086088665	CMS
Bayer Healthcare Pharmaceuticals Inc.	$23.46	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1086165676	CMS
Bayer Healthcare Pharmaceuticals Inc.	$23.51	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1086223350	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.24	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1086204979	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.20	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1086218829	CMS
Bayer Healthcare Pharmaceuticals Inc.	$22.93	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1086163708	CMS
Bayer Healthcare Pharmaceuticals Inc.	$15.93	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1086186318	CMS
Bayer Healthcare Pharmaceuticals Inc.	$24.93	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1086253282	CMS
Bayer Healthcare Pharmaceuticals Inc.	$24.77	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1086226830	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.22	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1086238780	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$27.66	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1118134655	CMS
Daiichi Sankyo Inc.	$9.28	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1089491876	CMS
Daiichi Sankyo Inc.	$25.33	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1089491878	CMS
Daiichi Sankyo Inc.	$1.20	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1089491880	CMS
Daiichi Sankyo Inc.	$9.52	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1089491870	CMS
Daiichi Sankyo Inc.	$5.85	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1089491868	CMS
Daiichi Sankyo Inc.	$1.54	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1089491872	CMS
Daiichi Sankyo Inc.	$11.01	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1089491874	CMS
Daiichi Sankyo Inc.	$10.57	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1089491860	CMS
Daiichi Sankyo Inc.	$8.16	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1089491882	CMS
Daiichi Sankyo Inc.	$1.53	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1089491884	CMS
Daiichi Sankyo Inc.	$24.51	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1089491886	CMS
Daiichi Sankyo Inc.	$7.18	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1089491858	CMS
Daiichi Sankyo Inc.	$8.16	10/19/2024	Food and Beverage	Undisputed	01/23/2026	1089491862	CMS
Daiichi Sankyo Inc.	$23.35	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1089491864	CMS
Daiichi Sankyo Inc.	$6.72	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1089491866	CMS
E.R. Squibb & Sons, L.L.C.	$19.00	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1101432377	CMS
E.R. Squibb & Sons, L.L.C.	$17.43	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1101432391	CMS
E.R. Squibb & Sons, L.L.C.	$19.00	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1101432409	CMS
E.R. Squibb & Sons, L.L.C.	$19.00	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1101432433	CMS
Edwards Lifesciences Corporation	$14.18	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1138882283	CMS
Eisai Inc.	$23.70	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1110766573	CMS
Eisai Inc.	$20.71	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1110766571	CMS
Esperion Therapeutics, Inc.	$20.47	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1129457974	CMS
Exact Sciences Corporation	$16.55	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1114933861	CMS
Exact Sciences Corporation	$14.58	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1114933865	CMS
GENZYME CORPORATION	$15.19	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1139599037	CMS
iRhythm Technologies, Inc.	$21.81	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1154046741	CMS
iRhythm Technologies, Inc.	$16.05	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1154046743	CMS
IRONWOOD PHARMACEUTICALS, INC	$19.73	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1153754438	CMS
Janssen Pharmaceuticals, Inc	$17.08	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1078078814	CMS
Janssen Pharmaceuticals, Inc	$21.14	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1078078702	CMS
Janssen Pharmaceuticals, Inc	$13.98	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1078078892	CMS
Janssen Pharmaceuticals, Inc	$16.97	06/15/2024	Food and Beverage	Undisputed	01/23/2026	1078079038	CMS
Janssen Pharmaceuticals, Inc	$14.38	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1078078906	CMS
Lexicon Pharmaceuticals, Inc.	$13.42	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1081725465	CMS
Lexicon Pharmaceuticals, Inc.	$20.02	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1081725467	CMS
Lilly USA, LLC	$13.59	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1135222589	CMS
Lilly USA, LLC	$15.52	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1135172822	CMS
Lilly USA, LLC	$16.91	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1135231644	CMS
Lilly USA, LLC	$15.36	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1135199372	CMS
Lilly USA, LLC	$13.75	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1135199374	CMS
Merck Sharp & Dohme LLC	$18.50	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1141896155	CMS
Merck Sharp & Dohme LLC	$22.53	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1141944899	CMS
Merck Sharp & Dohme LLC	$14.14	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1141896319	CMS
Merck Sharp & Dohme LLC	$19.26	11/26/2024	Food and Beverage	Undisputed	01/23/2026	1141791140	CMS
Novartis Pharmaceuticals Corporation	$19.89	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1087413174	CMS
Novartis Pharmaceuticals Corporation	$21.62	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1087413176	CMS
Novartis Pharmaceuticals Corporation	$21.37	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1087413178	CMS
Novartis Pharmaceuticals Corporation	$19.57	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1087413182	CMS
Novartis Pharmaceuticals Corporation	$21.31	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1087413184	CMS
Novartis Pharmaceuticals Corporation	$21.27	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1087413180	CMS
Novartis Pharmaceuticals Corporation	$20.93	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1087413186	CMS
Novartis Pharmaceuticals Corporation	$19.51	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1087413188	CMS
Novartis Pharmaceuticals Corporation	$23.93	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1087413190	CMS
Novartis Pharmaceuticals Corporation	$21.31	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1087413192	CMS
Novartis Pharmaceuticals Corporation	$23.40	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1087413194	CMS
Novartis Pharmaceuticals Corporation	$20.39	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1087413196	CMS
Novartis Pharmaceuticals Corporation	$19.54	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1087413198	CMS
Novartis Pharmaceuticals Corporation	$22.32	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1087413200	CMS
Novartis Pharmaceuticals Corporation	$21.52	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1087413202	CMS
Novartis Pharmaceuticals Corporation	$21.78	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1087413204	CMS
Novartis Pharmaceuticals Corporation	$10.80	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1087413206	CMS
Novartis Pharmaceuticals Corporation	$22.32	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1087413208	CMS
Novartis Pharmaceuticals Corporation	$23.21	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1087413210	CMS
Novartis Pharmaceuticals Corporation	$21.42	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1087413212	CMS
Novo Nordisk Inc	$19.15	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1096990055	CMS
Novo Nordisk Inc	$17.62	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1097230003	CMS
Novo Nordisk Inc	$23.78	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1097188374	CMS
Novo Nordisk Inc	$22.53	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1096716908	CMS
PFIZER INC.	$18.91	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1131061164	CMS
PFIZER INC.	$15.82	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1131973305	CMS
PFIZER INC.	$15.43	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1131007731	CMS
Phathom Pharmaceuticals, Inc.	$19.12	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1151133789	CMS
Phathom Pharmaceuticals, Inc.	$13.44	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1151133791	CMS
Phathom Pharmaceuticals, Inc.	$25.86	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1151133793	CMS
Phathom Pharmaceuticals, Inc.	$17.33	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1151133795	CMS
Philips North America LLC	$17.97	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1146908227	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$17.35	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1080662717	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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