Covered recipient · General Payments record

SARAH GRACE PAGELER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI: 1821663121
CMS profile: 10910383
Location: DE SOTO, MO

General Payments · PY2022–2024

$2,677.44

Reported across 143 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,283.43

122 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 payment	Amount	Records
Food and Beverage	$2,199.44	121
Education	$83.99	1

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$265.95	14
NOVARTIS PHARMACEUTICALS CORPORATION	$174.84	9
PFIZER INC.	$169.60	20
Myriad Genetic Laboratories, Inc.	$130.08	5
Merck Sharp & Dohme Corporation	$121.00	6
Lilly USA, LLC	$111.64	5
GlaxoSmithKline, LLC.	$101.21	3
Gilead Sciences, Inc.	$83.99	1
Incyte Corporation	$83.78	4
Genentech USA, Inc.	$80.07	4
Takeda Pharmaceuticals U.S.A., Inc.	$60.56	3
Celgene Corporation	$56.40	3
Exelixis Inc.	$50.47	2
EISAI INC.	$47.05	2
SOBI, INC	$46.90	2
E.R. Squibb & Sons, L.L.C.	$45.80	3
Ipsen Biopharmaceuticals, Inc	$44.76	2
ABBVIE INC.	$44.76	2
JAZZ PHARMACEUTICALS INC.	$41.82	2
Daiichi Sankyo Inc.	$41.62	2
Janssen Biotech, Inc.	$40.63	2
ARRAY BIOPHARMA INC	$40.51	4
Apellis Pharmaceuticals, Inc.	$39.89	2
Pharmacosmos Therapeutics Inc.	$39.47	2
SERVIER PHARMACEUTICALS LLC	$34.76	2
TerSera Therapeutics LLC	$34.42	2
Spectrum Pharmaceuticals Inc.	$33.11	2
Fresenius Kabi USA, LLC	$22.75	1
AVEO Pharmaceuticals, Inc.	$22.64	1
Astellas Pharma US Inc	$20.19	1
SpringWorks Therapeutics, Inc.	$19.94	1
Genmab U.S., Inc.	$19.88	1
Blue Earth Diagnostics Limited	$19.65	1
SUN PHARMACEUTICAL INDUSTRIES INC.	$18.65	1
Acrotech Biopharma Inc.	$17.56	1
Agios Pharmaceuticals, Inc.	$14.95	1
Alexion Pharmaceuticals, Inc.	$14.29	1
Stemline Therapeutics Inc.	$14.17	1
Rigel Pharmaceuticals, Inc.	$13.67	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2022	$33.16	2
PY2023	$360.85	19
PY2024	$2,283.43	122

Payment records · PY2024 (122)

