Covered recipient · General Payments record

ZACHARY W MARSHALL

Allopathic & Osteopathic Physicians Allergy & Immunology Allergy

NPI: 1912343419
CMS profile: 177176
Location: ROANOKE, TX

General Payments · PY2018–2024

$13,630.86

Reported across 631 records
CMS publication 2026-01-23

Latest program year · PY2024

$3,570.93

155 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	$3,570.93	155

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$520.51	18
Takeda Pharmaceuticals U.S.A., Inc.	$479.86	16
Blueprint Medicines Corporation	$351.09	10
Regeneron Healthcare Solutions, Inc.	$304.36	12
ABBVIE INC.	$281.74	13
Grifols USA, LLC	$213.99	9
GlaxoSmithKline, LLC.	$209.87	19
NOVARTIS PHARMACEUTICALS CORPORATION	$188.50	9
Genentech USA, Inc.	$151.61	3
Pharming Healthcare, Inc.	$139.17	6
CSL Behring	$132.56	9
Incyte Corporation	$119.49	7
LEO Pharma Inc.	$92.36	4
BioCryst US Sales Co., LLC	$89.21	6
Kaleo, Inc.	$87.97	4
PFIZER INC.	$68.38	4
GENZYME CORPORATION	$55.32	2
Amgen Inc.	$40.59	2
OptiNose US, Inc.	$27.40	1
X4 Pharmaceuticals, Inc.	$16.95	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$1,134.07	33
PY2019	$1,536.08	78
PY2020	$584.19	29
PY2021	$612.98	35
PY2022	$2,753.96	145
PY2023	$3,438.65	156
PY2024	$3,570.93	155

Payment records · PY2024 (155)

