Covered recipient · General Payments record
KARLY LYN TWINING
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner
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 · PY2025 · Entire year
$1,595.53
70 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.
- 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
PY2025 · entire year · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $1,595.53 | 70 |
By paying entity
PY2025 · entire year · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Sumitomo Pharma America, Inc. | $201.99 | 11 |
| Teleflex LLC | $196.44 | 6 |
| Janssen Biotech, Inc. | $174.57 | 10 |
| PFIZER INC. | $169.85 | 8 |
| Medtronic, Inc. | $163.91 | 4 |
| Myriad Genetic Laboratories, Inc. | $94.91 | 4 |
| Astellas Pharma US Inc | $86.45 | 4 |
| Merck Sharp & Dohme LLC | $62.66 | 2 |
| TOLMAR, INC. | $56.46 | 3 |
| SRS Medical Systems, Inc. | $43.06 | 1 |
| Antares Pharma, Inc. | $39.92 | 2 |
| AstraZeneca Pharmaceuticals LP | $36.77 | 2 |
| Endo USA, Inc. | $34.24 | 2 |
| ACCORD HEALTHCARE, INC. | $33.85 | 2 |
| AVYXA PHARMA, LLC | $28.38 | 1 |
| Dendreon Pharmaceuticals LLC | $28.03 | 1 |
| Organon LLC | $26.67 | 1 |
| ABBVIE INC. | $23.20 | 1 |
| Bayer Healthcare Pharmaceuticals Inc. | $22.65 | 1 |
| Olympus America Inc. | $21.21 | 1 |
| COLOPLAST CORP | $19.57 | 1 |
| Laborie Medical Technologies Corp. | $16.74 | 1 |
| Alnylam Pharmaceuticals Inc. | $14.00 | 1 |
Page 1 of 2; records 1–50 of 70 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.
IndustryPayments · General Payments
KARLY LYN TWINING
NPI 1861270860 · CMS profile ID 11502673
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner
SAGINAW, MI
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.
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.
General Payments, PY2025; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types
Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00
Page 1 of 2; records 1–50 of 70 matching records. This page contains 50 records (maximum 50), not the full filtered export.
Filtered page: https://industrypayments.org/provider/npi-1861270860?year=2025&recipient=provider#records-h
CMS source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e
Cite these filtered records
The citation includes this program year, filters, data edition, and page of results.
- Plain
- KARLY LYN TWINING, NPI 1861270860, CMS profile ID 11502673. General Payments, PY2025; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 70 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1861270860?year=2025&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e.
- APA 7
- IndustryPayments. (2026). KARLY LYN TWINING, NPI 1861270860, CMS profile ID 11502673. General Payments, PY2025; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 70 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1861270860?year=2025&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e.
- Bluebook
- KARLY LYN TWINING, NPI 1861270860, CMS profile ID 11502673, IndustryPayments, General Payments, PY2025; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 2; records 1–50 of 70 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e. https://industrypayments.org/provider/npi-1861270860?year=2025&recipient=provider#records-h.
Centers for Medicare & Medicaid Services, Open Payments
Citation formats are provided for reference; check the requirements of your publication.
Payment records · PY2025
Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them
General Payments · PY2025 · Physicians and non-physician practitioners · CMS publication 2026-06-30
70 matching records · $1,595.53 reported total · 0 disputed
Nature of payment: All payment types
Records imported here (UTC).
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 70.
