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

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

Covered recipient · General Payments record

DONALD L PACHECO

Allopathic & Osteopathic Physicians Orthopaedic Surgery

NPI
1942297320
CMS profile
1045245
Location
FRESNO, CA

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

General Payments · PY2021–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$2,770.83

65 records · 0 disputed

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

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,770.83 65

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,409.61 49
PY2022 $1,837.11 54
PY2023 $1,514.02 51
PY2024 $2,654.97 56
PY2025 $2,770.83 65

Payment records · PY2025 (65)

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Program year 2025 2021202220232024 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
Boehringer Ingelheim Pharmaceuticals, Inc. $22.93 12/15/2025 Food and Beverage No dispute reported 06/30/2026 1223038569 CMS
Amgen Inc. $20.72 12/03/2025 Food and Beverage No dispute reported 06/30/2026 1229926760 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $116.60 12/02/2025 Food and Beverage No dispute reported 06/30/2026 1223038571 CMS
Amgen Inc. $15.78 11/26/2025 Food and Beverage No dispute reported 06/30/2026 1229926793 CMS
AstraZeneca Pharmaceuticals LP $18.85 11/20/2025 Food and Beverage No dispute reported 06/30/2026 1242516884 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.24 11/12/2025 Food and Beverage No dispute reported 06/30/2026 1223038565 CMS
AstraZeneca Pharmaceuticals LP $13.71 11/05/2025 Food and Beverage No dispute reported 06/30/2026 1242513238 CMS
AstraZeneca Pharmaceuticals LP $14.53 10/28/2025 Food and Beverage No dispute reported 06/30/2026 1242515006 CMS
Amgen Inc. $18.58 10/22/2025 Food and Beverage No dispute reported 06/30/2026 1229926749 CMS
Novo Nordisk Inc $124.99 10/21/2025 Food and Beverage No dispute reported 06/30/2026 1190295872 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $114.72 10/15/2025 Food and Beverage No dispute reported 06/30/2026 1223038567 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.82 10/13/2025 Food and Beverage No dispute reported 06/30/2026 1223038563 CMS
AstraZeneca Pharmaceuticals LP $18.16 10/06/2025 Food and Beverage No dispute reported 06/30/2026 1242515122 CMS
Novo Nordisk Inc $20.46 10/02/2025 Food and Beverage No dispute reported 06/30/2026 1192984005 CMS
Otsuka America Pharmaceutical, Inc. $21.84 09/22/2025 Food and Beverage No dispute reported 06/30/2026 1227897087 CMS
AstraZeneca Pharmaceuticals LP $20.30 09/18/2025 Food and Beverage No dispute reported 06/30/2026 1242522613 CMS
AstraZeneca Pharmaceuticals LP $124.99 09/17/2025 Food and Beverage No dispute reported 06/30/2026 1242517624 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $11.16 09/15/2025 Food and Beverage No dispute reported 06/30/2026 1223038561 CMS
AstraZeneca Pharmaceuticals LP $121.84 09/10/2025 Food and Beverage No dispute reported 06/30/2026 1242520477 CMS
PFIZER INC. $21.19 09/05/2025 Food and Beverage No dispute reported 06/30/2026 1229174872 CMS
Otsuka America Pharmaceutical, Inc. $18.31 09/02/2025 Food and Beverage No dispute reported 06/30/2026 1227897083 CMS
Novo Nordisk Inc $23.58 08/27/2025 Food and Beverage No dispute reported 06/30/2026 1192983689 CMS
AstraZeneca Pharmaceuticals LP $20.14 08/20/2025 Food and Beverage No dispute reported 06/30/2026 1242516530 CMS
AstraZeneca Pharmaceuticals LP $23.87 08/18/2025 Food and Beverage No dispute reported 06/30/2026 1242522709 CMS
Lilly USA, LLC $121.93 08/13/2025 Food and Beverage No dispute reported 06/30/2026 1187023812 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $18.22 08/11/2025 Food and Beverage No dispute reported 06/30/2026 1223038559 CMS
Lilly USA, LLC $6.60 08/08/2025 Food and Beverage No dispute reported 06/30/2026 1187041429 CMS
Amgen Inc. $125.00 08/06/2025 Food and Beverage No dispute reported 06/30/2026 1229926787 CMS
Amgen Inc. $20.16 08/04/2025 Food and Beverage No dispute reported 06/30/2026 1229926776 CMS
AstraZeneca Pharmaceuticals LP $18.89 07/28/2025 Food and Beverage No dispute reported 06/30/2026 1242515598 CMS
