Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

ALEXANDER GAPAY

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1942201777
CMS profile
224035
Location
MIDDLETOWN, NY

General Payments · PY2018–2024

$7,659.86

  • Reported across 437 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,140.45

58 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 paymentAmountRecords
Food and Beverage $1,117.41 57
Education $23.04 1

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $899.45 60
PY2019 $1,142.47 55
PY2020 $521.04 38
PY2021 $1,319.91 78
PY2022 $1,130.42 58
PY2023 $1,506.12 90
PY2024 $1,140.45 58

Payment records · PY2024 (58)

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

Program year 2024 201820192020202120222023 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
AIMMUNE THERAPEUTICS, INC. $14.76 03/07/2024 Food and Beverage Undisputed 01/23/2026 1147023524 CMS
AIMMUNE THERAPEUTICS, INC. $18.07 10/24/2024 Food and Beverage Undisputed 01/23/2026 1147011182 CMS
AIMMUNE THERAPEUTICS, INC. $13.43 12/05/2024 Food and Beverage Undisputed 01/23/2026 1146990084 CMS
AstraZeneca Pharmaceuticals LP $82.00 01/25/2024 Food and Beverage Undisputed 01/23/2026 1104776880 CMS
AstraZeneca Pharmaceuticals LP $19.73 02/29/2024 Food and Beverage Undisputed 01/23/2026 1104636191 CMS
AstraZeneca Pharmaceuticals LP $16.10 03/05/2024 Food and Beverage Undisputed 01/23/2026 1104249157 CMS
AstraZeneca Pharmaceuticals LP $15.37 03/19/2024 Food and Beverage Undisputed 01/23/2026 1105791430 CMS
AstraZeneca Pharmaceuticals LP $13.98 03/22/2024 Food and Beverage Undisputed 01/23/2026 1105516931 CMS
AstraZeneca Pharmaceuticals LP $20.77 04/19/2024 Food and Beverage Undisputed 01/23/2026 1104621324 CMS
AstraZeneca Pharmaceuticals LP $16.21 05/13/2024 Food and Beverage Undisputed 01/23/2026 1105758489 CMS
AstraZeneca Pharmaceuticals LP $15.13 05/28/2024 Food and Beverage Undisputed 01/23/2026 1105884405 CMS
AstraZeneca Pharmaceuticals LP $15.22 05/31/2024 Food and Beverage Undisputed 01/23/2026 1105582492 CMS
AstraZeneca Pharmaceuticals LP $16.75 06/05/2024 Food and Beverage Undisputed 01/23/2026 1105457510 CMS
AstraZeneca Pharmaceuticals LP $17.60 07/10/2024 Food and Beverage Undisputed 01/23/2026 1105527657 CMS
AstraZeneca Pharmaceuticals LP $17.10 08/09/2024 Food and Beverage Undisputed 01/23/2026 1104455980 CMS
AstraZeneca Pharmaceuticals LP $26.24 08/15/2024 Food and Beverage Undisputed 01/23/2026 1104634341 CMS
AstraZeneca Pharmaceuticals LP $15.89 10/23/2024 Food and Beverage Undisputed 01/23/2026 1105242714 CMS
AstraZeneca Pharmaceuticals LP $14.44 11/15/2024 Food and Beverage Undisputed 01/23/2026 1105849400 CMS
AstraZeneca Pharmaceuticals LP $20.36 12/11/2024 Food and Beverage Undisputed 01/23/2026 1104532338 CMS
Bayer Healthcare Pharmaceuticals Inc. $16.36 09/10/2024 Food and Beverage Undisputed 01/23/2026 1086203879 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $18.36 10/08/2024 Food and Beverage Undisputed 01/23/2026 1118242813 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $19.11 11/12/2024 Food and Beverage Undisputed 01/23/2026 1118242815 CMS
Corcept Therapeutics $22.19 08/07/2024 Food and Beverage Undisputed 01/23/2026 1117747701 CMS
E.R. Squibb & Sons, L.L.C. $20.33 01/17/2024 Food and Beverage Undisputed 01/23/2026 1101426024 CMS
E.R. Squibb & Sons, L.L.C. $25.29 02/28/2024 Food and Beverage Undisputed 01/23/2026 1101426028 CMS
