Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. 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 ↗

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

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.

General Payments · PY2022–2025

CMS publication 2026-06-30

Latest program year · PY2025

$2,653.54

131 records · 0 disputed

“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.
Featured-page threshold (a presentation gate, not a judgment): (records>=3 OR total>=100) AND records>=2 AND NPI identity (all years).
Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$2,511.29	129
Education	$142.25	2

By paying entity

PY2025 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$381.51	14
Janssen Biotech, Inc.	$236.41	11
PFIZER INC.	$192.37	14
Daiichi Sankyo Inc.	$118.59	5
Genentech USA, Inc.	$106.67	5
GlaxoSmithKline, LLC.	$102.35	5
Incyte Corporation	$94.11	5
E.R. Squibb & Sons, L.L.C.	$85.02	5
GENZYME CORPORATION	$83.12	4
Celgene Corporation	$71.26	4
Merck Sharp & Dohme Corporation	$66.67	3
Lilly USA, LLC	$65.22	3
Exelixis Inc.	$64.57	3
TerSera Therapeutics LLC	$62.56	3
NOVARTIS PHARMACEUTICALS CORPORATION	$61.06	3
Astellas Pharma US Inc	$57.30	3
Spectrum Pharmaceuticals Inc.	$54.62	3
Pharmacosmos Therapeutics Inc.	$53.95	3
ARRAY BIOPHARMA INC	$52.64	2
Takeda Pharmaceuticals U.S.A., Inc.	$48.62	3
Rigel Pharmaceuticals, Inc.	$45.40	2
ABBVIE INC.	$45.29	2
Legend Biotech USA Inc.	$42.46	2
Regeneron Healthcare Solutions, Inc.	$42.19	2
Geron Corporation	$40.45	2
Dendreon Pharmaceuticals LLC	$40.17	2
Boehringer Ingelheim Pharmaceuticals, Inc.	$36.94	2
Iovance Biotherapeutics, Inc.	$28.28	2
JAZZ PHARMACEUTICALS INC.	$23.45	1
TAIHO ONCOLOGY, INC.	$23.33	1
Stemline Therapeutics Inc.	$22.92	1
SOBI, INC	$22.81	1
Bayer HealthCare Pharmaceuticals Inc.	$22.28	1
Novocure Inc.	$21.17	1
AVEO Pharmaceuticals, Inc.	$20.70	1
Genmab U.S., Inc.	$19.23	1
EISAI INC.	$17.76	1
SpringWorks Therapeutics, Inc.	$17.27	1
Immunocore Limited	$16.71	1
Deciphera Pharmaceuticals Inc.	$16.57	1
PharmaEssentia USA Corporation	$15.07	1
SERVIER PHARMACEUTICALS LLC	$14.47	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	$2,354.84	126
PY2025	$2,653.54	131

Payment records · PY2025 (131)

