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

MICHAEL A TRYGSTAD

Allopathic & Osteopathic Physicians Family Medicine

NPI
1801847173
CMS profile
354047
Location
JACKSON CENTER, OH

General Payments · PY2018

$191.56

  • Reported across 20 records
  • CMS publication 2026-01-23

Latest program year · PY2018

$191.56

20 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

PY2018 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $191.56 20

By paying entity

PY2018 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $191.56 20

Payment records · PY2018 (20)

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

Program year 2018
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Allergan Inc. $12.08 07/17/2018 Food and Beverage Undisputed 01/23/2026 595320495 CMS
AstraZeneca Pharmaceuticals LP $10.53 05/22/2018 Food and Beverage Undisputed 01/23/2026 559943361 CMS
Lilly USA, LLC $12.10 04/20/2018 Food and Beverage Undisputed 01/23/2026 559566687 CMS
Novo Nordisk Inc $9.51 01/18/2018 Food and Beverage Undisputed 01/23/2026 588904973 CMS
Novo Nordisk Inc $5.75 02/13/2018 Food and Beverage Undisputed 01/23/2026 588904969 CMS
Novo Nordisk Inc $11.40 03/20/2018 Food and Beverage Undisputed 01/23/2026 588904977 CMS
Novo Nordisk Inc $10.39 04/05/2018 Food and Beverage Undisputed 01/23/2026 588904935 CMS
Novo Nordisk Inc $6.43 04/24/2018 Food and Beverage Undisputed 01/23/2026 588904964 CMS
Novo Nordisk Inc $2.36 05/01/2018 Food and Beverage Undisputed 01/23/2026 588904943 CMS
Novo Nordisk Inc $13.06 05/01/2018 Food and Beverage Undisputed 01/23/2026 588904951 CMS
Novo Nordisk Inc $11.00 05/03/2018 Food and Beverage Undisputed 01/23/2026 588904939 CMS
Novo Nordisk Inc $12.99 06/07/2018 Food and Beverage Undisputed 01/23/2026 588904955 CMS
Novo Nordisk Inc $10.91 06/21/2018 Food and Beverage Undisputed 01/23/2026 588904959 CMS
Novo Nordisk Inc $12.16 07/03/2018 Food and Beverage Undisputed 01/23/2026 588904947 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $11.94 01/02/2018 Food and Beverage Undisputed 01/23/2026 589729459 CMS
Takeda Pharmaceuticals U.S.A., Inc. $10.96 01/16/2018 Food and Beverage Undisputed 01/23/2026 589342983 CMS
Takeda Pharmaceuticals U.S.A., Inc. $1.22 05/10/2018 Food and Beverage Undisputed 01/23/2026 589417451 CMS
Takeda Pharmaceuticals U.S.A., Inc. $10.12 05/10/2018 Food and Beverage Undisputed 01/23/2026 590091355 CMS
Takeda Pharmaceuticals U.S.A., Inc. $8.91 06/12/2018 Food and Beverage Undisputed 01/23/2026 589641693 CMS
Takeda Pharmaceuticals U.S.A., Inc. $7.74 07/19/2018 Food and Beverage Undisputed 01/23/2026 589262437 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
Source files
Dataset page · Bulk file · PY2018
Generated from
OP_DTL_GNRL_PGYR2018_P01232026_01102026.csv

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