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

KARINA M GUFFEY

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

NPI
1770990228
CMS profile
10659627
Location
SPRINGFIELD, MO

General Payments · PY2021–2024

$4,081.16

  • Reported across 204 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$2,333.01

105 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 $2,293.87 103
Education $39.14 2

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $110.18 5
PY2022 $425.67 31
PY2023 $1,212.30 63
PY2024 $2,333.01 105

Payment records · PY2024 (105)

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
Alkermes, Inc. $19.87 05/16/2024 Food and Beverage Undisputed 01/23/2026 1120509435 CMS
Alkermes, Inc. $29.29 07/31/2024 Food and Beverage Undisputed 01/23/2026 1120509437 CMS
Alkermes, Inc. $27.00 11/12/2024 Food and Beverage Undisputed 01/23/2026 1120509439 CMS
Alkermes, Inc. $21.62 12/11/2024 Food and Beverage Undisputed 01/23/2026 1120509441 CMS
Axsome Therapeutics, Inc. $7.23 01/31/2024 Food and Beverage Undisputed 01/23/2026 1148374766 CMS
Axsome Therapeutics, Inc. $31.25 02/08/2024 Food and Beverage Undisputed 01/23/2026 1148374764 CMS
Axsome Therapeutics, Inc. $32.68 03/07/2024 Food and Beverage Undisputed 01/23/2026 1148374768 CMS
Axsome Therapeutics, Inc. $32.34 04/08/2024 Food and Beverage Undisputed 01/23/2026 1148374772 CMS
Axsome Therapeutics, Inc. $31.42 04/22/2024 Food and Beverage Undisputed 01/23/2026 1148374770 CMS
Axsome Therapeutics, Inc. $22.68 04/30/2024 Food and Beverage Undisputed 01/23/2026 1148374774 CMS
Axsome Therapeutics, Inc. $27.93 05/06/2024 Food and Beverage Undisputed 01/23/2026 1148374776 CMS
Axsome Therapeutics, Inc. $7.04 05/21/2024 Food and Beverage Undisputed 01/23/2026 1148374778 CMS
Axsome Therapeutics, Inc. $124.90 05/30/2024 Food and Beverage Undisputed 01/23/2026 1148374780 CMS
Axsome Therapeutics, Inc. $33.33 06/10/2024 Food and Beverage Undisputed 01/23/2026 1148374782 CMS
Axsome Therapeutics, Inc. $25.29 12/03/2024 Food and Beverage Undisputed 01/23/2026 1148374784 CMS
Axsome Therapeutics, Inc. $29.58 12/16/2024 Food and Beverage Undisputed 01/23/2026 1148374786 CMS
E.R. Squibb & Sons, L.L.C. $27.27 10/02/2024 Education Undisputed 01/23/2026 1101807812 CMS
E.R. Squibb & Sons, L.L.C. $13.67 12/05/2024 Food and Beverage Undisputed 01/23/2026 1101807848 CMS
Indivior Inc. $15.15 05/14/2024 Food and Beverage Undisputed 01/23/2026 1144554434 CMS
IRONSHORE PHARMACEUTICALS INC. $19.75 01/29/2024 Food and Beverage Undisputed 01/23/2026 1146279858 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $20.17 02/14/2024 Food and Beverage Undisputed 01/23/2026 1143471960 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $20.64 09/18/2024 Food and Beverage Undisputed 01/23/2026 1143471963 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $18.75 12/17/2024 Food and Beverage Undisputed 01/23/2026 1143471967 CMS