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

Program year 2025 2022 2023 2024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
GENZYME CORPORATION	$24.50	12/23/2025	Food and Beverage	No dispute reported	06/30/2026	1233216743	CMS
Regeneron Healthcare Solutions, Inc.	$21.80	12/22/2025	Food and Beverage	No dispute reported	06/30/2026	1213184248	CMS
Aveo Pharmaceuticals, Inc.	$20.70	12/16/2025	Food and Beverage	No dispute reported	06/30/2026	1199907270	CMS
SpringWorks Therapeutics, Inc.	$17.27	12/12/2025	Food and Beverage	No dispute reported	06/30/2026	1232175535	CMS
Geron Corporation	$21.74	12/11/2025	Food and Beverage	No dispute reported	06/30/2026	1238901011	CMS
AstraZeneca Pharmaceuticals LP	$20.63	12/10/2025	Food and Beverage	No dispute reported	06/30/2026	1207153054	CMS
AstraZeneca Pharmaceuticals LP	$23.83	12/04/2025	Food and Beverage	No dispute reported	06/30/2026	1206574990	CMS
AstraZeneca Pharmaceuticals LP	$99.00	12/04/2025	Education	No dispute reported	06/30/2026	1207184266	CMS
AstraZeneca Pharmaceuticals LP	$43.25	11/25/2025	Education	No dispute reported	06/30/2026	1206637216	CMS
GlaxoSmithKline, LLC.	$20.97	11/25/2025	Food and Beverage	No dispute reported	06/30/2026	1191322533	CMS
SERVIER PHARMACEUTICALS LLC	$14.47	11/20/2025	Food and Beverage	No dispute reported	06/30/2026	1229131215	CMS
PFIZER INC.	$3.28	11/19/2025	Food and Beverage	No dispute reported	06/30/2026	1229384451	CMS
PFIZER INC.	$18.65	11/19/2025	Food and Beverage	No dispute reported	06/30/2026	1229589342	CMS
Dendreon Pharmaceuticals LLC	$20.53	11/18/2025	Food and Beverage	No dispute reported	06/30/2026	1245017322	CMS
GlaxoSmithKline, LLC.	$21.66	11/17/2025	Food and Beverage	No dispute reported	06/30/2026	1190892094	CMS
Janssen Biotech, Inc.	$24.51	11/14/2025	Food and Beverage	No dispute reported	06/30/2026	1174936255	CMS
Janssen Biotech, Inc.	$23.17	11/11/2025	Food and Beverage	No dispute reported	06/30/2026	1174936176	CMS
Novartis Pharmaceuticals Corporation	$22.56	11/10/2025	Food and Beverage	No dispute reported	06/30/2026	1200731093	CMS
Janssen Biotech, Inc.	$19.76	11/09/2025	Food and Beverage	No dispute reported	06/30/2026	1174936244	CMS
PFIZER INC.	$13.01	11/06/2025	Food and Beverage	No dispute reported	06/30/2026	1229329420	CMS
Exelixis Inc.	$19.71	11/04/2025	Food and Beverage	No dispute reported	06/30/2026	1218823542	CMS
E.R. Squibb & Sons, L.L.C.	$16.51	10/31/2025	Food and Beverage	No dispute reported	06/30/2026	1184386657	CMS
Merck Sharp & Dohme LLC	$23.44	10/30/2025	Food and Beverage	No dispute reported	06/30/2026	1238373915	CMS
Spectrum Pharmaceuticals Inc.	$18.37	10/28/2025	Food and Beverage	No dispute reported	06/30/2026	1221049723	CMS
TerSera Therapeutics LLC	$18.43	10/27/2025	Food and Beverage	No dispute reported	06/30/2026	1244070550	CMS
Novartis Pharmaceuticals Corporation	$24.23	10/24/2025	Food and Beverage	No dispute reported	06/30/2026	1200625395	CMS
Incyte Corporation	$14.00	10/22/2025	Food and Beverage	No dispute reported	06/30/2026	1225983254	CMS
Rigel Pharmaceuticals, Inc.	$22.54	10/14/2025	Food and Beverage	No dispute reported	06/30/2026	1247378449	CMS
ARRAY BIOPHARMA INC	$28.08	10/09/2025	Food and Beverage	No dispute reported	06/30/2026	1229470486	CMS
TerSera Therapeutics LLC	$27.89	10/08/2025	Food and Beverage	No dispute reported	06/30/2026	1244070548	CMS
Daiichi Sankyo Inc.	$26.00	10/07/2025	Food and Beverage	No dispute reported	06/30/2026	1197029905	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.72	10/03/2025	Food and Beverage	No dispute reported	06/30/2026	1222950031	CMS
AstraZeneca Pharmaceuticals LP	$22.08	09/30/2025	Food and Beverage	No dispute reported	06/30/2026	1206257198	CMS
