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

NADIA L TYMKOWYCH

Allopathic & Osteopathic Physicians Family Medicine

NPI
1831437235
CMS profile
1382776
Location
COUNCIL BLUFFS, IA

General Payments · PY2018–2019

$1,497.49

  • Reported across 92 records
  • CMS publication 2026-01-23

Latest program year · PY2019

$504.63

27 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

PY2019 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $504.63 27

By paying entity

PY2019 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $992.86 65
PY2019 $504.63 27

Payment records · PY2019 (27)

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

Program year 2019 2018 Record-level detail is published for PY2019; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Amgen Inc. $7.50 02/15/2019 Food and Beverage Undisputed 01/23/2026 662809683 CMS
Amgen Inc. $12.14 03/11/2019 Food and Beverage Undisputed 01/23/2026 662809685 CMS
Amgen Inc. $12.67 03/12/2019 Food and Beverage Undisputed 01/23/2026 662809691 CMS
Amgen Inc. $12.79 04/19/2019 Food and Beverage Undisputed 01/23/2026 662809695 CMS
Amgen Inc. $10.78 06/12/2019 Food and Beverage Undisputed 01/23/2026 662809697 CMS
Amgen Inc. $12.15 07/15/2019 Food and Beverage Undisputed 01/23/2026 662809701 CMS
Amgen Inc. $13.08 10/14/2019 Food and Beverage Undisputed 01/23/2026 662809705 CMS
Amgen Inc. $99.99 10/17/2019 Food and Beverage Undisputed 01/23/2026 662809689 CMS
Amgen Inc. $12.25 10/23/2019 Food and Beverage Undisputed 01/23/2026 662809679 CMS
AstraZeneca Pharmaceuticals LP $11.24 01/28/2019 Food and Beverage Undisputed 01/23/2026 685165911 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $12.10 11/22/2019 Food and Beverage Undisputed 01/23/2026 700271275 CMS
CSL Behring $22.84 03/27/2019 Food and Beverage Undisputed 01/23/2026 683872273 CMS
E.R. Squibb & Sons, L.L.C. $41.98 03/28/2019 Food and Beverage Undisputed 01/23/2026 651325453 CMS
E.R. Squibb & Sons, L.L.C. $4.54 06/10/2019 Food and Beverage Undisputed 01/23/2026 651325387 CMS
E.R. Squibb & Sons, L.L.C. $2.46 06/10/2019 Food and Beverage Undisputed 01/23/2026 651325389 CMS
E.R. Squibb & Sons, L.L.C. $3.59 06/21/2019 Food and Beverage Undisputed 01/23/2026 651325395 CMS
E.R. Squibb & Sons, L.L.C. $4.72 07/30/2019 Food and Beverage Undisputed 01/23/2026 651325405 CMS
E.R. Squibb & Sons, L.L.C. $6.15 09/04/2019 Food and Beverage Undisputed 01/23/2026 651325409 CMS
E.R. Squibb & Sons, L.L.C. $3.84 09/30/2019 Food and Beverage Undisputed 01/23/2026 651325421 CMS
E.R. Squibb & Sons, L.L.C. $85.45 10/14/2019 Food and Beverage Undisputed 01/23/2026 651325447 CMS
E.R. Squibb & Sons, L.L.C. $6.87 10/30/2019 Food and Beverage Undisputed 01/23/2026 651325431 CMS
E.R. Squibb & Sons, L.L.C. $1.18 10/30/2019 Food and Beverage Undisputed 01/23/2026 651325433 CMS
E.R. Squibb & Sons, L.L.C. $10.89 12/06/2019 Food and Beverage Undisputed 01/23/2026 651325439 CMS
Lilly USA, LLC $12.01 05/08/2019 Food and Beverage Undisputed 01/23/2026 658041535 CMS
Merck Sharp & Dohme Corporation $13.87 05/13/2019 Food and Beverage Undisputed 01/23/2026 695470377 CMS
SANOFI-AVENTIS U.S. LLC $15.40 07/19/2019 Food and Beverage Undisputed 01/23/2026 694087669 CMS
Smith+Nephew, Inc. $52.15 11/15/2019 Food and Beverage Undisputed 01/23/2026 699438199 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
2018, 2019
Source files
Dataset page · Bulk file · PY2018 , PY2019
Generated from
OP_DTL_GNRL_PGYR2019_P01232026_01102026.csv

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