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

TIFFANY J GRAMBLIN

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1760849343
CMS profile
11067227
Location
ACKLEY, IA

General Payments · PY2021–2024

$846.84

  • Reported across 46 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$338.95

17 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

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $26.19 2
PY2022 $197.16 13
PY2023 $284.54 14
PY2024 $338.95 17

Payment records · PY2024 (17)

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. $13.41 10/08/2024 Food and Beverage Undisputed 01/23/2026 1107243917 CMS
AstraZeneca Pharmaceuticals LP $13.79 05/21/2024 Food and Beverage Undisputed 01/23/2026 1105351383 CMS
AstraZeneca Pharmaceuticals LP $17.72 08/16/2024 Food and Beverage Undisputed 01/23/2026 1105654714 CMS
AstraZeneca Pharmaceuticals LP $13.76 09/05/2024 Food and Beverage Undisputed 01/23/2026 1104775966 CMS
Bayer Healthcare Pharmaceuticals Inc. $16.39 07/25/2024 Food and Beverage Undisputed 01/23/2026 1086336519 CMS
Bayer Healthcare Pharmaceuticals Inc. $19.48 08/29/2024 Food and Beverage Undisputed 01/23/2026 1086339189 CMS
Becton, Dickinson and Company $29.00 02/09/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1127611217 CMS
Becton, Dickinson and Company $24.00 06/20/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1127611219 CMS
C. R. Bard, Inc. & Subsidiaries $30.00 04/25/2024 Honoraria Undisputed 01/23/2026 1130835006 CMS
C. R. Bard, Inc. & Subsidiaries $19.00 10/17/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1130835004 CMS
Lilly USA, LLC $19.75 06/25/2024 Food and Beverage Undisputed 01/23/2026 1135980153 CMS
Novartis Pharmaceuticals Corporation $13.76 04/18/2024 Food and Beverage Undisputed 01/23/2026 1086824299 CMS
Novartis Pharmaceuticals Corporation $20.90 08/15/2024 Food and Beverage Undisputed 01/23/2026 1086824289 CMS
Novartis Pharmaceuticals Corporation $18.59 11/07/2024 Food and Beverage Undisputed 01/23/2026 1086824293 CMS
Novo Nordisk Inc $20.90 04/09/2024 Food and Beverage Undisputed 01/23/2026 1100504777 CMS
Novo Nordisk Inc $17.99 10/01/2024 Food and Beverage Undisputed 01/23/2026 1100626530 CMS
Phathom Pharmaceuticals, Inc. $30.51 09/10/2024 Food and Beverage Undisputed 01/23/2026 1151169346 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

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.