Janssen Pharmaceuticals, Inc $20.21 01/16/2024 Food and Beverage Undisputed 01/23/2026 1078062044 CMS
Janssen Pharmaceuticals, Inc $22.47 03/27/2024 Food and Beverage Undisputed 01/23/2026 1078061960 CMS
Janssen Pharmaceuticals, Inc $20.74 05/30/2024 Food and Beverage Undisputed 01/23/2026 1078061910 CMS
Janssen Pharmaceuticals, Inc $16.97 08/06/2024 Food and Beverage Undisputed 01/23/2026 1078061786 CMS
Janssen Pharmaceuticals, Inc $16.54 09/17/2024 Food and Beverage Undisputed 01/23/2026 1078061882 CMS
Janssen Pharmaceuticals, Inc $96.60 10/22/2024 Food and Beverage Undisputed 01/23/2026 1078062038 CMS
Lundbeck LLC $27.50 07/29/2024 Food and Beverage Undisputed 01/23/2026 1146029724 CMS
Lundbeck LLC $14.02 10/02/2024 Food and Beverage Undisputed 01/23/2026 1146029726 CMS
Neurocrine Biosciences, Inc. $17.40 05/28/2024 Food and Beverage Undisputed 01/23/2026 1150992790 CMS
Neurocrine Biosciences, Inc. $26.49 08/20/2024 Food and Beverage Undisputed 01/23/2026 1150949744 CMS
Neurocrine Biosciences, Inc. $25.07 09/16/2024 Food and Beverage Undisputed 01/23/2026 1150954845 CMS
Neurocrine Biosciences, Inc. $20.25 10/29/2024 Food and Beverage Undisputed 01/23/2026 1150978554 CMS
Neurocrine Biosciences, Inc. $26.40 12/09/2024 Food and Beverage Undisputed 01/23/2026 1150950025 CMS
Otsuka America Pharmaceutical, Inc. $10.18 01/11/2024 Food and Beverage Undisputed 01/23/2026 1119085620 CMS
Otsuka America Pharmaceutical, Inc. $17.66 02/08/2024 Food and Beverage Undisputed 01/23/2026 1119085622 CMS
Otsuka America Pharmaceutical, Inc. $23.01 03/11/2024 Food and Beverage Undisputed 01/23/2026 1119085624 CMS
Otsuka America Pharmaceutical, Inc. $24.36 04/17/2024 Food and Beverage Undisputed 01/23/2026 1119085626 CMS
Otsuka America Pharmaceutical, Inc. $8.37 05/13/2024 Food and Beverage Undisputed 01/23/2026 1119085628 CMS
Otsuka America Pharmaceutical, Inc. $3.72 05/13/2024 Food and Beverage Undisputed 01/23/2026 1119085630 CMS
Otsuka America Pharmaceutical, Inc. $20.07 08/05/2024 Food and Beverage Undisputed 01/23/2026 1119085632 CMS
Otsuka America Pharmaceutical, Inc. $15.35 09/03/2024 Food and Beverage Undisputed 01/23/2026 1119085634 CMS
Otsuka America Pharmaceutical, Inc. $2.74 11/07/2024 Food and Beverage Undisputed 01/23/2026 1119085636 CMS
Otsuka America Pharmaceutical, Inc. $9.19 11/09/2024 Food and Beverage Undisputed 01/23/2026 1119085638 CMS
Otsuka America Pharmaceutical, Inc. $17.90 12/06/2024 Food and Beverage Undisputed 01/23/2026 1119085640 CMS
Otsuka America Pharmaceutical, Inc. $19.99 12/10/2024 Food and Beverage Undisputed 01/23/2026 1119085642 CMS
Otsuka Pharmaceutical Development & Commercialization, Inc. $38.03 11/08/2024 Food and Beverage Undisputed 01/23/2026 1118841911 CMS
Supernus Pharmaceuticals, Inc. $37.62 01/18/2024 Food and Beverage Undisputed 01/23/2026 1147848846 CMS
