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

Covered recipient · General Payments record

BRANDON GUINVARCH

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1902538101
CMS profile
11381143
Location
SALINAS, CA

General Payments · PY2022–2025

$4,272.20

  • Reported across 232 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$1,187.58

64 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,187.58 64

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Novo Nordisk AS $258.00 10
PFIZER INC. $193.78 11
Amgen Inc. $146.48 16
Acerta Pharma LLC $144.57 8
Lilly USA, LLC $85.82 4
GlaxoSmithKline, LLC. $83.18 4
DEXCOM, INC. $70.49 3
SANOFI-AVENTIS U.S. LLC $66.57 2
ABBVIE INC. $50.29 2
Exact Sciences Corporation $32.78 1
Merck Sharp & Dohme Corporation $25.72 1
ViiV Healthcare Company $15.72 1
Cleerly, Inc. $14.18 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $207.40 12
PY2023 $1,707.75 94
PY2024 $1,169.47 62
PY2025 $1,187.58 64

Payment records · PY2025 (64)

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

Program year 2025 202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $17.85 04/16/2025 Food and Beverage Undisputed 06/30/2026 1204097050 CMS
ABBVIE INC. $32.44 10/01/2025 Food and Beverage Undisputed 06/30/2026 1204097054 CMS
Amgen Inc. $7.95 01/21/2025 Food and Beverage Undisputed 06/30/2026 1229863523 CMS
Amgen Inc. $10.75 01/29/2025 Food and Beverage Undisputed 06/30/2026 1229863425 CMS
Amgen Inc. $9.25 02/06/2025 Food and Beverage Undisputed 06/30/2026 1229863467 CMS
Amgen Inc. $12.90 03/05/2025 Food and Beverage Undisputed 06/30/2026 1229863536 CMS
Amgen Inc. $6.42 04/09/2025 Food and Beverage Undisputed 06/30/2026 1229863487 CMS
Amgen Inc. $8.31 05/06/2025 Food and Beverage Undisputed 06/30/2026 1229863438 CMS
Amgen Inc. $9.39 06/04/2025 Food and Beverage Undisputed 06/30/2026 1229863513 CMS
Amgen Inc. $9.49 06/10/2025 Food and Beverage Undisputed 06/30/2026 1229863394 CMS
Amgen Inc. $9.22 06/24/2025 Food and Beverage Undisputed 06/30/2026 1229863414 CMS
Amgen Inc. $9.32 07/02/2025 Food and Beverage Undisputed 06/30/2026 1229863368 CMS
Amgen Inc. $8.39 07/22/2025 Food and Beverage Undisputed 06/30/2026 1229863457 CMS
Amgen Inc. $9.24 08/13/2025 Food and Beverage Undisputed 06/30/2026 1229863373 CMS
Amgen Inc. $8.70 09/03/2025 Food and Beverage Undisputed 06/30/2026 1229863384 CMS
Amgen Inc. $8.28 10/14/2025 Food and Beverage Undisputed 06/30/2026 1229863405 CMS
Amgen Inc. $8.57 11/05/2025 Food and Beverage Undisputed 06/30/2026 1229863478 CMS
Amgen Inc. $10.30 11/12/2025 Food and Beverage Undisputed 06/30/2026 1229863496 CMS
AstraZeneca Pharmaceuticals LP $21.08 01/21/2025 Food and Beverage Undisputed 06/30/2026 1206694022 CMS
AstraZeneca Pharmaceuticals LP $17.28 02/21/2025 Food and Beverage Undisputed 06/30/2026 1206771034 CMS
AstraZeneca Pharmaceuticals LP $15.06 05/14/2025 Food and Beverage Undisputed 06/30/2026 1206189032 CMS
AstraZeneca Pharmaceuticals LP $22.12 07/22/2025 Food and Beverage Undisputed 06/30/2026 1207022338 CMS
AstraZeneca Pharmaceuticals LP $16.96 08/06/2025 Food and Beverage Undisputed 06/30/2026 1206486110 CMS
AstraZeneca Pharmaceuticals LP $17.19 09/10/2025 Food and Beverage Undisputed 06/30/2026 1206426091 CMS
AstraZeneca Pharmaceuticals LP $21.75 10/07/2025 Food and Beverage Undisputed 06/30/2026 1206623272 CMS
AstraZeneca Pharmaceuticals LP $13.13 12/09/2025 Food and Beverage Undisputed 06/30/2026 1206649980 CMS
Cleerly, Inc. $14.18 05/07/2025 Food and Beverage Undisputed 06/30/2026 1241151226 CMS