Janssen Biotech, Inc.	$17.70	09/29/2025	Food and Beverage	No dispute reported	06/30/2026	1174936215	CMS
Iovance Biotherapeutics, Inc.	$17.99	09/26/2025	Food and Beverage	No dispute reported	06/30/2026	1251398381	CMS
Merck Sharp & Dohme LLC	$22.51	09/25/2025	Food and Beverage	No dispute reported	06/30/2026	1238083817	CMS
GENZYME CORPORATION	$20.39	09/23/2025	Food and Beverage	No dispute reported	06/30/2026	1233216731	CMS
PFIZER INC.	$23.52	09/16/2025	Food and Beverage	No dispute reported	06/30/2026	1229158435	CMS
Genentech USA, Inc.	$20.06	09/15/2025	Food and Beverage	No dispute reported	06/30/2026	1211667808	CMS
Incyte Corporation	$23.33	09/11/2025	Food and Beverage	No dispute reported	06/30/2026	1225982806	CMS
JAZZ PHARMACEUTICALS INC.	$23.45	09/09/2025	Food and Beverage	No dispute reported	06/30/2026	1234903359	CMS
Janssen Biotech, Inc.	$22.28	09/08/2025	Food and Beverage	No dispute reported	06/30/2026	1174936185	CMS
Janssen Biotech, Inc.	$16.55	08/29/2025	Food and Beverage	No dispute reported	06/30/2026	1174936225	CMS
Geron Corporation	$18.71	08/27/2025	Food and Beverage	No dispute reported	06/30/2026	1238901009	CMS
GENZYME CORPORATION	$21.42	08/25/2025	Food and Beverage	No dispute reported	06/30/2026	1233216715	CMS
ARRAY BIOPHARMA INC	$24.56	08/22/2025	Food and Beverage	No dispute reported	06/30/2026	1229016551	CMS
Pharmacosmos Therapeutics Inc.	$17.96	08/21/2025	Food and Beverage	No dispute reported	06/30/2026	1250740342	CMS
GlaxoSmithKline, LLC.	$21.87	08/19/2025	Food and Beverage	No dispute reported	06/30/2026	1190804397	CMS
Astellas Pharma US Inc	$17.01	08/14/2025	Food and Beverage	No dispute reported	06/30/2026	1238649507	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$17.79	08/12/2025	Food and Beverage	No dispute reported	06/30/2026	1223996821	CMS
ABBVIE INC.	$21.72	08/11/2025	Food and Beverage	No dispute reported	06/30/2026	1205283290	CMS
E.R. Squibb & Sons, L.L.C.	$13.82	08/08/2025	Food and Beverage	No dispute reported	06/30/2026	1184386697	CMS
Genentech USA, Inc.	$15.72	08/05/2025	Food and Beverage	No dispute reported	06/30/2026	1211667821	CMS
AstraZeneca Pharmaceuticals LP	$17.94	08/01/2025	Food and Beverage	No dispute reported	06/30/2026	1207017122	CMS
Janssen Biotech, Inc.	$21.72	07/31/2025	Food and Beverage	No dispute reported	06/30/2026	1174936263	CMS
Dendreon Pharmaceuticals LLC	$19.64	07/28/2025	Food and Beverage	No dispute reported	06/30/2026	1245017320	CMS
Lilly USA, LLC	$20.46	07/26/2025	Food and Beverage	No dispute reported	06/30/2026	1187252231	CMS
Novartis Pharmaceuticals Corporation	$14.27	07/24/2025	Food and Beverage	No dispute reported	06/30/2026	1200731085	CMS
GlaxoSmithKline, LLC.	$17.57	07/23/2025	Food and Beverage	No dispute reported	06/30/2026	1191781579	CMS
PFIZER INC.	$16.95	07/23/2025	Food and Beverage	No dispute reported	06/30/2026	1229040124	CMS
PFIZER INC.	$3.81	07/23/2025	Food and Beverage	No dispute reported	06/30/2026	1229255482	CMS
Incyte Corporation	$18.60	07/18/2025	Food and Beverage	No dispute reported	06/30/2026	1225980450	CMS
Iovance Biotherapeutics, Inc.	$10.29	07/15/2025	Food and Beverage	No dispute reported	06/30/2026	1251398383	CMS
E.R. Squibb & Sons, L.L.C.	$19.99	07/14/2025	Food and Beverage	No dispute reported	06/30/2026	1184386689	CMS
Bayer Healthcare Pharmaceuticals Inc.	$22.28	07/10/2025	Food and Beverage	No dispute reported	06/30/2026	1225681736	CMS
Incyte Corporation	$16.56	07/08/2025	Food and Beverage	No dispute reported	06/30/2026	1225982306	CMS
AstraZeneca Pharmaceuticals LP	$20.65	07/07/2025	Food and Beverage	No dispute reported	06/30/2026	1206784855	CMS
Spectrum Pharmaceuticals Inc.	$18.76	07/01/2025	Food and Beverage	No dispute reported	06/30/2026	1221049230	CMS