Supernus Pharmaceuticals, Inc. $83.75 01/19/2024 Food and Beverage Undisputed 01/23/2026 1147848848 CMS
Supernus Pharmaceuticals, Inc. $84.59 01/29/2024 Food and Beverage Undisputed 01/23/2026 1147848850 CMS
Supernus Pharmaceuticals, Inc. $16.62 02/05/2024 Food and Beverage Undisputed 01/23/2026 1147848838 CMS
Supernus Pharmaceuticals, Inc. $7.82 02/15/2024 Food and Beverage Undisputed 01/23/2026 1147850477 CMS
Supernus Pharmaceuticals, Inc. $10.23 02/27/2024 Food and Beverage Undisputed 01/23/2026 1147848826 CMS
Supernus Pharmaceuticals, Inc. $13.23 02/28/2024 Food and Beverage Undisputed 01/23/2026 1147848834 CMS
Supernus Pharmaceuticals, Inc. $5.56 04/03/2024 Food and Beverage Undisputed 01/23/2026 1147789894 CMS
Supernus Pharmaceuticals, Inc. $6.74 04/03/2024 Food and Beverage Undisputed 01/23/2026 1147789905 CMS
Supernus Pharmaceuticals, Inc. $7.13 04/03/2024 Food and Beverage Undisputed 01/23/2026 1147789909 CMS
Supernus Pharmaceuticals, Inc. $11.06 04/03/2024 Food and Beverage Undisputed 01/23/2026 1147789925 CMS
Supernus Pharmaceuticals, Inc. $11.80 04/03/2024 Food and Beverage Undisputed 01/23/2026 1147789933 CMS
Supernus Pharmaceuticals, Inc. $23.89 04/03/2024 Food and Beverage Undisputed 01/23/2026 1147789976 CMS
Supernus Pharmaceuticals, Inc. $4.79 04/03/2024 Food and Beverage Undisputed 01/23/2026 1147793128 CMS
Supernus Pharmaceuticals, Inc. $6.60 05/04/2024 Food and Beverage Undisputed 01/23/2026 1147789901 CMS
Supernus Pharmaceuticals, Inc. $10.15 05/04/2024 Food and Beverage Undisputed 01/23/2026 1147789921 CMS
Supernus Pharmaceuticals, Inc. $15.11 05/04/2024 Food and Beverage Undisputed 01/23/2026 1147789948 CMS
Supernus Pharmaceuticals, Inc. $19.47 05/04/2024 Food and Beverage Undisputed 01/23/2026 1147789968 CMS
Supernus Pharmaceuticals, Inc. $4.86 05/04/2024 Food and Beverage Undisputed 01/23/2026 1147793133 CMS
Supernus Pharmaceuticals, Inc. $8.41 06/03/2024 Food and Beverage Undisputed 01/23/2026 1147789913 CMS
Supernus Pharmaceuticals, Inc. $5.65 07/03/2024 Food and Beverage Undisputed 01/23/2026 1147789898 CMS
Supernus Pharmaceuticals, Inc. $9.07 07/03/2024 Food and Beverage Undisputed 01/23/2026 1147789917 CMS
Supernus Pharmaceuticals, Inc. $11.79 07/03/2024 Food and Beverage Undisputed 01/23/2026 1147789929 CMS
Supernus Pharmaceuticals, Inc. $15.09 07/03/2024 Food and Beverage Undisputed 01/23/2026 1147789945 CMS
Supernus Pharmaceuticals, Inc. $15.60 07/03/2024 Food and Beverage Undisputed 01/23/2026 1147789952 CMS
Supernus Pharmaceuticals, Inc. $123.80 07/17/2024 Food and Beverage Undisputed 01/23/2026 1147848852 CMS
Supernus Pharmaceuticals, Inc. $11.50 08/06/2024 Food and Beverage Undisputed 01/23/2026 1147848830 CMS
Supernus Pharmaceuticals, Inc. $8.00 08/08/2024 Food and Beverage Undisputed 01/23/2026 1147848822 CMS
Supernus Pharmaceuticals, Inc. $8.92 08/08/2024 Food and Beverage Undisputed 01/23/2026 1147848824 CMS
