Covered recipient · General Payments record

THOMAS M SILER

Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

NPI: 1881633931
CMS profile: 84851
Location: SAINT CHARLES, MO

General Payments · PY2018–2024

$168,265.42

Reported across 747 records
CMS publication 2026-01-23

Latest program year · PY2024

$3,275.16

74 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 payment	Amount	Records
Food and Beverage	$2,230.17	72
Consulting Fee	$990.00	1
Education	$54.99	1

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
GlaxoSmithKline, LLC.	$1,230.65	17
GENZYME CORPORATION	$354.51	6
CHIESI USA, INC.	$334.76	2
HARMONY BIOSCIENCES LLC	$297.40	7
Regeneron Healthcare Solutions, Inc.	$244.23	9
Acerta Pharma LLC	$220.41	13
Avadel CNS Pharmaceuticals, LLC	$115.49	6
Inspire Medical Systems, Inc.	$115.44	2
AstraZeneca UK Limited	$112.90	1
Amgen Inc.	$59.52	3
JAZZ PHARMACEUTICALS INC.	$54.13	2
Grifols USA, LLC	$47.08	2
Itamar Medical Inc	$34.52	1
Axsome Therapeutics, Inc.	$33.45	2
Insmed, Inc.	$20.67	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$25,730.08	142
PY2019	$80,784.86	218
PY2020	$22,999.05	114
PY2021	$13,871.21	74
PY2022	$4,208.01	55
PY2023	$17,397.05	70
PY2024	$3,275.16	74

Payment records · PY2024 (74)

