Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Covered recipient · General Payments record

LOUANNA R WINKLER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

NPI
1891450136
CMS profile
11274045
Location
LEXINGTON, KY

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 · PY2023 · Entire year

$1,017.12

69 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

“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

PY2023 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,017.12 69

By paying entity

PY2023 · entire year · sorted by reported total

Page 1 of 2; records 1–50 of 69 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

LOUANNA R WINKLER

NPI 1891450136 · CMS profile ID 11274045

Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner / Psychiatric/Mental Health

LEXINGTON, KY

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, PY2023; 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 69 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1891450136?year=2023&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
LOUANNA R WINKLER, NPI 1891450136, CMS profile ID 11274045. General Payments, PY2023; 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 69 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1891450136?year=2023&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9.
APA 7
IndustryPayments. (2026). LOUANNA R WINKLER, NPI 1891450136, CMS profile ID 11274045. General Payments, PY2023; 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 69 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1891450136?year=2023&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9.
Bluebook
LOUANNA R WINKLER, NPI 1891450136, CMS profile ID 11274045, IndustryPayments, General Payments, PY2023; 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 69 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9. https://industrypayments.org/provider/npi-1891450136?year=2023&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 · PY2023

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

General Payments · PY2023 · Physicians and non-physician practitioners · CMS publication 2026-06-30

69 matching records · $1,017.12 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 69 matching records (CSV)

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 69.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Neurocrine Biosciences, Inc. $9.0012/20/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1051993471 CMS
Alkermes, Inc. $10.1512/12/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1022789445 CMS
Lundbeck LLC $12.7512/07/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1032463213 CMS
Lundbeck LLC $23.4212/06/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1032463205 CMS
Neurocrine Biosciences, Inc. $15.6411/29/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1051993457 CMS
Teva Pharmaceuticals USA, Inc. $19.2511/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1056864427 CMS
Neurocrine Biosciences, Inc. $13.9110/12/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1051993417 CMS
Neurocrine Biosciences, Inc. $6.6310/04/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1051993411 CMS
Otsuka America Pharmaceutical, Inc. $18.2110/04/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1015045369 CMS
Neurocrine Biosciences, Inc. $9.6509/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1051993403 CMS
Alkermes, Inc. $22.2709/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1022789443 CMS
Alkermes, Inc. $22.5709/06/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1022789441 CMS
Neurocrine Biosciences, Inc. $12.4009/06/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1051993383 CMS
Neurocrine Biosciences, Inc. $8.6608/30/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1051993373 CMS
Otsuka America Pharmaceutical, Inc. $11.9508/30/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1015045360 CMS
Lundbeck LLC $19.7808/29/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1032463197 CMS
Alkermes, Inc. $15.0508/16/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1022789439 CMS
Otsuka America Pharmaceutical, Inc. $13.3308/09/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1015045351 CMS
Neurocrine Biosciences, Inc. $6.1608/08/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1051993363 CMS
Neurocrine Biosciences, Inc. $4.5808/04/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1051993357 CMS
Axsome Therapeutics, Inc. $25.4408/03/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1056349511 CMS
Alkermes, Inc. $18.8907/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1022789437 CMS
Neurocrine Biosciences, Inc. $13.8107/12/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1051993333 CMS
Janssen Pharmaceuticals, Inc $20.0706/27/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 988124280 CMS
Neurocrine Biosciences, Inc. $7.7406/22/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1051993285 CMS
Lundbeck LLC $8.0006/20/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1032463189 CMS
Neurocrine Biosciences, Inc. $1.3006/20/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1051993281 CMS
ITI, Inc. $16.5106/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1040825101 CMS
Neurocrine Biosciences, Inc. $1.9806/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1051993275 CMS
Alkermes, Inc. $25.7006/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1022789435 CMS
Indivior Inc. $20.6906/07/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1034297815 CMS
Lundbeck LLC $17.0605/23/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1032463181 CMS
ABBVIE INC. $15.4005/11/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1003310973 CMS
Otsuka America Pharmaceutical, Inc. $15.7705/10/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1015045344 CMS
Janssen Pharmaceuticals, Inc $18.3105/03/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 988124291 CMS
Neurocrine Biosciences, Inc. $5.4605/02/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1051993271 CMS
Otsuka America Pharmaceutical, Inc. $20.6504/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1015045337 CMS
ITI, Inc. $5.9904/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1040825095 CMS
Neurocrine Biosciences, Inc. $5.5004/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1051992759 CMS
Otsuka America Pharmaceutical, Inc. $10.8704/12/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1015045329 CMS
Lundbeck LLC $15.8404/05/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1032463165 CMS
Lundbeck LLC $1.0504/05/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1032463173 CMS
ITI, Inc. $126.2303/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1040825089 CMS
Otsuka America Pharmaceutical, Inc. $13.3103/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1015045321 CMS
Otsuka America Pharmaceutical, Inc. $14.2903/27/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1015045313 CMS
ABBVIE INC. $14.9403/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1003310969 CMS
Janssen Pharmaceuticals, Inc $14.3203/15/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 988124301 CMS
ITI, Inc. $1.4403/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1040825077 CMS
ITI, Inc. $14.1703/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1040825083 CMS
ITI, Inc. $5.8503/09/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1040825072 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $195.17 4
PY2022 $1,321.24 92
PY2023 $1,017.12 69
PY2024 $361.57 18
PY2025 $436.85 19

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
2021, 2022, 2023, 2024, 2025
Source files and profile matching
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , 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.