E.R. Squibb & Sons, L.L.C. $22.97 11/06/2024 Food and Beverage Undisputed 01/23/2026 1101426078 CMS
Esperion Therapeutics, Inc. $20.99 04/11/2024 Food and Beverage Undisputed 01/23/2026 1129435474 CMS
Esperion Therapeutics, Inc. $14.36 05/09/2024 Food and Beverage Undisputed 01/23/2026 1129435476 CMS
Esperion Therapeutics, Inc. $13.52 07/11/2024 Food and Beverage Undisputed 01/23/2026 1129435478 CMS
Esperion Therapeutics, Inc. $17.02 08/05/2024 Food and Beverage Undisputed 01/23/2026 1129435480 CMS
Esperion Therapeutics, Inc. $17.63 10/15/2024 Food and Beverage Undisputed 01/23/2026 1129435482 CMS
Esperion Therapeutics, Inc. $20.20 12/12/2024 Food and Beverage Undisputed 01/23/2026 1129435484 CMS
Exact Sciences Corporation $18.40 09/04/2024 Food and Beverage Undisputed 01/23/2026 1114667638 CMS
Exact Sciences Corporation $22.70 12/17/2024 Food and Beverage Undisputed 01/23/2026 1114667645 CMS
GlaxoSmithKline, LLC. $18.50 01/03/2024 Food and Beverage Undisputed 01/23/2026 1116567038 CMS
GlaxoSmithKline, LLC. $16.76 02/06/2024 Food and Beverage Undisputed 01/23/2026 1116330726 CMS
GlaxoSmithKline, LLC. $17.16 02/06/2024 Food and Beverage Undisputed 01/23/2026 1116416353 CMS
GlaxoSmithKline, LLC. $18.76 12/03/2024 Food and Beverage Undisputed 01/23/2026 1116581013 CMS
Inspire Medical Systems, Inc. $16.94 05/17/2024 Food and Beverage Undisputed 01/23/2026 1148055179 CMS
Lilly USA, LLC $20.67 01/23/2024 Food and Beverage Undisputed 01/23/2026 1136019998 CMS
Lilly USA, LLC $18.24 02/15/2024 Food and Beverage Undisputed 01/23/2026 1136019788 CMS
Lilly USA, LLC $15.05 02/23/2024 Food and Beverage Undisputed 01/23/2026 1135996452 CMS
Lilly USA, LLC $22.71 03/08/2024 Food and Beverage Undisputed 01/23/2026 1136020000 CMS
Lilly USA, LLC $16.16 05/22/2024 Food and Beverage Undisputed 01/23/2026 1136017543 CMS
Lilly USA, LLC $22.15 09/16/2024 Food and Beverage Undisputed 01/23/2026 1136014318 CMS
Novartis Pharmaceuticals Corporation $18.07 03/26/2024 Food and Beverage Undisputed 01/23/2026 1086850143 CMS
Novartis Pharmaceuticals Corporation $19.06 06/25/2024 Food and Beverage Undisputed 01/23/2026 1086850145 CMS
Novartis Pharmaceuticals Corporation $20.52 09/12/2024 Food and Beverage Undisputed 01/23/2026 1086850147 CMS
Novo Nordisk Inc $15.51 02/14/2024 Food and Beverage Undisputed 01/23/2026 1097257097 CMS
Novo Nordisk Inc $19.21 04/24/2024 Food and Beverage Undisputed 01/23/2026 1097511170 CMS
Novo Nordisk Inc $15.34 05/08/2024 Food and Beverage Undisputed 01/23/2026 1096609316 CMS
OPKO Pharmaceuticals, LLC $23.04 02/12/2024 Education Undisputed 01/23/2026 1112844750 CMS
Radius Health, Inc. $22.30 02/22/2024 Food and Beverage Undisputed 01/23/2026 1089932597 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $24.73 01/31/2024 Food and Beverage Undisputed 01/23/2026 1153496458 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $24.73 05/06/2024 Food and Beverage Undisputed 01/23/2026 1153651814 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $20.00 07/10/2024 Food and Beverage Undisputed 01/23/2026 1153586818 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $22.01 07/17/2024 Food and Beverage Undisputed 01/23/2026 1153676622 CMS
Takeda Pharmaceuticals U.S.A., Inc. $14.25 03/15/2024 Food and Beverage Undisputed 01/23/2026 1137552191 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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