| Paying entity | Amount | Date | Nature of payment | Dispute status | Publication flags | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|---|
| Janssen Biotech, Inc. | $17.92 | 12/30/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1174864774 | CMS |
| Teleflex LLC | $24.93 | 12/20/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1242469422 | CMS |
| AVYXA PHARMA, LLC | $28.38 | 12/12/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1240100841 | CMS |
| PFIZER INC. | $24.43 | 12/11/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1230127938 | CMS |
| ACCORD HEALTHCARE, INC. | $15.38 | 12/09/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1248740950 | CMS |
| Sumitomo Pharma America, Inc. | $23.94 | 12/04/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1176808405 | CMS |
| Bayer Healthcare Pharmaceuticals Inc. | $22.65 | 12/02/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1225864517 | CMS |
| Janssen Biotech, Inc. | $17.62 | 11/25/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1174864764 | CMS |
| TOLMAR, INC. | $22.05 | 11/21/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1237011552 | CMS |
| Teleflex LLC | $28.30 | 11/21/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1242469420 | CMS |
| Astellas Pharma US Inc | $22.33 | 11/20/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1238748668 | CMS |
| Endo USA, Inc. | $14.84 | 11/17/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1201231798 | CMS |
| ACCORD HEALTHCARE, INC. | $18.47 | 11/06/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1248739056 | CMS |
| Organon LLC | $26.67 | 11/04/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1237786916 | CMS |
| Sumitomo Pharma America, Inc. | $25.43 | 10/09/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1176808403 | CMS |
| Astellas Pharma US Inc | $23.44 | 10/02/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1238748708 | CMS |
| Janssen Biotech, Inc. | $16.14 | 09/19/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1174865210 | CMS |
| Merck Sharp & Dohme LLC | $29.23 | 09/16/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1238357703 | CMS |
| Sumitomo Pharma America, Inc. | $23.71 | 09/09/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1176808401 | CMS |
| Medtronic, Inc. | $36.64 | 08/27/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1220060468 | CMS |
| Janssen Biotech, Inc. | $17.69 | 07/22/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1174864568 | CMS |
| PFIZER INC. | $23.59 | 07/20/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1229401200 | CMS |
| PFIZER INC. | $20.12 | 07/17/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1229401205 | CMS |
| Sumitomo Pharma America, Inc. | $24.04 | 07/15/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1176808399 | CMS |
| Janssen Biotech, Inc. | $6.49 | 07/01/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1174864507 | CMS |
| Teleflex LLC | $23.21 | 06/19/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1242469418 | CMS |
| Sumitomo Pharma America, Inc. | $1.59 | 06/13/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1176808395 | CMS |
| Sumitomo Pharma America, Inc. | $18.58 | 06/13/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1176808397 | CMS |
| PFIZER INC. | $21.58 | 06/12/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1229401211 | CMS |
| Medtronic, Inc. | $19.25 | 06/11/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1220060464 | CMS |
| Medtronic, Inc. | $82.71 | 06/11/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1220060466 | CMS |
| Antares Pharma, Inc. | $14.50 | 06/10/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1235915996 | CMS |
| PFIZER INC. | $21.53 | 06/05/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1229285841 | CMS |
| Sumitomo Pharma America, Inc. | $15.68 | 06/03/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1176808391 | CMS |
| Sumitomo Pharma America, Inc. | $1.00 | 06/03/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1176808393 | CMS |
| TOLMAR, INC. | $18.37 | 05/29/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1237011430 | CMS |
| COLOPLAST CORP | $19.57 | 05/22/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1226957928 | CMS |
| ABBVIE INC. | $23.20 | 05/20/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1203877890 | CMS |
| Astellas Pharma US Inc | $18.34 | 05/14/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1238748732 | CMS |
| Teleflex LLC | $9.88 | 05/13/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1242469416 | CMS |
| Merck Sharp & Dohme LLC | $33.43 | 05/12/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1238265456 | CMS |
| Antares Pharma, Inc. | $25.42 | 05/07/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1235915994 | CMS |
| Myriad Genetic Laboratories, Inc. | $23.02 | 05/06/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1245418844 | CMS |
| AstraZeneca Pharmaceuticals LP | $15.35 | 05/01/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1206572052 | CMS |
| Janssen Biotech, Inc. | $22.20 | 04/30/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1174864004 | CMS |
| SRS Medical Systems, Inc. | $43.06 | 04/30/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1250428148 | CMS |
| PFIZER INC. | $18.99 | 04/25/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1228905249 | CMS |
| Sumitomo Pharma America, Inc. | $23.20 | 04/23/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1176808389 | CMS |
| Sumitomo Pharma America, Inc. | $21.16 | 04/22/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1176808387 | CMS |
| Janssen Biotech, Inc. | $17.73 | 04/14/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1174865377 | CMS |
By program year
All program years on this page · sorted by year
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
- 2024, 2025
Source files and profile matching
- Source files
- Dataset page · Bulk file · 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.