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

RACHEL M DECOSTER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1871902957
CMS profile
11041833
Location
WINCHESTER, KY

General Payments · PY2021–2024

$4,492.77

  • Reported across 303 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,356.99

96 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 $1,356.99 96

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $957.11 57
PY2022 $803.70 52
PY2023 $1,374.97 98
PY2024 $1,356.99 96

Payment records · PY2024 (96)

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
Abbott Laboratories $14.41 09/19/2024 Food and Beverage Undisputed 01/23/2026 1125316695 CMS
Abbott Laboratories $16.92 10/01/2024 Food and Beverage Undisputed 01/23/2026 1125316697 CMS
ABBVIE INC. $5.64 01/05/2024 Food and Beverage Undisputed 01/23/2026 1107003262 CMS
ABBVIE INC. $14.21 01/22/2024 Food and Beverage Undisputed 01/23/2026 1107003264 CMS
ABBVIE INC. $20.43 01/23/2024 Food and Beverage Undisputed 01/23/2026 1107003266 CMS
ABBVIE INC. $2.50 02/01/2024 Food and Beverage Undisputed 01/23/2026 1107003268 CMS
ABBVIE INC. $5.74 02/05/2024 Food and Beverage Undisputed 01/23/2026 1107003270 CMS
ABBVIE INC. $4.80 02/16/2024 Food and Beverage Undisputed 01/23/2026 1107003272 CMS
ABBVIE INC. $6.02 02/19/2024 Food and Beverage Undisputed 01/23/2026 1107003274 CMS
ABBVIE INC. $9.59 02/28/2024 Food and Beverage Undisputed 01/23/2026 1107003276 CMS
ABBVIE INC. $6.25 03/05/2024 Food and Beverage Undisputed 01/23/2026 1107003278 CMS
ABBVIE INC. $11.48 03/08/2024 Food and Beverage Undisputed 01/23/2026 1107003280 CMS
ABBVIE INC. $9.78 03/26/2024 Food and Beverage Undisputed 01/23/2026 1107003282 CMS
ABBVIE INC. $18.72 04/15/2024 Food and Beverage Undisputed 01/23/2026 1107003284 CMS
ABBVIE INC. $7.57 04/22/2024 Food and Beverage Undisputed 01/23/2026 1107003286 CMS
ABBVIE INC. $4.68 04/29/2024 Food and Beverage Undisputed 01/23/2026 1107003288 CMS
ABBVIE INC. $12.63 05/10/2024 Food and Beverage Undisputed 01/23/2026 1107003290 CMS
ABBVIE INC. $6.62 05/13/2024 Food and Beverage Undisputed 01/23/2026 1107003292 CMS
ABBVIE INC. $8.20 05/20/2024 Food and Beverage Undisputed 01/23/2026 1107003294 CMS
ABBVIE INC. $15.81 05/28/2024 Food and Beverage Undisputed 01/23/2026 1107003296 CMS
ABBVIE INC. $10.59 05/28/2024 Food and Beverage Undisputed 01/23/2026 1107003298 CMS
ABBVIE INC. $6.74 05/30/2024 Food and Beverage Undisputed 01/23/2026 1107003300 CMS
ABBVIE INC. $7.31 06/05/2024 Food and Beverage Undisputed 01/23/2026 1107003302 CMS
ABBVIE INC. $25.41 06/06/2024 Food and Beverage Undisputed 01/23/2026 1107003304 CMS
ABBVIE INC. $12.15 06/10/2024 Food and Beverage Undisputed 01/23/2026 1107003306 CMS
ABBVIE INC. $19.08 06/24/2024 Food and Beverage Undisputed 01/23/2026 1107003308 CMS
ABBVIE INC. $31.72 07/01/2024 Food and Beverage Undisputed 01/23/2026 1107003310 CMS
ABBVIE INC. $20.10 07/01/2024 Food and Beverage Undisputed 01/23/2026 1107003312 CMS
ABBVIE INC. $13.96 07/02/2024 Food and Beverage Undisputed 01/23/2026 1107003314 CMS
ABBVIE INC. $5.17 07/08/2024 Food and Beverage Undisputed 01/23/2026 1107003316 CMS
