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

MELISSA HORNSBY SMALLWOOD

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1831627389
CMS profile
10910020
Location
LEXINGTON, KY

General Payments · PY2021–2024

$2,469.66

  • Reported across 139 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$423.00

23 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 paymentAmountRecords
Food and Beverage $423.00 23

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $654.12 48
PY2022 $621.31 24
PY2023 $771.23 44
PY2024 $423.00 23

Payment records · PY2024 (23)

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

Program year 2024 202120222023 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. $22.84 01/26/2024 Food and Beverage Undisputed 01/23/2026 1108212958 CMS
ABBVIE INC. $25.84 03/15/2024 Food and Beverage Undisputed 01/23/2026 1108212960 CMS
ABBVIE INC. $25.07 04/01/2024 Food and Beverage Undisputed 01/23/2026 1108212962 CMS
ABBVIE INC. $22.49 05/10/2024 Food and Beverage Undisputed 01/23/2026 1108212964 CMS
ABBVIE INC. $26.26 07/26/2024 Food and Beverage Undisputed 01/23/2026 1108212966 CMS
AstraZeneca Pharmaceuticals LP $16.46 05/13/2024 Food and Beverage Undisputed 01/23/2026 1105599515 CMS
AstraZeneca Pharmaceuticals LP $25.51 05/31/2024 Food and Beverage Undisputed 01/23/2026 1104522248 CMS
AstraZeneca Pharmaceuticals LP $14.08 06/13/2024 Food and Beverage Undisputed 01/23/2026 1104607528 CMS
AstraZeneca Pharmaceuticals LP $15.21 07/12/2024 Food and Beverage Undisputed 01/23/2026 1104326528 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $13.80 04/05/2024 Food and Beverage Undisputed 01/23/2026 1118174175 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $13.29 05/20/2024 Food and Beverage Undisputed 01/23/2026 1118174173 CMS
Exact Sciences Corporation $14.36 01/23/2024 Food and Beverage Undisputed 01/23/2026 1114465483 CMS
Exact Sciences Corporation $13.21 03/14/2024 Food and Beverage Undisputed 01/23/2026 1114465491 CMS
Exact Sciences Corporation $16.10 05/28/2024 Food and Beverage Undisputed 01/23/2026 1114465497 CMS
Exact Sciences Corporation $13.72 06/14/2024 Food and Beverage Undisputed 01/23/2026 1114465503 CMS
Exact Sciences Corporation $13.60 08/20/2024 Food and Beverage Undisputed 01/23/2026 1114465509 CMS
Lilly USA, LLC $13.81 02/05/2024 Food and Beverage Undisputed 01/23/2026 1135789008 CMS
Lilly USA, LLC $17.12 05/15/2024 Food and Beverage Undisputed 01/23/2026 1135828376 CMS
Lilly USA, LLC $16.61 05/23/2024 Food and Beverage Undisputed 01/23/2026 1135789010 CMS
Novo Nordisk Inc $19.35 05/08/2024 Food and Beverage Undisputed 01/23/2026 1100329112 CMS
Otsuka America Pharmaceutical, Inc. $29.24 02/27/2024 Food and Beverage Undisputed 01/23/2026 1119187742 CMS
PFIZER INC. $14.79 09/24/2024 Food and Beverage Undisputed 01/23/2026 1131946762 CMS
Ultragenyx Pharmaceutical Inc. $20.24 01/31/2024 Food and Beverage Undisputed 01/23/2026 1153285604 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, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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