TerSera Therapeutics LLC	$16.24	07/01/2025	Food and Beverage	No dispute reported	06/30/2026	1244070552	CMS
AstraZeneca Pharmaceuticals LP	$22.63	06/24/2025	Food and Beverage	No dispute reported	06/30/2026	1206210180	CMS
Exelixis Inc.	$27.18	06/23/2025	Food and Beverage	No dispute reported	06/30/2026	1218823538	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.22	06/20/2025	Food and Beverage	No dispute reported	06/30/2026	1222950029	CMS
Daiichi Sankyo Inc.	$18.97	06/19/2025	Food and Beverage	No dispute reported	06/30/2026	1197078641	CMS
Daiichi Sankyo Inc.	$25.88	06/17/2025	Food and Beverage	No dispute reported	06/30/2026	1197079051	CMS
Rigel Pharmaceuticals, Inc.	$22.86	06/16/2025	Food and Beverage	No dispute reported	06/30/2026	1247374748	CMS
Celgene Corporation	$16.10	06/13/2025	Food and Beverage	No dispute reported	06/30/2026	1184386691	CMS
AstraZeneca Pharmaceuticals LP	$21.54	06/10/2025	Food and Beverage	No dispute reported	06/30/2026	1206566386	CMS
Stemline Therapeutics Inc.	$22.92	06/06/2025	Food and Beverage	No dispute reported	06/30/2026	1244131406	CMS
Merck Sharp & Dohme LLC	$20.72	06/05/2025	Food and Beverage	No dispute reported	06/30/2026	1238167862	CMS
Legend Biotech USA Inc.	$23.38	06/03/2025	Food and Beverage	No dispute reported	06/30/2026	1236482942	CMS
GlaxoSmithKline, LLC.	$20.28	06/02/2025	Food and Beverage	No dispute reported	06/30/2026	1191065631	CMS
Genentech USA, Inc.	$28.01	05/23/2025	Food and Beverage	No dispute reported	06/30/2026	1211667816	CMS
PFIZER INC.	$19.87	05/22/2025	Food and Beverage	No dispute reported	06/30/2026	1230027331	CMS
Janssen Biotech, Inc.	$25.02	05/20/2025	Food and Beverage	No dispute reported	06/30/2026	1174936272	CMS
Novocure Inc.	$21.17	05/19/2025	Food and Beverage	No dispute reported	06/30/2026	1251152726	CMS
E.R. Squibb & Sons, L.L.C.	$16.40	05/16/2025	Food and Beverage	No dispute reported	06/30/2026	1184386685	CMS
Lilly USA, LLC	$21.96	05/14/2025	Food and Beverage	No dispute reported	06/30/2026	1187306769	CMS
Genentech USA, Inc.	$20.74	05/12/2025	Food and Beverage	No dispute reported	06/30/2026	1211667804	CMS
Janssen Biotech, Inc.	$18.84	05/09/2025	Food and Beverage	No dispute reported	06/30/2026	1174936195	CMS
Genmab U.S., Inc.	$19.23	05/08/2025	Food and Beverage	No dispute reported	06/30/2026	1235940166	CMS
Pharmacosmos Therapeutics Inc.	$20.14	05/05/2025	Food and Beverage	No dispute reported	06/30/2026	1250740339	CMS
SOBI, INC	$22.81	05/01/2025	Food and Beverage	No dispute reported	06/30/2026	1240277360	CMS
Celgene Corporation	$18.43	04/29/2025	Food and Beverage	No dispute reported	06/30/2026	1184386683	CMS
GENZYME CORPORATION	$16.81	04/28/2025	Food and Beverage	No dispute reported	06/30/2026	1233216666	CMS
Regeneron Healthcare Solutions, Inc.	$20.39	04/26/2025	Food and Beverage	No dispute reported	06/30/2026	1213184246	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$14.74	04/24/2025	Food and Beverage	No dispute reported	06/30/2026	1223970312	CMS
AstraZeneca Pharmaceuticals LP	$16.80	04/18/2025	Food and Beverage	No dispute reported	06/30/2026	1207018660	CMS
Janssen Biotech, Inc.	$19.79	04/17/2025	Food and Beverage	No dispute reported	06/30/2026	1174936234	CMS
Genentech USA, Inc.	$22.14	04/14/2025	Food and Beverage	No dispute reported	06/30/2026	1211667812	CMS
Immunocore Limited	$16.71	04/08/2025	Food and Beverage	No dispute reported	06/30/2026	1235825166	CMS
PFIZER INC.	$17.23	04/03/2025	Food and Beverage	No dispute reported	06/30/2026	1228999496	CMS
AstraZeneca Pharmaceuticals LP	$20.24	03/31/2025	Food and Beverage	No dispute reported	06/30/2026	1207193679	CMS