ABBVIE INC. $4.26 08/01/2024 Food and Beverage Undisputed 01/23/2026 1107003318 CMS
ABBVIE INC. $7.17 08/03/2024 Food and Beverage Undisputed 01/23/2026 1107003320 CMS
ABBVIE INC. $20.99 08/06/2024 Food and Beverage Undisputed 01/23/2026 1107003322 CMS
ABBVIE INC. $21.46 08/15/2024 Food and Beverage Undisputed 01/23/2026 1107003324 CMS
ABBVIE INC. $12.82 09/03/2024 Food and Beverage Undisputed 01/23/2026 1107003326 CMS
ABBVIE INC. $25.98 09/10/2024 Food and Beverage Undisputed 01/23/2026 1107003328 CMS
ABBVIE INC. $7.34 09/23/2024 Food and Beverage Undisputed 01/23/2026 1107003330 CMS
ABBVIE INC. $14.27 09/26/2024 Food and Beverage Undisputed 01/23/2026 1107003332 CMS
ABBVIE INC. $5.13 10/08/2024 Food and Beverage Undisputed 01/23/2026 1107003334 CMS
ABBVIE INC. $3.65 10/15/2024 Food and Beverage Undisputed 01/23/2026 1107003336 CMS
ABBVIE INC. $2.92 10/28/2024 Food and Beverage Undisputed 01/23/2026 1107003338 CMS
ABBVIE INC. $23.03 11/01/2024 Food and Beverage Undisputed 01/23/2026 1107003340 CMS
ABBVIE INC. $17.42 11/01/2024 Food and Beverage Undisputed 01/23/2026 1107003342 CMS
ABBVIE INC. $13.01 11/01/2024 Food and Beverage Undisputed 01/23/2026 1107003344 CMS
ABBVIE INC. $5.30 11/04/2024 Food and Beverage Undisputed 01/23/2026 1107003346 CMS
ABBVIE INC. $14.50 11/18/2024 Food and Beverage Undisputed 01/23/2026 1107003348 CMS
ABBVIE INC. $5.62 12/12/2024 Food and Beverage Undisputed 01/23/2026 1107003350 CMS
Astellas Pharma US Inc $16.83 02/07/2024 Food and Beverage Undisputed 01/23/2026 1139477514 CMS
Astellas Pharma US Inc $17.43 04/22/2024 Food and Beverage Undisputed 01/23/2026 1139496298 CMS
AstraZeneca Pharmaceuticals LP $14.73 03/01/2024 Food and Beverage Undisputed 01/23/2026 1104248057 CMS
AstraZeneca Pharmaceuticals LP $20.35 03/29/2024 Food and Beverage Undisputed 01/23/2026 1104669201 CMS
AstraZeneca Pharmaceuticals LP $14.01 06/14/2024 Food and Beverage Undisputed 01/23/2026 1105732915 CMS
Axsome Therapeutics, Inc. $24.12 02/09/2024 Food and Beverage Undisputed 01/23/2026 1148401341 CMS
Axsome Therapeutics, Inc. $24.05 04/27/2024 Food and Beverage Undisputed 01/23/2026 1148401343 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.08 08/08/2024 Food and Beverage Undisputed 01/23/2026 1086345905 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.75 09/10/2024 Food and Beverage Undisputed 01/23/2026 1086355310 CMS
Bayer Healthcare Pharmaceuticals Inc. $16.13 10/10/2024 Food and Beverage Undisputed 01/23/2026 1086332607 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.32 03/14/2024 Food and Beverage Undisputed 01/23/2026 1118206210 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.21 05/09/2024 Food and Beverage Undisputed 01/23/2026 1118206202 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.11 10/15/2024 Food and Beverage Undisputed 01/23/2026 1118206206 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.13 11/07/2024 Food and Beverage Undisputed 01/23/2026 1118206214 CMS
Exact Sciences Corporation $13.67 11/26/2024 Food and Beverage Undisputed 01/23/2026 1114516480 CMS
GlaxoSmithKline, LLC. $18.14 02/02/2024 Food and Beverage Undisputed 01/23/2026 1116572105 CMS