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
ABBVIE INC.	$99.05	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1104971757	CMS
ABBVIE INC.	$14.14	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1104971759	CMS
ABBVIE INC.	$4.42	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1104971761	CMS
ABBVIE INC.	$14.69	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1104971763	CMS
ABBVIE INC.	$18.18	05/03/2024	Food and Beverage	Undisputed	01/23/2026	1104971765	CMS
ABBVIE INC.	$13.64	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1104971767	CMS
ABBVIE INC.	$16.61	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1104971769	CMS
ABBVIE INC.	$21.95	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1104971771	CMS
ABBVIE INC.	$14.48	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1104971773	CMS
ABBVIE INC.	$16.60	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1104971775	CMS
ABBVIE INC.	$19.71	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1104971777	CMS
ABBVIE INC.	$14.82	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1104971779	CMS
ABBVIE INC.	$13.45	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1104971781	CMS
Amgen Inc.	$21.14	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1115904887	CMS
Amgen Inc.	$19.45	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1115904892	CMS
AstraZeneca Pharmaceuticals LP	$108.34	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1104699113	CMS
AstraZeneca Pharmaceuticals LP	$125.00	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1104658955	CMS
AstraZeneca Pharmaceuticals LP	$17.56	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1104198677	CMS
AstraZeneca Pharmaceuticals LP	$19.53	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1104730895	CMS
AstraZeneca Pharmaceuticals LP	$17.56	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1104622148	CMS
AstraZeneca Pharmaceuticals LP	$21.48	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1104367015	CMS
AstraZeneca Pharmaceuticals LP	$17.56	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1105748507	CMS
AstraZeneca Pharmaceuticals LP	$18.29	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1104316024	CMS
AstraZeneca Pharmaceuticals LP	$20.14	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1104219253	CMS
AstraZeneca Pharmaceuticals LP	$17.04	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1104274441	CMS
AstraZeneca Pharmaceuticals LP	$17.56	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1104547222	CMS
AstraZeneca Pharmaceuticals LP	$15.23	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1104513854	CMS
AstraZeneca Pharmaceuticals LP	$16.71	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1104254571	CMS
AstraZeneca Pharmaceuticals LP	$16.99	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1104722009	CMS
AstraZeneca Pharmaceuticals LP	$17.56	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1105413834	CMS
AstraZeneca Pharmaceuticals LP	$18.84	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1104649863	CMS
AstraZeneca Pharmaceuticals LP	$17.56	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1104334676	CMS
AstraZeneca Pharmaceuticals LP	$17.56	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1105496801	CMS
BioCryst US Sales Co., LLC	$17.46	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1117469783	CMS
BioCryst US Sales Co., LLC	$13.42	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1117472708	CMS
BioCryst US Sales Co., LLC	$14.95	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1117479148	CMS
BioCryst US Sales Co., LLC	$13.27	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1117471936	CMS
BioCryst US Sales Co., LLC	$13.27	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1117479590	CMS
BioCryst US Sales Co., LLC	$16.84	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1117471488	CMS
Blueprint Medicines Corporation	$24.59	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1147451717	CMS
Blueprint Medicines Corporation	$25.96	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1147451731	CMS
Blueprint Medicines Corporation	$25.41	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1147451767	CMS
Blueprint Medicines Corporation	$26.69	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1147451785	CMS
Blueprint Medicines Corporation	$30.00	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1147451803	CMS
Blueprint Medicines Corporation	$19.89	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1147451817	CMS
Blueprint Medicines Corporation	$22.18	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1147451831	CMS
Blueprint Medicines Corporation	$22.19	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1147451853	CMS
Blueprint Medicines Corporation	$134.92	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1147451869	CMS
Blueprint Medicines Corporation	$19.26	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1147451863	CMS
CSL Behring	$4.86	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1134642865	CMS
CSL Behring	$6.30	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1134642907	CMS
CSL Behring	$24.85	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1134642931	CMS
CSL Behring	$4.48	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1134642951	CMS
CSL Behring	$22.21	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1134642963	CMS
CSL Behring	$30.74	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1134642975	CMS
CSL Behring	$5.53	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1134642977	CMS
CSL Behring	$5.78	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1134642979	CMS
CSL Behring	$27.81	12/20/2024	Food and Beverage	Undisputed	01/23/2026	1134642981	CMS
Genentech USA, Inc.	$90.61	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1133136377	CMS
Genentech USA, Inc.	$32.77	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1133136381	CMS
Genentech USA, Inc.	$28.23	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1133136385	CMS
GENZYME CORPORATION	$32.15	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1139904443	CMS
GENZYME CORPORATION	$23.17	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1139904567	CMS
GlaxoSmithKline, LLC.	$9.40	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1116080818	CMS
GlaxoSmithKline, LLC.	$7.61	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1116588819	CMS
GlaxoSmithKline, LLC.	$12.39	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1116387382	CMS
GlaxoSmithKline, LLC.	$14.40	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1115863317	CMS
GlaxoSmithKline, LLC.	$18.76	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1116567336	CMS
GlaxoSmithKline, LLC.	$14.09	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1116595072	CMS
GlaxoSmithKline, LLC.	$6.08	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1116461274	CMS
GlaxoSmithKline, LLC.	$11.64	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1116350344	CMS
GlaxoSmithKline, LLC.	$14.53	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1116378268	CMS
GlaxoSmithKline, LLC.	$3.61	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1116493364	CMS
GlaxoSmithKline, LLC.	$7.54	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1115811371	CMS
GlaxoSmithKline, LLC.	$7.10	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1116059297	CMS
GlaxoSmithKline, LLC.	$9.71	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1116068044	CMS
GlaxoSmithKline, LLC.	$7.90	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1116627864	CMS
GlaxoSmithKline, LLC.	$12.64	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1116204314	CMS
GlaxoSmithKline, LLC.	$10.75	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1116584351	CMS
GlaxoSmithKline, LLC.	$19.12	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1116102093	CMS
GlaxoSmithKline, LLC.	$11.89	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1116659631	CMS