PharmaEssentia USA Corporation	$15.07	03/28/2025	Food and Beverage	No dispute reported	06/30/2026	1246833602	CMS
Janssen Biotech, Inc.	$27.07	03/25/2025	Food and Beverage	No dispute reported	06/30/2026	1174936204	CMS
PFIZER INC.	$2.58	03/24/2025	Food and Beverage	No dispute reported	06/30/2026	1231440902	CMS
PFIZER INC.	$21.64	03/24/2025	Food and Beverage	No dispute reported	06/30/2026	1231446885	CMS
TAIHO ONCOLOGY, INC.	$23.33	03/20/2025	Food and Beverage	No dispute reported	06/30/2026	1211407699	CMS
Astellas Pharma US Inc	$23.45	03/11/2025	Food and Beverage	No dispute reported	06/30/2026	1238764802	CMS
PFIZER INC.	$16.13	03/10/2025	Food and Beverage	No dispute reported	06/30/2026	1231631671	CMS
Daiichi Sankyo Inc.	$22.74	03/08/2025	Food and Beverage	No dispute reported	06/30/2026	1197052725	CMS
Celgene Corporation	$19.41	03/06/2025	Food and Beverage	No dispute reported	06/30/2026	1184386681	CMS
Deciphera Pharmaceuticals Inc.	$16.57	03/05/2025	Food and Beverage	No dispute reported	06/30/2026	1235963856	CMS
Exelixis Inc.	$17.68	02/28/2025	Food and Beverage	No dispute reported	06/30/2026	1218823534	CMS
PFIZER INC.	$15.67	02/26/2025	Food and Beverage	No dispute reported	06/30/2026	1231623166	CMS
AstraZeneca Pharmaceuticals LP	$19.19	02/21/2025	Food and Beverage	No dispute reported	06/30/2026	1206237225	CMS
ABBVIE INC.	$23.57	02/19/2025	Food and Beverage	No dispute reported	06/30/2026	1205283282	CMS
AstraZeneca Pharmaceuticals LP	$14.26	02/14/2025	Food and Beverage	No dispute reported	06/30/2026	1206238473	CMS
PFIZER INC.	$16.59	02/12/2025	Food and Beverage	No dispute reported	06/30/2026	1231643754	CMS
PFIZER INC.	$3.44	02/11/2025	Food and Beverage	No dispute reported	06/30/2026	1231558960	CMS
AstraZeneca Pharmaceuticals LP	$19.47	02/08/2025	Food and Beverage	No dispute reported	06/30/2026	1206879267	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$16.09	01/28/2025	Food and Beverage	No dispute reported	06/30/2026	1223981437	CMS
Incyte Corporation	$21.62	01/27/2025	Food and Beverage	No dispute reported	06/30/2026	1225980938	CMS
Spectrum Pharmaceuticals Inc.	$17.49	01/24/2025	Food and Beverage	No dispute reported	06/30/2026	1221050906	CMS
Daiichi Sankyo Inc.	$25.00	01/23/2025	Food and Beverage	No dispute reported	06/30/2026	1197069037	CMS
Astellas Pharma US Inc	$16.84	01/22/2025	Food and Beverage	No dispute reported	06/30/2026	1238730662	CMS
Legend Biotech USA Inc.	$19.08	01/20/2025	Food and Beverage	No dispute reported	06/30/2026	1236482944	CMS
E.R. Squibb & Sons, L.L.C.	$18.30	01/17/2025	Food and Beverage	No dispute reported	06/30/2026	1184386659	CMS
Pharmacosmos Therapeutics Inc.	$15.85	01/16/2025	Food and Beverage	No dispute reported	06/30/2026	1250740334	CMS
Lilly USA, LLC	$22.80	01/14/2025	Food and Beverage	No dispute reported	06/30/2026	1187235988	CMS
Celgene Corporation	$17.32	01/13/2025	Food and Beverage	No dispute reported	06/30/2026	1184386677	CMS
Eisai Inc.	$17.76	01/09/2025	Food and Beverage	No dispute reported	06/30/2026	1244549998	CMS

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: 2022, 2023, 2024, 2025
Source files: Dataset page · Bulk file · PY2022 , PY2023 , PY2024 , 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.

Permalink https://industrypayments.org/provider/npi-1821663121

Plain: SARAH GRACE PAGELER, NPI 1821663121. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1821663121.
APA 7: IndustryPayments. (2026). SARAH GRACE PAGELER, NPI 1821663121 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1821663121
Bluebook: SARAH GRACE PAGELER, NPI 1821663121, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1821663121.

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