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

MEGAN ALICIA NOBLES

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1790402576
CMS profile
11396536
Location
SHERMAN, TX

General Payments · PY2022–2024

$3,803.33

  • Reported across 42 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,859.40

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

Nature of paymentAmountRecords
Travel and Lodging $1,288.93 4
Food and Beverage $570.47 13

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
LivaNova USA, Inc. $1,688.53 7
Corium, Inc. $37.16 3
Supernus Pharmaceuticals, Inc. $31.14 2
Tris Pharma Inc $23.36 1
Biogen, Inc. $23.26 1
NS Pharma, Inc. $22.80 1
CATALYST PHARMACEUTICALS, INC. $18.76 1
JAZZ PHARMACEUTICALS INC. $14.39 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $79.95 5
PY2023 $1,863.98 20
PY2024 $1,859.40 17

Payment records · PY2024 (17)

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

Program year 2024 20222023 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
Biogen, Inc. $23.26 04/19/2024 Food and Beverage Undisputed 01/23/2026 1104865080 CMS
CATALYST PHARMACEUTICALS, INC. $18.76 03/11/2024 Food and Beverage Undisputed 01/23/2026 1144459125 CMS
Corium, LLC $13.80 01/26/2024 Food and Beverage Undisputed 01/23/2026 1100115590 CMS
Corium, LLC $16.36 11/22/2024 Food and Beverage Undisputed 01/23/2026 1100167522 CMS
Corium, LLC $7.00 12/14/2024 Food and Beverage Undisputed 01/23/2026 1100217261 CMS
JAZZ PHARMACEUTICALS INC. $14.39 03/01/2024 Food and Beverage Undisputed 01/23/2026 1151315021 CMS
LivaNova USA, Inc. $286.15 09/20/2024 Travel and Lodging Undisputed 01/23/2026 1152798263 CMS
LivaNova USA, Inc. $551.96 09/20/2024 Travel and Lodging Undisputed 01/23/2026 1152798265 CMS
LivaNova USA, Inc. $235.00 09/20/2024 Travel and Lodging Undisputed 01/23/2026 1152798267 CMS
LivaNova USA, Inc. $144.70 09/20/2024 Food and Beverage Undisputed 01/23/2026 1152798269 CMS
LivaNova USA, Inc. $220.90 09/21/2024 Food and Beverage Undisputed 01/23/2026 1152798271 CMS
LivaNova USA, Inc. $34.00 09/30/2024 Food and Beverage Undisputed 01/23/2026 1152798273 CMS
LivaNova USA, Inc. $215.82 09/30/2024 Travel and Lodging Undisputed 01/23/2026 1152798275 CMS
NS Pharma, Inc. $22.80 02/16/2024 Food and Beverage Undisputed 01/23/2026 1139459878 CMS
Supernus Pharmaceuticals, Inc. $14.04 05/03/2024 Food and Beverage Undisputed 01/23/2026 1147890851 CMS
Supernus Pharmaceuticals, Inc. $17.10 12/03/2024 Food and Beverage Undisputed 01/23/2026 1147890853 CMS
Tris Pharma Inc $23.36 10/05/2024 Food and Beverage Undisputed 01/23/2026 1147226677 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
2022, 2023, 2024
Source files
Dataset page · Bulk file · 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.