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

Program year 2024 2018 2019 2020 2021 2022 2023 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
Amgen Inc.	$18.83	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1116126010	CMS
Amgen Inc.	$22.61	08/30/2024	Food and Beverage	Undisputed	01/23/2026	1116126017	CMS
Amgen Inc.	$18.08	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1116126023	CMS
AstraZeneca Pharmaceuticals LP	$16.35	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1110543217	CMS
AstraZeneca Pharmaceuticals LP	$15.72	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1110550278	CMS
AstraZeneca Pharmaceuticals LP	$8.55	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1110532281	CMS
AstraZeneca Pharmaceuticals LP	$13.43	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1110537072	CMS
AstraZeneca Pharmaceuticals LP	$20.58	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1110551036	CMS
AstraZeneca Pharmaceuticals LP	$19.34	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1110553770	CMS
AstraZeneca Pharmaceuticals LP	$15.62	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1110546941	CMS
AstraZeneca Pharmaceuticals LP	$16.52	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1110543093	CMS
AstraZeneca Pharmaceuticals LP	$17.41	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1110539749	CMS
AstraZeneca Pharmaceuticals LP	$19.57	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1110542851	CMS
AstraZeneca Pharmaceuticals LP	$16.76	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1110531109	CMS
AstraZeneca Pharmaceuticals LP	$20.95	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1110531429	CMS
AstraZeneca Pharmaceuticals LP	$19.61	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1110542043	CMS
AstraZeneca UK Limited	$112.90	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1110546813	CMS
Avadel CNS Pharmaceuticals, LLC	$27.40	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1123388188	CMS
Avadel CNS Pharmaceuticals, LLC	$13.35	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1123388190	CMS
Avadel CNS Pharmaceuticals, LLC	$17.40	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1123388192	CMS
Avadel CNS Pharmaceuticals, LLC	$26.26	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1123388194	CMS
Avadel CNS Pharmaceuticals, LLC	$15.64	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1123388196	CMS
Avadel CNS Pharmaceuticals, LLC	$15.44	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1123388198	CMS
Axsome Therapeutics, Inc.	$15.01	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1148325069	CMS
Axsome Therapeutics, Inc.	$18.44	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1148325071	CMS
Chiesi USA, Inc.	$156.81	05/19/2024	Food and Beverage	Undisputed	01/23/2026	1151821075	CMS
Chiesi USA, Inc.	$177.95	05/19/2024	Food and Beverage	Undisputed	01/23/2026	1151821080	CMS
GENZYME CORPORATION	$31.41	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1139600356	CMS
GENZYME CORPORATION	$19.73	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1139600368	CMS
GENZYME CORPORATION	$98.81	10/06/2024	Food and Beverage	Undisputed	01/23/2026	1139600430	CMS
GENZYME CORPORATION	$28.85	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1139600398	CMS
GENZYME CORPORATION	$150.00	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1139600414	CMS
GENZYME CORPORATION	$25.71	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1139600412	CMS
GlaxoSmithKline, LLC.	$13.24	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1116324374	CMS
GlaxoSmithKline, LLC.	$21.73	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1115855575	CMS
GlaxoSmithKline, LLC.	$19.08	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1116191346	CMS
GlaxoSmithKline, LLC.	$990.00	03/06/2024	Consulting Fee	Undisputed	01/23/2026	1116644776	CMS
GlaxoSmithKline, LLC.	$15.38	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1116482239	CMS
GlaxoSmithKline, LLC.	$13.17	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1116399090	CMS
GlaxoSmithKline, LLC.	$15.89	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1116185785	CMS
GlaxoSmithKline, LLC.	$12.03	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1116550835	CMS
GlaxoSmithKline, LLC.	$15.73	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1116686437	CMS
GlaxoSmithKline, LLC.	$16.58	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1116416309	CMS
GlaxoSmithKline, LLC.	$14.51	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1116573618	CMS
GlaxoSmithKline, LLC.	$13.83	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1116370649	CMS
GlaxoSmithKline, LLC.	$17.84	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1116398090	CMS
GlaxoSmithKline, LLC.	$8.83	10/26/2024	Food and Beverage	Undisputed	01/23/2026	1116138316	CMS
GlaxoSmithKline, LLC.	$16.58	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1116029549	CMS
GlaxoSmithKline, LLC.	$12.48	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1116643536	CMS
GlaxoSmithKline, LLC.	$13.75	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1116261743	CMS
Grifols USA, LLC	$24.45	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1124721285	CMS
Grifols USA, LLC	$22.63	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1124721287	CMS
HARMONY BIOSCIENCES LLC	$37.24	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1126076335	CMS
HARMONY BIOSCIENCES LLC	$39.64	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1126076322	CMS
HARMONY BIOSCIENCES LLC	$38.25	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1126076327	CMS
HARMONY BIOSCIENCES LLC	$41.43	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1126076318	CMS
HARMONY BIOSCIENCES LLC	$37.32	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1126076331	CMS
HARMONY BIOSCIENCES LLC	$54.99	08/15/2024	Education	Undisputed	01/23/2026	1126076310	CMS
HARMONY BIOSCIENCES LLC	$48.53	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1126076314	CMS
Insmed, Inc.	$20.67	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1089565307	CMS
Inspire Medical Systems, Inc.	$85.83	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1148111571	CMS
Inspire Medical Systems, Inc.	$29.61	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1148111575	CMS
Itamar Medical Inc	$34.52	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1154006887	CMS
JAZZ PHARMACEUTICALS INC.	$27.61	04/01/2024	Food and Beverage	Undisputed	01/23/2026	1150236458	CMS
JAZZ PHARMACEUTICALS INC.	$26.52	10/11/2024	Food and Beverage	Undisputed	01/23/2026	1150236456	CMS
Regeneron Healthcare Solutions, Inc.	$25.36	01/20/2024	Food and Beverage	Undisputed	01/23/2026	1114173273	CMS
Regeneron Healthcare Solutions, Inc.	$27.46	02/17/2024	Food and Beverage	Undisputed	01/23/2026	1114173277	CMS
Regeneron Healthcare Solutions, Inc.	$24.16	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1114173281	CMS
Regeneron Healthcare Solutions, Inc.	$2.06	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1114173286	CMS
Regeneron Healthcare Solutions, Inc.	$15.28	04/27/2024	Food and Beverage	Undisputed	01/23/2026	1114173290	CMS
Regeneron Healthcare Solutions, Inc.	$39.65	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1114173294	CMS
Regeneron Healthcare Solutions, Inc.	$37.62	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1114173298	CMS
Regeneron Healthcare Solutions, Inc.	$37.62	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1114173303	CMS
Regeneron Healthcare Solutions, Inc.	$35.02	12/13/2024	Food and Beverage	Undisputed	01/23/2026	1114173307	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, 2020, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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