Covered recipient · General Payments record

MELISSA N TOULIOS

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI: 1912207036
CMS profile: 10648265
Location: NAPERVILLE, IL

General Payments · PY2021–2024

$9,491.50

Reported across 504 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,010.23

105 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	$2,010.23	105

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
PFIZER INC.	$328.95	16
Acerta Pharma LLC	$251.31	9
AIMMUNE THERAPEUTICS, INC.	$229.82	21
Lilly USA, LLC	$209.50	9
ABBVIE INC.	$207.45	16
Takeda Pharmaceuticals U.S.A., Inc.	$171.03	5
Novo Nordisk AS	$170.81	8
Mylan Specialty L.P.	$143.38	6
Bayer HealthCare Pharmaceuticals Inc.	$75.08	3
Amgen Inc.	$58.02	3
Janssen Biotech, Inc.	$32.43	2
Ardelyx, Inc.	$32.25	1
Merck Sharp & Dohme Corporation	$30.41	2
Xeris Pharmaceuticals, Inc.	$22.63	1
E.R. Squibb & Sons, L.L.C.	$15.92	1
Exact Sciences Corporation	$15.64	1
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.60	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$2,712.59	160
PY2022	$2,691.82	134
PY2023	$2,076.86	105
PY2024	$2,010.23	105

Payment records · PY2024 (105)