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

Program year 2024 2022 2023 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
ABBVIE INC.	$22.12	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1107778545	CMS
ABBVIE INC.	$22.64	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1107778547	CMS
Acrotech Biopharma Inc.	$17.56	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1147107246	CMS
Agios Pharmaceuticals, Inc.	$14.95	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1149642516	CMS
Alexion Pharmaceuticals, Inc.	$14.29	03/23/2024	Food and Beverage	Undisputed	01/23/2026	1094024263	CMS
Apellis Pharmaceuticals, Inc.	$18.99	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1154032431	CMS
Apellis Pharmaceuticals, Inc.	$20.90	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1154032433	CMS
ARRAY BIOPHARMA INC	$4.81	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1131909784	CMS
ARRAY BIOPHARMA INC	$16.86	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1131911483	CMS
ARRAY BIOPHARMA INC	$2.89	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1131913771	CMS
ARRAY BIOPHARMA INC	$15.95	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1131916466	CMS
Astellas Pharma US Inc	$20.19	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1139521076	CMS
AstraZeneca Pharmaceuticals LP	$17.94	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1104714155	CMS
AstraZeneca Pharmaceuticals LP	$25.63	01/15/2024	Food and Beverage	Undisputed	01/23/2026	1105812547	CMS
AstraZeneca Pharmaceuticals LP	$16.72	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1105577898	CMS
AstraZeneca Pharmaceuticals LP	$16.65	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1105619171	CMS
AstraZeneca Pharmaceuticals LP	$21.19	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1104252673	CMS
AstraZeneca Pharmaceuticals LP	$15.19	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1105878257	CMS
AstraZeneca Pharmaceuticals LP	$18.75	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1104226343	CMS
AstraZeneca Pharmaceuticals LP	$21.37	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1104768620	CMS
AstraZeneca Pharmaceuticals LP	$18.94	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1105396260	CMS
AstraZeneca Pharmaceuticals LP	$20.78	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1104708011	CMS
AstraZeneca Pharmaceuticals LP	$23.86	10/05/2024	Food and Beverage	Undisputed	01/23/2026	1105371608	CMS
AstraZeneca Pharmaceuticals LP	$12.88	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1104365271	CMS
AstraZeneca Pharmaceuticals LP	$16.20	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1104762726	CMS
AstraZeneca Pharmaceuticals LP	$19.85	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1105688135	CMS
Aveo Pharmaceuticals, Inc.	$22.64	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1143498775	CMS
Blue Earth Diagnostics Limited	$19.65	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1147797164	CMS
Celgene Corporation	$18.62	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1101118523	CMS
Celgene Corporation	$19.30	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1101118525	CMS
Celgene Corporation	$18.48	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1101118527	CMS
Daiichi Sankyo Inc.	$21.90	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1089465618	CMS
Daiichi Sankyo Inc.	$19.72	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1089465616	CMS
E.R. Squibb & Sons, L.L.C.	$13.13	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1101361128	CMS
E.R. Squibb & Sons, L.L.C.	$18.86	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1101361160	CMS
E.R. Squibb & Sons, L.L.C.	$13.81	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1101361182	CMS
Eisai Inc.	$24.43	04/01/2024	Food and Beverage	Undisputed	01/23/2026	1110820543	CMS
Eisai Inc.	$22.62	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1110820545	CMS
Exelixis Inc.	$28.02	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1138574251	CMS
Exelixis Inc.	$22.45	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1138574253	CMS
Fresenius Kabi USA, LLC	$22.75	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1146958271	CMS
Genentech USA, Inc.	$19.72	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1133185844	CMS
Genentech USA, Inc.	$18.75	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1133185839	CMS
Genentech USA, Inc.	$16.77	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1133185848	CMS
Genentech USA, Inc.	$24.83	12/13/2024	Food and Beverage	Undisputed	01/23/2026	1133185852	CMS
Genmab U.S., Inc.	$19.88	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1126838986	CMS
Gilead Sciences, Inc.	$83.99	06/12/2024	Education	Undisputed	01/23/2026	1133890803	CMS
GlaxoSmithKline, LLC.	$61.64	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1116644150	CMS
GlaxoSmithKline, LLC.	$13.87	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1116032095	CMS
GlaxoSmithKline, LLC.	$25.70	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1116673758	CMS
Incyte Corporation	$18.31	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1141194445	CMS
Incyte Corporation	$20.12	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1141314765	CMS
Incyte Corporation	$23.04	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1141185624	CMS
Incyte Corporation	$22.31	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1141226758	CMS
Ipsen Biopharmaceuticals, Inc	$25.97	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1091970001	CMS
Ipsen Biopharmaceuticals, Inc	$18.79	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1091970003	CMS
Janssen Biotech, Inc.	$17.49	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1078784424	CMS
Janssen Biotech, Inc.	$23.14	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1078784428	CMS
JAZZ PHARMACEUTICALS INC.	$24.85	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1151315775	CMS
JAZZ PHARMACEUTICALS INC.	$16.97	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1151315777	CMS
Lilly USA, LLC	$23.06	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1135940642	CMS
