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

MICHAEL D SKRZYNSKI

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health

NPI
1811225188
CMS profile
11186203
Location
ASHEVILLE, NC

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 · PY2021 · Entire year

$913.20

52 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

PY2021 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $913.20 52

By paying entity

PY2021 · entire year · sorted by reported total

Payment records · PY2021

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

General Payments · PY2021 · Physicians and non-physician practitioners · CMS publication 2026-06-30

52 matching records · $913.20 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 52 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 52.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
DEXCOM, INC. $22.7812/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026845326893 CMS
Endo Pharmaceuticals Inc. $15.2012/22/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026828690035 CMS
Lilly USA, LLC $17.0712/15/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026819320101 CMS
Novo Nordisk Inc $16.0412/14/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026811599857 CMS
AstraZeneca Pharmaceuticals LP $18.6812/07/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026829670883 CMS
AstraZeneca Pharmaceuticals LP $14.8312/01/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026830224899 CMS
DEXCOM, INC. $14.1011/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026845326891 CMS
Lilly USA, LLC $17.8911/18/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026819341935 CMS
AstraZeneca Pharmaceuticals LP $11.2911/16/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026830066039 CMS
DEXCOM, INC. $82.1411/10/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026845326889 CMS
Lilly USA, LLC $17.1211/09/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026819341931 CMS
AstraZeneca Pharmaceuticals LP $13.9011/03/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026830001461 CMS
Lilly USA, LLC $17.1410/27/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026819388997 CMS
AstraZeneca Pharmaceuticals LP $14.8310/26/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026829471943 CMS
Endo Pharmaceuticals Inc. $14.1110/19/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026828690031 CMS
AstraZeneca Pharmaceuticals LP $10.4010/13/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026829461133 CMS
Novo Nordisk Inc $15.4410/12/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026811599853 CMS
Lilly USA, LLC $20.3510/06/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026819368213 CMS
AstraZeneca Pharmaceuticals LP $14.8310/05/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026830207903 CMS
DEXCOM, INC. $16.9909/29/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026845326887 CMS
Endo Pharmaceuticals Inc. $12.8409/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026828690027 CMS
AstraZeneca Pharmaceuticals LP $16.3309/22/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026829460287 CMS
Novo Nordisk Inc $15.9409/20/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026811126617 CMS
AstraZeneca Pharmaceuticals LP $14.8309/14/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026829713113 CMS
Esperion Therapeutics, Inc. $19.9809/01/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026838507081 CMS
AstraZeneca Pharmaceuticals LP $19.6908/31/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026829936693 CMS
AstraZeneca Pharmaceuticals LP $14.8307/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026830259163 CMS
Lilly USA, LLC $24.5807/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026819320107 CMS
AstraZeneca Pharmaceuticals LP $18.9707/14/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026829828299 CMS
Endo Pharmaceuticals Inc. $17.7607/07/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026828690025 CMS
Zealand Pharma US, Inc. $18.9906/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026800234755 CMS
AstraZeneca Pharmaceuticals LP $14.3306/29/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026829940081 CMS
Lilly USA, LLC $24.3206/23/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026819388169 CMS
Lilly USA, LLC $18.9406/16/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026819368209 CMS
DEXCOM, INC. $12.6206/15/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026845326885 CMS
SANOFI-AVENTIS U.S. LLC $16.0006/09/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026843667695 CMS
AstraZeneca Pharmaceuticals LP $14.3306/02/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026829739291 CMS
Lilly USA, LLC $17.6205/26/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026819396543 CMS
DEXCOM, INC. $18.7705/19/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026845326883 CMS
Insulet Corporation $28.2405/05/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026839824153 CMS
DEXCOM, INC. $11.8404/15/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026845326881 CMS
Novo Nordisk Inc $13.5704/14/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026811126607 CMS
Lilly USA, LLC $12.6703/31/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026819316343 CMS
AstraZeneca Pharmaceuticals LP $16.4903/24/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026830086963 CMS
AstraZeneca Pharmaceuticals LP $16.0303/10/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026829784771 CMS
Lilly USA, LLC $12.8802/25/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026819379309 CMS
Amgen Inc. $18.9002/17/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026826171517 CMS
AstraZeneca Pharmaceuticals LP $14.6402/03/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026829455237 CMS
Lilly USA, LLC $12.5701/27/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026819320105 CMS
DEXCOM, INC. $10.4101/26/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026845326879 CMS

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
PY2025 $173.06 2

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
2021, 2022, 2023, 2025
Source files and profile matching
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , 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
MICHAEL D SKRZYNSKI, NPI 1811225188. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1811225188.
APA 7
IndustryPayments. (2026). MICHAEL D SKRZYNSKI, NPI 1811225188 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1811225188
Bluebook
MICHAEL D SKRZYNSKI, NPI 1811225188, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1811225188.

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