FRED G NAGEL

Allopathic & Osteopathic Physicians|Family Medicine MAUMELLE, AR NPI 1922016674

General Payments — all program years on this page

$8,184.65

Category: General Payments
Program years: PY2018–2024
Record count: 540
As of (CMS publication): 2026-01-23

Latest program year (PY2024): $1,073.78 across 55 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is 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

Latest program year (PY2024) · sorted by reported total.

Nature of payment	Amount	Records
Food and Beverage	$1,073.78	55

By paying entity

Latest program year (PY2024) · sorted by reported total.

Paying entity	Amount	Records
Acerta Pharma LLC	$259.53	11
PFIZER INC.	$169.30	10
Bayer HealthCare Pharmaceuticals Inc.	$91.28	5
ABBVIE INC.	$77.11	4
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$65.93	3
Boehringer Ingelheim Pharmaceuticals, Inc.	$52.63	3
GlaxoSmithKline, LLC.	$49.58	2
Almatica Pharma Inc.	$47.63	2
Phathom Pharmaceuticals, Inc.	$46.96	3
Otsuka America Pharmaceutical, Inc.	$36.73	2
ITI, Inc.	$29.31	1
Kowa Pharmaceuticals America, Inc.	$28.10	2
Merck Sharp & Dohme Corporation	$24.11	1
Amgen Inc.	$19.90	1
Takeda Pharmaceuticals U.S.A., Inc.	$16.36	1
Exact Sciences Corporation	$15.65	1
Sumitomo Pharma America, Inc.	$15.37	1
Lilly USA, LLC	$14.99	1
Esperion Therapeutics, Inc.	$13.31	1

By program year

Program year	Amount	Records
2018	$1,342.85	99
2019	$1,293.75	106
2020	$1,266.43	82
2021	$1,198.67	83
2022	$936.60	58
2023	$1,072.57	57
2024	$1,073.78	55

Records — PY2024 (55)

Record ID	Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Source
1086132500	Bayer Healthcare Pharmaceuticals Inc.	$23.68	10/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086143385	Bayer Healthcare Pharmaceuticals Inc.	$16.31	04/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086203073	Bayer Healthcare Pharmaceuticals Inc.	$16.34	05/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086208465	Bayer Healthcare Pharmaceuticals Inc.	$19.35	07/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086236854	Bayer Healthcare Pharmaceuticals Inc.	$15.60	02/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104399813	AstraZeneca Pharmaceuticals LP	$13.24	07/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104528952	AstraZeneca Pharmaceuticals LP	$15.49	02/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104634815	AstraZeneca Pharmaceuticals LP	$20.37	10/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105093441	ABBVIE INC.	$20.23	02/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105093443	ABBVIE INC.	$13.84	03/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105093445	ABBVIE INC.	$18.66	05/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105093447	ABBVIE INC.	$24.38	07/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105320949	AstraZeneca Pharmaceuticals LP	$18.99	01/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105519035	AstraZeneca Pharmaceuticals LP	$85.81	01/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105586548	AstraZeneca Pharmaceuticals LP	$23.00	06/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105604269	AstraZeneca Pharmaceuticals LP	$13.24	05/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105657978	AstraZeneca Pharmaceuticals LP	$16.68	08/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105693813	AstraZeneca Pharmaceuticals LP	$19.48	05/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105823147	AstraZeneca Pharmaceuticals LP	$17.23	08/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105865256	AstraZeneca Pharmaceuticals LP	$16.00	10/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1113468847	Kowa Pharmaceuticals America, Inc.	$13.40	01/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1113468849	Kowa Pharmaceuticals America, Inc.	$14.70	02/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114803705	Exact Sciences Corporation	$15.65	06/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116433397	GlaxoSmithKline, LLC.	$23.02	04/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116537810	GlaxoSmithKline, LLC.	$26.56	11/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117336098	Amgen Inc.	$19.90	05/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118234883	Boehringer Ingelheim Pharmaceuticals, Inc.	$13.96	04/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118234885	Boehringer Ingelheim Pharmaceuticals, Inc.	$14.80	06/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118234887	Boehringer Ingelheim Pharmaceuticals, Inc.	$23.87	01/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118948180	Otsuka America Pharmaceutical, Inc.	$17.49	01/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118948182	Otsuka America Pharmaceutical, Inc.	$19.24	03/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1129448126	Esperion Therapeutics, Inc.	$13.31	01/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131003591	PFIZER INC.	$22.15	03/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131036538	PFIZER INC.	$17.09	11/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131207535	PFIZER INC.	$22.07	03/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131361091	PFIZER INC.	$16.86	04/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131600318	PFIZER INC.	$13.58	09/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131648661	PFIZER INC.	$20.67	06/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131784906	PFIZER INC.	$22.51	07/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1132009402	PFIZER INC.	$10.65	07/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1132009484	PFIZER INC.	$4.61	02/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1132087432	PFIZER INC.	$19.11	10/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1134992016	Lilly USA, LLC	$14.99	05/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137572544	Almatica Pharma LLC	$24.67	08/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137572549	Almatica Pharma LLC	$22.96	12/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137640648	Takeda Pharmaceuticals U.S.A., Inc.	$16.36	09/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1141737387	Merck Sharp & Dohme LLC	$24.11	09/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143283962	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$29.31	10/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148894995	Sumitomo Pharma America, Inc.	$15.37	04/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151100163	Phathom Pharmaceuticals, Inc.	$18.56	01/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151100165	Phathom Pharmaceuticals, Inc.	$15.22	04/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151100167	Phathom Pharmaceuticals, Inc.	$13.18	10/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153481554	Salix Pharmaceuticals, a division of Bausch Health US, LLC	$20.78	07/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153553413	Salix Pharmaceuticals, a division of Bausch Health US, LLC	$22.73	12/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153734102	Salix Pharmaceuticals, a division of Bausch Health US, LLC	$22.42	06/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS

Provenance & corrections

Dataset: CMS Open Payments — General Payments
Source: CMS Open Payments dataset (bulk file)
Publisher of source data: Centers for Medicare & Medicaid Services
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.