Lilly USA, LLC	$22.37	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1135932634	CMS
Lilly USA, LLC	$25.93	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1135862620	CMS
Lilly USA, LLC	$22.80	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1135886328	CMS
Lilly USA, LLC	$17.48	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1135904613	CMS
Merck Sharp & Dohme LLC	$16.12	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1141600843	CMS
Merck Sharp & Dohme LLC	$18.45	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1141600839	CMS
Merck Sharp & Dohme LLC	$22.88	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1141838763	CMS
Merck Sharp & Dohme LLC	$23.40	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1141600841	CMS
Merck Sharp & Dohme LLC	$19.29	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1141838761	CMS
Merck Sharp & Dohme LLC	$20.86	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1141600837	CMS
Myriad Genetic Laboratories, Inc.	$6.87	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1152549530	CMS
Myriad Genetic Laboratories, Inc.	$95.14	04/01/2024	Food and Beverage	Undisputed	01/23/2026	1152549534	CMS
Myriad Genetic Laboratories, Inc.	$14.43	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1152549536	CMS
Myriad Genetic Laboratories, Inc.	$6.81	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1152549538	CMS
Myriad Genetic Laboratories, Inc.	$6.83	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1152549540	CMS
Novartis Pharmaceuticals Corporation	$15.43	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1087310047	CMS
Novartis Pharmaceuticals Corporation	$24.40	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1087310049	CMS
Novartis Pharmaceuticals Corporation	$20.00	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1087310051	CMS
Novartis Pharmaceuticals Corporation	$6.64	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1087310057	CMS
Novartis Pharmaceuticals Corporation	$18.06	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1087310061	CMS
Novartis Pharmaceuticals Corporation	$22.25	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1087310065	CMS
Novartis Pharmaceuticals Corporation	$17.68	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1087310067	CMS
Novartis Pharmaceuticals Corporation	$22.11	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1087310073	CMS
Novartis Pharmaceuticals Corporation	$28.27	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1087310075	CMS
PFIZER INC.	$1.05	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1131912045	CMS
PFIZER INC.	$11.86	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1131912563	CMS
PFIZER INC.	$15.66	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1131920163	CMS
PFIZER INC.	$3.63	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1131442692	CMS
PFIZER INC.	$0.77	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1131448299	CMS
PFIZER INC.	$15.59	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1131525834	CMS
PFIZER INC.	$1.31	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1131922269	CMS
PFIZER INC.	$12.29	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1131993007	CMS
PFIZER INC.	$1.90	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1131922679	CMS
PFIZER INC.	$13.49	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1131913281	CMS
PFIZER INC.	$2.56	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1131919621	CMS
PFIZER INC.	$12.14	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1131571496	CMS
PFIZER INC.	$2.58	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1131984859	CMS
PFIZER INC.	$13.58	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1131985555	CMS
PFIZER INC.	$13.13	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1131522392	CMS
PFIZER INC.	$2.74	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1131524436	CMS
PFIZER INC.	$3.45	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1132064909	CMS
PFIZER INC.	$17.37	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1130989255	CMS
PFIZER INC.	$2.92	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1131627070	CMS
PFIZER INC.	$21.58	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1131627074	CMS
Pharmacosmos Therapeutics Inc.	$19.16	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1154831660	CMS
Pharmacosmos Therapeutics Inc.	$20.31	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1154831662	CMS
Rigel Pharmaceuticals, Inc.	$13.67	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1145199773	CMS
SERVIER PHARMACEUTICALS LLC	$15.12	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1147268508	CMS
SERVIER PHARMACEUTICALS LLC	$19.64	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1147268510	CMS
SOBI, INC	$23.72	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1141421529	CMS
SOBI, INC	$23.18	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1141412552	CMS
Spectrum Pharmaceuticals Inc.	$13.76	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1150655001	CMS
Spectrum Pharmaceuticals Inc.	$19.35	11/27/2024	Food and Beverage	Undisputed	01/23/2026	1150655382	CMS
SpringWorks Therapeutics, Inc.	$19.94	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1085810520	CMS
Stemline Therapeutics Inc.	$14.17	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1142970314	CMS
SUN PHARMACEUTICAL INDUSTRIES INC.	$18.65	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1152274785	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.59	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1144981506	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$19.04	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1144981508	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.93	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1144981510	CMS
TerSera Therapeutics LLC	$18.52	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1144723697	CMS
TerSera Therapeutics LLC	$15.90	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1144723699	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

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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.