GlaxoSmithKline, LLC.	$10.71	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1116122522	CMS
Grifols USA, LLC	$19.26	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1124726874	CMS
Grifols USA, LLC	$17.83	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1124738109	CMS
Grifols USA, LLC	$24.43	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1124738111	CMS
Grifols USA, LLC	$27.27	07/04/2024	Food and Beverage	Undisputed	01/23/2026	1124726872	CMS
Grifols USA, LLC	$25.88	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1124726870	CMS
Grifols USA, LLC	$26.60	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1124726868	CMS
Grifols USA, LLC	$23.50	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1124726866	CMS
Grifols USA, LLC	$21.83	11/26/2024	Food and Beverage	Undisputed	01/23/2026	1124738113	CMS
Grifols USA, LLC	$27.39	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1124738115	CMS
Incyte Corporation	$15.62	01/20/2024	Food and Beverage	Undisputed	01/23/2026	1141288374	CMS
Incyte Corporation	$20.21	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1141288814	CMS
Incyte Corporation	$16.60	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1141289656	CMS
Incyte Corporation	$18.44	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1141180398	CMS
Incyte Corporation	$15.07	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1141240768	CMS
Incyte Corporation	$15.83	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1141257291	CMS
Incyte Corporation	$17.72	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1141181578	CMS
kaleo, Inc.	$21.20	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1126631366	CMS
kaleo, Inc.	$23.13	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1126631368	CMS
kaleo, Inc.	$21.83	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1126631370	CMS
kaleo, Inc.	$21.81	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1126631372	CMS
LEO Pharma Inc.	$13.60	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1152641903	CMS
LEO Pharma Inc.	$22.86	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1152641905	CMS
LEO Pharma Inc.	$26.93	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1152641907	CMS
LEO Pharma Inc.	$28.97	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1152641909	CMS
Novartis Pharmaceuticals Corporation	$19.72	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1086981038	CMS
Novartis Pharmaceuticals Corporation	$19.06	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1086981040	CMS
Novartis Pharmaceuticals Corporation	$20.42	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1086981042	CMS
Novartis Pharmaceuticals Corporation	$23.21	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1086981044	CMS
Novartis Pharmaceuticals Corporation	$20.20	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1086981048	CMS
Novartis Pharmaceuticals Corporation	$23.82	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1086981050	CMS
Novartis Pharmaceuticals Corporation	$21.84	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1086981052	CMS
Novartis Pharmaceuticals Corporation	$18.77	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1086981054	CMS
Novartis Pharmaceuticals Corporation	$21.46	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1086981072	CMS
Optinose US, Inc.	$27.40	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1142186242	CMS
PFIZER INC.	$18.08	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1131072892	CMS
PFIZER INC.	$18.08	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1131372266	CMS
PFIZER INC.	$13.85	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1131849905	CMS
PFIZER INC.	$18.37	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1131169140	CMS
Pharming Healthcare, Inc.	$27.60	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1132156120	CMS
Pharming Healthcare, Inc.	$20.75	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1132156126	CMS
Pharming Healthcare, Inc.	$28.86	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1132156132	CMS
Pharming Healthcare, Inc.	$19.96	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1132156139	CMS
Pharming Healthcare, Inc.	$26.84	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1132156142	CMS
Pharming Healthcare, Inc.	$15.16	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1132156149	CMS
Regeneron Healthcare Solutions, Inc.	$26.62	01/13/2024	Food and Beverage	Undisputed	01/23/2026	1114108872	CMS
Regeneron Healthcare Solutions, Inc.	$26.59	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1114108874	CMS
Regeneron Healthcare Solutions, Inc.	$13.35	02/10/2024	Food and Beverage	Undisputed	01/23/2026	1114108876	CMS
Regeneron Healthcare Solutions, Inc.	$19.86	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1114108878	CMS
Regeneron Healthcare Solutions, Inc.	$29.79	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1114108880	CMS
Regeneron Healthcare Solutions, Inc.	$23.44	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1114108882	CMS
Regeneron Healthcare Solutions, Inc.	$24.44	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1114108884	CMS
Regeneron Healthcare Solutions, Inc.	$27.60	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1114108886	CMS
Regeneron Healthcare Solutions, Inc.	$27.90	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1114108888	CMS
Regeneron Healthcare Solutions, Inc.	$25.01	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1114108890	CMS
Regeneron Healthcare Solutions, Inc.	$30.43	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1114108892	CMS
Regeneron Healthcare Solutions, Inc.	$29.33	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1114108894	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$31.17	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1137630120	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$25.98	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1137630122	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$27.45	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1137630124	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$19.06	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1137630126	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$29.86	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1137630128	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$38.18	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1137630130	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$30.30	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1137630132	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$32.89	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1137630134	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$31.38	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1137630136	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$32.87	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1137630138	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$34.87	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1137630140	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$28.08	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1137630142	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$28.35	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1137630144	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$29.38	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1137630146	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$30.40	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1137630148	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$29.64	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1137630150	CMS
X4 Pharmaceuticals, Inc.	$16.95	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1147391082	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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