Dexcom, Inc. $23.29 06/25/2025 Food and Beverage Undisputed 06/30/2026 1250546202 CMS
Dexcom, Inc. $23.60 08/27/2025 Food and Beverage Undisputed 06/30/2026 1250546204 CMS
Dexcom, Inc. $23.60 09/24/2025 Food and Beverage Undisputed 06/30/2026 1250546206 CMS
Exact Sciences Corporation $32.78 05/22/2025 Food and Beverage Undisputed 06/30/2026 1235659746 CMS
GlaxoSmithKline, LLC. $23.08 01/27/2025 Food and Beverage Undisputed 06/30/2026 1190951529 CMS
GlaxoSmithKline, LLC. $21.15 03/17/2025 Food and Beverage Undisputed 06/30/2026 1191008979 CMS
GlaxoSmithKline, LLC. $17.11 03/25/2025 Food and Beverage Undisputed 06/30/2026 1190654744 CMS
GlaxoSmithKline, LLC. $21.84 05/21/2025 Food and Beverage Undisputed 06/30/2026 1190625894 CMS
Lilly USA, LLC $19.86 03/11/2025 Food and Beverage Undisputed 06/30/2026 1186946669 CMS
Lilly USA, LLC $20.48 06/19/2025 Food and Beverage Undisputed 06/30/2026 1186999024 CMS
Lilly USA, LLC $31.35 10/23/2025 Food and Beverage Undisputed 06/30/2026 1186970656 CMS
Lilly USA, LLC $14.13 12/26/2025 Food and Beverage Undisputed 06/30/2026 1187011024 CMS
Merck Sharp & Dohme LLC $25.72 01/07/2025 Food and Beverage Undisputed 06/30/2026 1237993952 CMS
Novo Nordisk Inc $32.84 01/03/2025 Food and Beverage Undisputed 06/30/2026 1189032503 CMS
Novo Nordisk Inc $21.85 03/04/2025 Food and Beverage Undisputed 06/30/2026 1189082012 CMS
Novo Nordisk Inc $33.47 03/07/2025 Food and Beverage Undisputed 06/30/2026 1188338905 CMS
Novo Nordisk Inc $25.68 04/03/2025 Food and Beverage Undisputed 06/30/2026 1188739029 CMS
Novo Nordisk Inc $34.12 05/07/2025 Food and Beverage Undisputed 06/30/2026 1188320167 CMS
Novo Nordisk Inc $12.01 08/13/2025 Food and Beverage Undisputed 06/30/2026 1188476946 CMS
Novo Nordisk Inc $15.67 08/21/2025 Food and Beverage Undisputed 06/30/2026 1189082896 CMS
Novo Nordisk Inc $19.70 09/06/2025 Food and Beverage Undisputed 06/30/2026 1188813430 CMS
Novo Nordisk Inc $34.39 10/02/2025 Food and Beverage Undisputed 06/30/2026 1188513914 CMS
Novo Nordisk Inc $28.27 12/04/2025 Food and Beverage Undisputed 06/30/2026 1188826385 CMS
PFIZER INC. $12.40 01/09/2025 Food and Beverage Undisputed 06/30/2026 1230055836 CMS
PFIZER INC. $17.92 02/04/2025 Food and Beverage Undisputed 06/30/2026 1229885307 CMS
PFIZER INC. $20.86 04/08/2025 Food and Beverage Undisputed 06/30/2026 1229366795 CMS
PFIZER INC. $8.55 05/21/2025 Food and Beverage Undisputed 06/30/2026 1230127859 CMS
PFIZER INC. $23.36 05/31/2025 Food and Beverage Undisputed 06/30/2026 1229315845 CMS
PFIZER INC. $16.92 06/18/2025 Food and Beverage Undisputed 06/30/2026 1229388663 CMS
PFIZER INC. $23.39 08/01/2025 Food and Beverage Undisputed 06/30/2026 1229699005 CMS
PFIZER INC. $21.02 10/06/2025 Food and Beverage Undisputed 06/30/2026 1230358196 CMS
PFIZER INC. $18.03 11/06/2025 Food and Beverage Undisputed 06/30/2026 1230688526 CMS
PFIZER INC. $9.77 11/07/2025 Food and Beverage Undisputed 06/30/2026 1230733649 CMS
PFIZER INC. $21.56 12/11/2025 Food and Beverage Undisputed 06/30/2026 1230848730 CMS
SANOFI-AVENTIS U.S. LLC $27.84 06/11/2025 Food and Beverage Undisputed 06/30/2026 1233448679 CMS
SANOFI-AVENTIS U.S. LLC $38.73 07/11/2025 Food and Beverage Undisputed 06/30/2026 1233448707 CMS
ViiV Healthcare Company $15.72 06/25/2025 Food and Beverage Undisputed 06/30/2026 1189576448 CMS

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
2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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