AstraZeneca Pharmaceuticals LP $21.21 06/25/2025 Food and Beverage No dispute reported 06/30/2026 1242515164 CMS
Eisai Inc. $122.06 06/23/2025 Food and Beverage No dispute reported 06/30/2026 1244530383 CMS
AstraZeneca Pharmaceuticals LP $19.94 06/17/2025 Food and Beverage No dispute reported 06/30/2026 1242521205 CMS
Lilly USA, LLC $15.98 06/13/2025 Food and Beverage No dispute reported 06/30/2026 1187088643 CMS
Amgen Inc. $5.01 06/09/2025 Food and Beverage No dispute reported 06/30/2026 1229926810 CMS
AstraZeneca Pharmaceuticals LP $117.05 06/04/2025 Food and Beverage No dispute reported 06/30/2026 1242517154 CMS
Lilly USA, LLC $124.99 05/28/2025 Food and Beverage No dispute reported 06/30/2026 1187127683 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.83 05/19/2025 Food and Beverage No dispute reported 06/30/2026 1223038557 CMS
Novo Nordisk Inc $4.39 05/15/2025 Food and Beverage No dispute reported 06/30/2026 1190292947 CMS
AstraZeneca Pharmaceuticals LP $17.20 05/14/2025 Food and Beverage No dispute reported 06/30/2026 1242523527 CMS
AstraZeneca Pharmaceuticals LP $113.11 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1242517442 CMS
AstraZeneca Pharmaceuticals LP $16.17 05/05/2025 Food and Beverage No dispute reported 06/30/2026 1242515566 CMS
PFIZER INC. $17.60 05/02/2025 Food and Beverage No dispute reported 06/30/2026 1229695877 CMS
QIAGEN, LLC $20.99 04/29/2025 Food and Beverage No dispute reported 06/30/2026 1250465094 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $10.39 04/21/2025 Food and Beverage No dispute reported 06/30/2026 1223038555 CMS
ABBVIE INC. $19.91 04/09/2025 Food and Beverage No dispute reported 06/30/2026 1203425349 CMS
ABIOMED $101.11 04/08/2025 Food and Beverage No dispute reported 06/30/2026 1174415467 CMS
Amgen Inc. $15.21 04/02/2025 Food and Beverage No dispute reported 06/30/2026 1229926801 CMS
Novo Nordisk Inc $124.99 04/02/2025 Food and Beverage No dispute reported 06/30/2026 1192983197 CMS
AstraZeneca Pharmaceuticals LP $15.58 03/31/2025 Food and Beverage No dispute reported 06/30/2026 1242513294 CMS
PFIZER INC. $17.30 03/18/2025 Food and Beverage No dispute reported 06/30/2026 1231480609 CMS
AstraZeneca Pharmaceuticals LP $14.25 03/12/2025 Food and Beverage No dispute reported 06/30/2026 1242521909 CMS
Lilly USA, LLC $122.06 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1187117791 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.45 03/03/2025 Food and Beverage No dispute reported 06/30/2026 1223038553 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.52 02/18/2025 Food and Beverage No dispute reported 06/30/2026 1225681112 CMS
Lilly USA, LLC $16.05 02/17/2025 Food and Beverage No dispute reported 06/30/2026 1187081705 CMS
Novo Nordisk Inc $6.13 02/13/2025 Food and Beverage No dispute reported 06/30/2026 1192982509 CMS
AstraZeneca Pharmaceuticals LP $17.62 02/12/2025 Food and Beverage No dispute reported 06/30/2026 1242519196 CMS
AstraZeneca Pharmaceuticals LP $17.54 02/12/2025 Food and Beverage No dispute reported 06/30/2026 1242523255 CMS
AstraZeneca Pharmaceuticals LP $18.10 01/27/2025 Food and Beverage No dispute reported 06/30/2026 1242515408 CMS
ABBVIE INC. $124.99 01/23/2025 Food and Beverage No dispute reported 06/30/2026 1203425343 CMS
AstraZeneca Pharmaceuticals LP $24.02 01/22/2025 Food and Beverage No dispute reported 06/30/2026 1242517586 CMS
Phathom Pharmaceuticals, Inc. $125.00 01/16/2025 Food and Beverage No dispute reported 06/30/2026 1219295964 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $23.37 01/13/2025 Food and Beverage No dispute reported 06/30/2026 1223038551 CMS
Exact Sciences Corporation $25.60 01/07/2025 Food and Beverage No dispute reported 06/30/2026 1235218169 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
2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.

Cite this record.

Plain
DONALD L PACHECO, NPI 1942297320. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1942297320.
APA 7
IndustryPayments. (2026). DONALD L PACHECO, NPI 1942297320 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1942297320
Bluebook
DONALD L PACHECO, NPI 1942297320, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1942297320.

Source: Centers for Medicare & Medicaid Services, Open Payments.