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 D SKRZYNSKI

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health

NPI
1811225188
CMS profile
11186203
Location
ASHEVILLE, NC

General Payments · PY2021–2023

$2,845.03

  • Reported across 165 records
  • CMS publication 2026-01-23

Latest program year · PY2023

$223.89

12 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

PY2023 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $223.89 12

By paying entity

PY2023 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $913.20 52
PY2022 $1,707.94 101
PY2023 $223.89 12

Payment records · PY2023 (12)

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

Program year 2023 20212022 Record-level detail is published for PY2023; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Alexion Pharmaceuticals, Inc. $21.58 01/27/2023 Food and Beverage Undisputed 01/23/2026 1017008207 CMS
AstraZeneca Pharmaceuticals LP $14.73 01/10/2023 Food and Beverage Undisputed 01/23/2026 1015730135 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.03 01/13/2023 Food and Beverage Undisputed 01/23/2026 1005495327 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.09 01/06/2023 Food and Beverage Undisputed 01/23/2026 996874893 CMS
Corcept Therapeutics $17.98 02/09/2023 Food and Beverage Undisputed 01/23/2026 1050817501 CMS
Dexcom, Inc. $18.78 02/17/2023 Food and Beverage Undisputed 01/23/2026 1054822603 CMS
Dexcom, Inc. $13.32 03/06/2023 Food and Beverage Undisputed 01/23/2026 1054822595 CMS
Dexcom, Inc. $14.95 03/14/2023 Food and Beverage Undisputed 01/23/2026 1054822586 CMS
Insulet Corporation $26.09 01/17/2023 Food and Beverage Undisputed 01/23/2026 1016937193 CMS
Lilly USA, LLC $24.90 01/11/2023 Food and Beverage Undisputed 01/23/2026 1033273871 CMS
Lilly USA, LLC $19.37 01/24/2023 Food and Beverage Undisputed 01/23/2026 1033264131 CMS
Novo Nordisk Inc $17.07 01/09/2023 Food and Beverage Undisputed 01/23/2026 1000663024 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
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023
Generated from
OP_DTL_GNRL_PGYR2023_P01232026_01102026.csv

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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.