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

PREM LAL SHRESTHA

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1780202077
CMS profile
10580866
Location
AUSTIN, TX

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.

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General Payments · PY2024 · Entire year

$2,144.75

116 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

PY2024 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,118.17 114
Education $26.58 2

By paying entity

PY2024 · entire year · sorted by reported total

Payment records · PY2024

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

General Payments · PY2024 · Physicians and non-physician practitioners · CMS publication 2026-06-30

116 matching records · $2,144.75 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 116 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 116.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Ardelyx, Inc. $19.9012/23/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261146745583 CMS
PFIZER INC. $5.3212/17/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261131000389 CMS
Janssen Biotech, Inc. $4.1912/10/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261078688645 CMS
PFIZER INC. $12.9712/10/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261131182648 CMS
Madrigal Pharmaceuticals $21.9312/04/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261144198811 CMS
Madrigal Pharmaceuticals $18.8711/15/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261144198809 CMS
Janssen Biotech, Inc. $0.3011/13/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261078684028 CMS
Janssen Biotech, Inc. $0.5611/13/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261078688197 CMS
Janssen Biotech, Inc. $16.6911/12/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261078689134 CMS
Janssen Biotech, Inc. $6.9711/12/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261078691286 CMS
Madrigal Pharmaceuticals $20.7010/30/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261144198807 CMS
ABBVIE INC. $27.7010/28/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261108193228 CMS
Lilly USA, LLC $26.2110/25/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261135899144 CMS
Takeda Pharmaceuticals U.S.A., Inc. $14.3310/23/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137823694 CMS
PFIZER INC. $4.1610/22/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261130970162 CMS
ABBVIE INC. $24.7610/16/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261108193226 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $10.3610/16/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261153587146 CMS
Janssen Biotech, Inc. $1.7110/15/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261078689475 CMS
Janssen Biotech, Inc. $5.3610/15/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261078691023 CMS
Madrigal Pharmaceuticals $21.1110/14/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261144198805 CMS
ABBVIE INC. $34.7510/09/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261108193224 CMS
PFIZER INC. $18.0410/08/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261132093636 CMS
Takeda Pharmaceuticals U.S.A., Inc. $18.4310/03/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137823692 CMS
Regeneron Healthcare Solutions, Inc. $39.3310/02/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261114371988 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $16.5709/25/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261153536820 CMS
ABBVIE INC. $29.1809/20/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261108193222 CMS
ABBVIE INC. $26.3309/16/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261108193220 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.6409/11/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261153485465 CMS
ABBVIE INC. $23.3809/03/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261108193218 CMS
Celltrion USA Inc. $13.3108/29/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261075866793 CMS
Celgene Corporation $12.3908/28/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261101099472 CMS
Janssen Biotech, Inc. $7.5908/27/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261078686716 CMS
ABBVIE INC. $33.5408/26/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261108193216 CMS
Fresenius Kabi USA, LLC $21.7908/21/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261146957599 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $16.9508/21/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261153457219 CMS
Celltrion USA Inc. $13.3208/14/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261075866791 CMS
Janssen Biotech, Inc. $0.8908/07/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261078684624 CMS
Janssen Biotech, Inc. $0.3208/07/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261078684899 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $20.8708/07/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261153448731 CMS
Janssen Biotech, Inc. $23.5407/31/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261078685045 CMS
ABBVIE INC. $32.3207/26/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261108193214 CMS
Sandoz Inc. $13.6307/24/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261089372961 CMS
ABBVIE INC. $34.7507/19/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261108193212 CMS
ABBVIE INC. $15.2907/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261108193210 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $20.4107/17/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261153434921 CMS
Celgene Corporation $27.2907/11/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261101099470 CMS
Janssen Biotech, Inc. $10.5807/10/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261078686513 CMS
PFIZER INC. $12.3807/10/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261130929180 CMS
GENZYME CORPORATION $24.1107/08/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261139797924 CMS
Organon Llc $18.8707/03/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261136197676 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $87.24 5
PY2023 $903.32 41
PY2024 $2,144.75 116
PY2025 $753.64 42

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
2022, 2023, 2024, 2025
Source files and profile matching
Source files
Dataset page · Bulk file · 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.

Cite this record.

Plain
PREM LAL SHRESTHA, NPI 1780202077. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1780202077.
APA 7
IndustryPayments. (2026). PREM LAL SHRESTHA, NPI 1780202077 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1780202077
Bluebook
PREM LAL SHRESTHA, NPI 1780202077, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1780202077.

Source: Centers for Medicare & Medicaid Services, Open Payments.