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

DEBORAH A ROMAIN

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1811201114
CMS profile
10818519
Location
LAKE ORION, MI

General Payments · PY2021–2024

$348.07

  • Reported across 19 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$255.51

14 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 $255.51 14

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Novo Nordisk AS $160.55 9
PFIZER INC. $41.28 2
Amgen Inc. $19.07 1
Astellas Pharma US Inc $17.95 1
Merck Sharp & Dohme Corporation $16.66 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $18.23 1
PY2023 $74.33 4
PY2024 $255.51 14

Payment records · PY2024 (14)

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

Program year 2024 20212023 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
Amgen Inc. $19.07 06/12/2024 Food and Beverage Undisputed 01/23/2026 1116065471 CMS
Astellas Pharma US Inc $17.95 08/12/2024 Food and Beverage Undisputed 01/23/2026 1139518037 CMS
Merck Sharp & Dohme LLC $16.66 09/24/2024 Food and Beverage Undisputed 01/23/2026 1141917887 CMS
Novo Nordisk Inc $23.51 01/11/2024 Food and Beverage Undisputed 01/23/2026 1100436155 CMS
Novo Nordisk Inc $23.66 02/16/2024 Food and Beverage Undisputed 01/23/2026 1100297673 CMS
Novo Nordisk Inc $23.16 04/18/2024 Food and Beverage Undisputed 01/23/2026 1100377159 CMS
Novo Nordisk Inc $16.50 05/21/2024 Food and Beverage Undisputed 01/23/2026 1100576078 CMS
Novo Nordisk Inc $15.56 07/23/2024 Food and Beverage Undisputed 01/23/2026 1100349312 CMS
Novo Nordisk Inc $14.67 08/20/2024 Food and Beverage Undisputed 01/23/2026 1100463854 CMS
Novo Nordisk Inc $25.63 09/23/2024 Food and Beverage Undisputed 01/23/2026 1100507053 CMS
Novo Nordisk Inc $2.29 11/13/2024 Food and Beverage Undisputed 01/23/2026 1100346658 CMS
Novo Nordisk Inc $15.57 12/06/2024 Food and Beverage Undisputed 01/23/2026 1100347152 CMS
PFIZER INC. $23.18 03/01/2024 Food and Beverage Undisputed 01/23/2026 1131131237 CMS
PFIZER INC. $18.10 04/20/2024 Food and Beverage Undisputed 01/23/2026 1131347420 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, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , 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.

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