Supernus Pharmaceuticals, Inc. $10.95 08/08/2024 Food and Beverage Undisputed 01/23/2026 1147848828 CMS
Supernus Pharmaceuticals, Inc. $21.19 08/12/2024 Food and Beverage Undisputed 01/23/2026 1147848844 CMS
Supernus Pharmaceuticals, Inc. $4.49 08/22/2024 Food and Beverage Undisputed 01/23/2026 1147850475 CMS
Supernus Pharmaceuticals, Inc. $13.16 08/23/2024 Food and Beverage Undisputed 01/23/2026 1147848832 CMS
Supernus Pharmaceuticals, Inc. $13.55 10/04/2024 Food and Beverage Undisputed 01/23/2026 1147848836 CMS
Supernus Pharmaceuticals, Inc. $17.53 10/04/2024 Food and Beverage Undisputed 01/23/2026 1147848840 CMS
Supernus Pharmaceuticals, Inc. $20.79 10/04/2024 Food and Beverage Undisputed 01/23/2026 1147848842 CMS
Supernus Pharmaceuticals, Inc. $17.32 11/04/2024 Food and Beverage Undisputed 01/23/2026 1147789956 CMS
Supernus Pharmaceuticals, Inc. $18.73 11/04/2024 Food and Beverage Undisputed 01/23/2026 1147789964 CMS
Supernus Pharmaceuticals, Inc. $13.29 11/06/2024 Food and Beverage Undisputed 01/23/2026 1147789937 CMS
Supernus Pharmaceuticals, Inc. $20.18 11/06/2024 Food and Beverage Undisputed 01/23/2026 1147789972 CMS
Supernus Pharmaceuticals, Inc. $14.47 12/03/2024 Food and Beverage Undisputed 01/23/2026 1147789941 CMS
Supernus Pharmaceuticals, Inc. $18.34 12/03/2024 Food and Beverage Undisputed 01/23/2026 1147789960 CMS
Takeda Pharmaceuticals U.S.A., Inc. $18.16 04/23/2024 Food and Beverage Undisputed 01/23/2026 1137757008 CMS
Takeda Pharmaceuticals U.S.A., Inc. $18.07 05/20/2024 Food and Beverage Undisputed 01/23/2026 1137757010 CMS
Takeda Pharmaceuticals U.S.A., Inc. $15.00 07/22/2024 Food and Beverage Undisputed 01/23/2026 1137757012 CMS
Teva Pharmaceuticals USA, Inc. $20.73 01/30/2024 Food and Beverage Undisputed 01/23/2026 1151745771 CMS
Teva Pharmaceuticals USA, Inc. $19.30 09/23/2024 Food and Beverage Undisputed 01/23/2026 1151745865 CMS
Teva Pharmaceuticals USA, Inc. $17.24 09/30/2024 Food and Beverage Undisputed 01/23/2026 1151745873 CMS
Vanda Pharmaceuticals Inc. $26.93 03/05/2024 Food and Beverage Undisputed 01/23/2026 1133945832 CMS
Vanda Pharmaceuticals Inc. $28.80 03/18/2024 Food and Beverage Undisputed 01/23/2026 1133945834 CMS
Vanda Pharmaceuticals Inc. $11.87 04/15/2024 Education Undisputed 01/23/2026 1133945836 CMS
Vanda Pharmaceuticals Inc. $32.70 04/16/2024 Food and Beverage Undisputed 01/23/2026 1133945838 CMS
Vanda Pharmaceuticals Inc. $26.67 05/08/2024 Food and Beverage Undisputed 01/23/2026 1133945840 CMS
Vanda Pharmaceuticals Inc. $31.40 08/08/2024 Food and Beverage Undisputed 01/23/2026 1133945842 CMS
Vanda Pharmaceuticals Inc. $27.68 11/20/2024 Food and Beverage Undisputed 01/23/2026 1133945844 CMS
Vanda Pharmaceuticals Inc. $35.54 12/18/2024 Food and Beverage Undisputed 01/23/2026 1133945846 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.