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

Program year 2024 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
ABBVIE INC.	$9.36	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1108321592	CMS
ABBVIE INC.	$16.58	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1108321594	CMS
ABBVIE INC.	$8.85	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1108321596	CMS
ABBVIE INC.	$23.30	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1108321598	CMS
ABBVIE INC.	$9.11	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1108321600	CMS
ABBVIE INC.	$7.52	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1108321602	CMS
ABBVIE INC.	$6.58	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1108321604	CMS
ABBVIE INC.	$12.55	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1108321606	CMS
ABBVIE INC.	$13.60	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1108321608	CMS
ABBVIE INC.	$9.00	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1108321610	CMS
ABBVIE INC.	$13.77	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1108321612	CMS
ABBVIE INC.	$14.91	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1108321614	CMS
ABBVIE INC.	$16.32	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1108321616	CMS
ABBVIE INC.	$6.43	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1108321618	CMS
ABBVIE INC.	$18.58	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1108321620	CMS
ABBVIE INC.	$20.99	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1108321622	CMS
AIMMUNE THERAPEUTICS, INC.	$10.29	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1146965958	CMS
AIMMUNE THERAPEUTICS, INC.	$11.10	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1147019008	CMS
AIMMUNE THERAPEUTICS, INC.	$14.22	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1147013860	CMS
AIMMUNE THERAPEUTICS, INC.	$13.77	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1146965428	CMS
AIMMUNE THERAPEUTICS, INC.	$9.82	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1146965424	CMS
AIMMUNE THERAPEUTICS, INC.	$9.75	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1147013878	CMS
AIMMUNE THERAPEUTICS, INC.	$6.25	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1146965536	CMS
AIMMUNE THERAPEUTICS, INC.	$11.79	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1146986967	CMS
AIMMUNE THERAPEUTICS, INC.	$11.79	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1147024144	CMS
AIMMUNE THERAPEUTICS, INC.	$9.10	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1146968863	CMS
AIMMUNE THERAPEUTICS, INC.	$12.75	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1146977024	CMS
AIMMUNE THERAPEUTICS, INC.	$14.00	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1146977072	CMS
AIMMUNE THERAPEUTICS, INC.	$12.37	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1146977654	CMS
AIMMUNE THERAPEUTICS, INC.	$11.24	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1146991294	CMS
AIMMUNE THERAPEUTICS, INC.	$4.89	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1147007049	CMS
AIMMUNE THERAPEUTICS, INC.	$8.79	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1147012368	CMS
AIMMUNE THERAPEUTICS, INC.	$11.12	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1147004993	CMS
AIMMUNE THERAPEUTICS, INC.	$11.75	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1146991850	CMS
AIMMUNE THERAPEUTICS, INC.	$12.23	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1146990908	CMS
AIMMUNE THERAPEUTICS, INC.	$11.52	12/13/2024	Food and Beverage	Undisputed	01/23/2026	1146991130	CMS
AIMMUNE THERAPEUTICS, INC.	$11.28	12/20/2024	Food and Beverage	Undisputed	01/23/2026	1146997420	CMS
Amgen Inc.	$16.98	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1117702970	CMS
Amgen Inc.	$16.92	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1117702968	CMS
Amgen Inc.	$24.12	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1117400678	CMS
Ardelyx, Inc.	$32.25	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1146748325	CMS
AstraZeneca Pharmaceuticals LP	$13.53	02/17/2024	Food and Beverage	Undisputed	01/23/2026	1105553684	CMS
AstraZeneca Pharmaceuticals LP	$18.93	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1104242209	CMS
AstraZeneca Pharmaceuticals LP	$13.10	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1104245585	CMS
AstraZeneca Pharmaceuticals LP	$120.37	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1104495100	CMS
AstraZeneca Pharmaceuticals LP	$17.41	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1105508140	CMS
AstraZeneca Pharmaceuticals LP	$18.27	04/27/2024	Food and Beverage	Undisputed	01/23/2026	1104214635	CMS
AstraZeneca Pharmaceuticals LP	$16.76	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1105352471	CMS
AstraZeneca Pharmaceuticals LP	$18.34	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1104544508	CMS
AstraZeneca Pharmaceuticals LP	$14.60	08/17/2024	Food and Beverage	Undisputed	01/23/2026	1104235733	CMS
Bayer Healthcare Pharmaceuticals Inc.	$29.95	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1086334129	CMS
Bayer Healthcare Pharmaceuticals Inc.	$22.04	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1086289874	CMS
Bayer Healthcare Pharmaceuticals Inc.	$23.09	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1086305672	CMS
E.R. Squibb & Sons, L.L.C.	$15.92	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1101693021	CMS
Exact Sciences Corporation	$15.64	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1114536656	CMS
Janssen Biotech, Inc.	$14.35	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1078597459	CMS
Janssen Biotech, Inc.	$18.08	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1078597987	CMS
Lilly USA, LLC	$34.08	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1135745978	CMS
Lilly USA, LLC	$24.94	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1135844505	CMS
Lilly USA, LLC	$3.68	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1135757986	CMS
Lilly USA, LLC	$24.94	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1135829787	CMS
Lilly USA, LLC	$21.60	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1135789112	CMS
Lilly USA, LLC	$27.30	06/15/2024	Food and Beverage	Undisputed	01/23/2026	1135823205	CMS
Lilly USA, LLC	$21.20	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1135757984	CMS
Lilly USA, LLC	$26.83	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1135831617	CMS
Lilly USA, LLC	$24.93	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1135829790	CMS
Merck Sharp & Dohme LLC	$15.72	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1141664392	CMS
Merck Sharp & Dohme LLC	$14.69	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1141858990	CMS
Mylan Specialty L.P.	$26.86	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1147311393	CMS
Mylan Specialty L.P.	$28.56	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1147301661	CMS
Mylan Specialty L.P.	$20.92	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1147375903	CMS
Mylan Specialty L.P.	$27.31	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1147375954	CMS
Mylan Specialty L.P.	$18.91	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1147291076	CMS
Mylan Specialty L.P.	$20.82	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1147343240	CMS
Novo Nordisk Inc	$22.76	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1100630919	CMS
Novo Nordisk Inc	$22.26	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1100338303	CMS
Novo Nordisk Inc	$24.30	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1100423106	CMS
Novo Nordisk Inc	$22.09	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1100343580	CMS
Novo Nordisk Inc	$19.63	03/29/2024	Food and Beverage	Undisputed	01/23/2026	1100253870	CMS
Novo Nordisk Inc	$22.43	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1100353648	CMS
Novo Nordisk Inc	$14.99	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1100570554	CMS
Novo Nordisk Inc	$22.35	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1100579050	CMS
PFIZER INC.	$16.66	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1131040858	CMS
PFIZER INC.	$22.22	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1132016645	CMS
PFIZER INC.	$16.26	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1131137894	CMS
PFIZER INC.	$21.64	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1131223053	CMS
PFIZER INC.	$22.19	03/29/2024	Food and Beverage	Undisputed	01/23/2026	1132016647	CMS
PFIZER INC.	$18.28	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1131356990	CMS
PFIZER INC.	$20.87	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1131385442	CMS
PFIZER INC.	$16.36	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1132008042	CMS
PFIZER INC.	$22.62	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1132008194	CMS
PFIZER INC.	$7.90	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1131518191	CMS
PFIZER INC.	$26.62	05/18/2024	Food and Beverage	Undisputed	01/23/2026	1132008198	CMS
PFIZER INC.	$25.23	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1131508762	CMS
PFIZER INC.	$20.52	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1132008196	CMS
PFIZER INC.	$27.04	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1131494492	CMS
PFIZER INC.	$24.68	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1132014308	CMS
PFIZER INC.	$19.86	08/10/2024	Food and Beverage	Undisputed	01/23/2026	1132014306	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.60	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1153557125	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$99.81	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1137835185	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$27.56	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1137835187	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$22.58	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1137835189	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$0.63	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1137835191	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.45	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1137835193	CMS
Xeris Pharmaceuticals, Inc.	$22.63	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1144635018	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.