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

KRISTI JO METZGER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1861838500
CMS profile
356829
Location
SIOUX FALLS, SD

General Payments · PY2021–2024

$2,953.21

  • Reported across 146 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,548.07

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
Travel and Lodging $963.88 6
Food and Beverage $584.19 17

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $520.92 45
PY2022 $476.62 43
PY2023 $407.60 35
PY2024 $1,548.07 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
ABIOMED $31.59 10/22/2024 Food and Beverage Undisputed 01/23/2026 1142284825 CMS
Actelion Pharmaceuticals US, Inc. $149.87 03/07/2024 Food and Beverage Undisputed 01/23/2026 1078912639 CMS
Amgen Inc. $16.38 09/16/2024 Food and Beverage Undisputed 01/23/2026 1117327511 CMS
AstraZeneca Pharmaceuticals LP $13.76 11/20/2024 Food and Beverage Undisputed 01/23/2026 1105490795 CMS
Daiichi Sankyo Inc. $19.55 11/22/2024 Food and Beverage Undisputed 01/23/2026 1089456738 CMS
E.R. Squibb & Sons, L.L.C. $13.08 11/15/2024 Food and Beverage Undisputed 01/23/2026 1101526445 CMS
Janssen Pharmaceuticals, Inc $10.58 01/08/2024 Food and Beverage Undisputed 01/23/2026 1078180493 CMS
Janssen Pharmaceuticals, Inc $9.54 01/22/2024 Food and Beverage Undisputed 01/23/2026 1078180465 CMS
Janssen Pharmaceuticals, Inc $13.49 03/04/2024 Food and Beverage Undisputed 01/23/2026 1078180369 CMS
Janssen Pharmaceuticals, Inc $11.37 04/01/2024 Food and Beverage Undisputed 01/23/2026 1078180653 CMS
Kiniksa Pharmaceuticals International, plc $33.58 10/04/2024 Food and Beverage Undisputed 01/23/2026 1154877984 CMS
Medtronic, Inc. $635.15 09/19/2024 Travel and Lodging Undisputed 01/23/2026 1117001940 CMS
Medtronic, Inc. $14.61 09/21/2024 Food and Beverage Undisputed 01/23/2026 1117001956 CMS
Medtronic, Inc. $170.00 09/29/2024 Travel and Lodging Undisputed 01/23/2026 1117001952 CMS
Medtronic, Inc. $25.54 09/29/2024 Travel and Lodging Undisputed 01/23/2026 1117001954 CMS
Medtronic, Inc. $46.61 09/30/2024 Travel and Lodging Undisputed 01/23/2026 1117001942 CMS
Medtronic, Inc. $45.77 09/30/2024 Food and Beverage Undisputed 01/23/2026 1117001948 CMS
Medtronic, Inc. $44.56 09/30/2024 Food and Beverage Undisputed 01/23/2026 1117001950 CMS
Medtronic, Inc. $119.30 09/30/2024 Food and Beverage Undisputed 01/23/2026 1117001958 CMS
Medtronic, Inc. $43.29 10/01/2024 Travel and Lodging Undisputed 01/23/2026 1117001944 CMS
Medtronic, Inc. $43.29 10/01/2024 Travel and Lodging Undisputed 01/23/2026 1117001946 CMS
Regeneron Healthcare Solutions, Inc. $16.84 07/29/2024 Food and Beverage Undisputed 01/23/2026 1114343068 CMS
SCPHARMACEUTICALS INC. $20.32 07/15/2024 Food and Beverage Undisputed 01/23/2026 1132287083 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

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.