GlaxoSmithKline, LLC. $16.40 02/19/2024 Food and Beverage Undisputed 01/23/2026 1116547513 CMS
GlaxoSmithKline, LLC. $22.95 07/09/2024 Food and Beverage Undisputed 01/23/2026 1116432205 CMS
Lilly USA, LLC $18.74 05/24/2024 Food and Beverage Undisputed 01/23/2026 1135923136 CMS
Lilly USA, LLC $17.84 08/22/2024 Food and Beverage Undisputed 01/23/2026 1135899374 CMS
Novartis Pharmaceuticals Corporation $15.68 01/08/2024 Food and Beverage Undisputed 01/23/2026 1086789623 CMS
Novartis Pharmaceuticals Corporation $13.87 03/04/2024 Food and Beverage Undisputed 01/23/2026 1086789629 CMS
Novartis Pharmaceuticals Corporation $13.45 04/29/2024 Food and Beverage Undisputed 01/23/2026 1086789635 CMS
Novartis Pharmaceuticals Corporation $19.82 10/24/2024 Food and Beverage Undisputed 01/23/2026 1086789655 CMS
Novo Nordisk Inc $18.89 02/13/2024 Food and Beverage Undisputed 01/23/2026 1100508055 CMS
Novo Nordisk Inc $15.79 04/22/2024 Food and Beverage Undisputed 01/23/2026 1100368393 CMS
Novo Nordisk Inc $14.62 09/12/2024 Food and Beverage Undisputed 01/23/2026 1100243555 CMS
Novo Nordisk Inc $17.06 10/22/2024 Food and Beverage Undisputed 01/23/2026 1100583324 CMS
PFIZER INC. $13.02 01/24/2024 Food and Beverage Undisputed 01/23/2026 1131572237 CMS
PFIZER INC. $11.42 02/12/2024 Food and Beverage Undisputed 01/23/2026 1131545533 CMS
PFIZER INC. $16.96 02/27/2024 Food and Beverage Undisputed 01/23/2026 1131135953 CMS
PFIZER INC. $16.55 03/11/2024 Food and Beverage Undisputed 01/23/2026 1131135958 CMS
PFIZER INC. $11.49 03/26/2024 Food and Beverage Undisputed 01/23/2026 1131662688 CMS
PFIZER INC. $17.14 04/09/2024 Food and Beverage Undisputed 01/23/2026 1131385123 CMS
PFIZER INC. $15.90 05/02/2024 Food and Beverage Undisputed 01/23/2026 1131346801 CMS
PFIZER INC. $17.23 05/14/2024 Food and Beverage Undisputed 01/23/2026 1131507557 CMS
PFIZER INC. $17.23 06/18/2024 Food and Beverage Undisputed 01/23/2026 1131679309 CMS
PFIZER INC. $11.76 07/18/2024 Food and Beverage Undisputed 01/23/2026 1131774503 CMS
PFIZER INC. $19.73 07/24/2024 Food and Beverage Undisputed 01/23/2026 1131762618 CMS
PFIZER INC. $17.10 08/20/2024 Food and Beverage Undisputed 01/23/2026 1131843200 CMS
PFIZER INC. $16.57 08/29/2024 Food and Beverage Undisputed 01/23/2026 1131849941 CMS
PFIZER INC. $10.34 10/01/2024 Food and Beverage Undisputed 01/23/2026 1132096569 CMS
PFIZER INC. $10.07 11/12/2024 Food and Beverage Undisputed 01/23/2026 1131153081 CMS
PFIZER INC. $10.09 11/13/2024 Food and Beverage Undisputed 01/23/2026 1130990697 CMS
PFIZER INC. $9.83 12/03/2024 Food and Beverage Undisputed 01/23/2026 1131211547 CMS
PFIZER INC. $16.43 12/17/2024 Food and Beverage Undisputed 01/23/2026 1131406075 CMS
Phathom Pharmaceuticals, Inc. $16.73 05/21/2024 Food and Beverage Undisputed 01/23/2026 1151159848 CMS
SANOFI-AVENTIS U.S. LLC $19.24 12/05/2024 Food and Beverage Undisputed 01/23/2026 1139850990 CMS
Xeris Pharmaceuticals, Inc. $23.89 01/29/2024 Food and Beverage Undisputed 01/23/2026 1144636870 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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