IndustryPayments
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

DONALD L PACHECO

Allopathic & Osteopathic Physicians Orthopaedic Surgery

NPI
1942297320
CMS profile
1045245
Location
FRESNO, CA

General Payments · PY2021–2024

$7,415.71

  • Reported across 210 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$2,654.97

56 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.

Related groups: Orthopaedic Surgery CA All categories

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,654.97 56

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Acerta Pharma LLC $614.93 13
Boehringer Ingelheim Pharmaceuticals, Inc. $372.98 10
Lilly USA, LLC $337.61 4
Amgen Inc. $257.54 7
Agios Pharmaceuticals, Inc. $159.96 2
Neurocrine BioSciences, Inc. $139.77 1
Phathom Pharmaceuticals, Inc. $125.00 1
Madrigal Pharmaceuticals $123.86 1
AIMMUNE THERAPEUTICS, INC. $123.63 1
Otsuka America Pharmaceutical, Inc. $121.84 1
PFIZER INC. $98.52 6
ABBVIE INC. $61.57 3
Bayer HealthCare Pharmaceuticals Inc. $39.10 2
Novo Nordisk AS $37.01 2
IRONWOOD PHARMACEUTICALS, INC $22.62 1
SHIELD THERAPEUTICS INC $19.03 1

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

Payment records · PY2024 (56)

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

Program year 2024 202120222023 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. $21.91 05/22/2024 Food and Beverage Undisputed 01/23/2026 1105167314 CMS
ABBVIE INC. $20.87 08/07/2024 Food and Beverage Undisputed 01/23/2026 1105167316 CMS
ABBVIE INC. $18.79 09/24/2024 Food and Beverage Undisputed 01/23/2026 1105167318 CMS
Agios Pharmaceuticals, Inc. $137.39 11/06/2024 Food and Beverage Undisputed 01/23/2026 1149645912 CMS
Agios Pharmaceuticals, Inc. $22.57 12/04/2024 Food and Beverage Undisputed 01/23/2026 1149642006 CMS
AIMMUNE THERAPEUTICS, INC. $123.63 04/16/2024 Food and Beverage Undisputed 01/23/2026 1146969189 CMS
Amgen Inc. $26.29 01/10/2024 Food and Beverage Undisputed 01/23/2026 1117647365 CMS
Amgen Inc. $24.47 02/14/2024 Food and Beverage Undisputed 01/23/2026 1115987262 CMS
Amgen Inc. $18.71 04/10/2024 Food and Beverage Undisputed 01/23/2026 1115987270 CMS
Amgen Inc. $125.00 07/31/2024 Food and Beverage Undisputed 01/23/2026 1115987250 CMS
Amgen Inc. $23.33 08/21/2024 Food and Beverage Undisputed 01/23/2026 1115987276 CMS
Amgen Inc. $20.59 10/23/2024 Food and Beverage Undisputed 01/23/2026 1115987282 CMS
Amgen Inc. $19.15 12/20/2024 Food and Beverage Undisputed 01/23/2026 1115987244 CMS
AstraZeneca Pharmaceuticals LP $16.95 01/17/2024 Food and Beverage Undisputed 01/23/2026 1123309652 CMS
AstraZeneca Pharmaceuticals LP $27.19 02/02/2024 Food and Beverage Undisputed 01/23/2026 1123306402 CMS
AstraZeneca Pharmaceuticals LP $121.83 02/21/2024 Food and Beverage Undisputed 01/23/2026 1123311306 CMS
AstraZeneca Pharmaceuticals LP $13.35 03/20/2024 Food and Beverage Undisputed 01/23/2026 1123308768 CMS
AstraZeneca Pharmaceuticals LP $121.83 05/21/2024 Food and Beverage Undisputed 01/23/2026 1123308408 CMS
AstraZeneca Pharmaceuticals LP $21.48 06/13/2024 Food and Beverage Undisputed 01/23/2026 1123309930 CMS
AstraZeneca Pharmaceuticals LP $19.12 07/17/2024 Food and Beverage Undisputed 01/23/2026 1123307670 CMS
AstraZeneca Pharmaceuticals LP $13.81 08/13/2024 Food and Beverage Undisputed 01/23/2026 1123312326 CMS
AstraZeneca Pharmaceuticals LP $15.77 09/11/2024 Food and Beverage Undisputed 01/23/2026 1123304834 CMS
AstraZeneca Pharmaceuticals LP $23.75 10/16/2024 Food and Beverage Undisputed 01/23/2026 1123303860 CMS
AstraZeneca Pharmaceuticals LP $121.83 10/29/2024 Food and Beverage Undisputed 01/23/2026 1123307468 CMS
AstraZeneca Pharmaceuticals LP $20.14 11/20/2024 Food and Beverage Undisputed 01/23/2026 1123304040 CMS
AstraZeneca Pharmaceuticals LP $77.88 12/12/2024 Food and Beverage Undisputed 01/23/2026 1123302962 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.28 05/01/2024 Food and Beverage Undisputed 01/23/2026 1086354018 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.82 10/30/2024 Food and Beverage Undisputed 01/23/2026 1086277532 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.03 02/09/2024 Food and Beverage Undisputed 01/23/2026 1118243924 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $20.42 03/15/2024 Food and Beverage Undisputed 01/23/2026 1118243936 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $121.79 03/19/2024 Food and Beverage Undisputed 01/23/2026 1118243918 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $11.45 04/19/2024 Food and Beverage Undisputed 01/23/2026 1118243922 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.04 05/08/2024 Food and Beverage Undisputed 01/23/2026 1118243928 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.26 06/07/2024 Food and Beverage Undisputed 01/23/2026 1118243926 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $125.00 06/11/2024 Food and Beverage Undisputed 01/23/2026 1118243920 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.37 09/06/2024 Food and Beverage Undisputed 01/23/2026 1118243930 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $19.45 10/02/2024 Food and Beverage Undisputed 01/23/2026 1118243934 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.17 12/13/2024 Food and Beverage Undisputed 01/23/2026 1118243932 CMS
IRONWOOD PHARMACEUTICALS, INC $22.62 07/24/2024 Food and Beverage Undisputed 01/23/2026 1153727430 CMS
Lilly USA, LLC $16.68 05/28/2024 Food and Beverage Undisputed 01/23/2026 1135611453 CMS
Lilly USA, LLC $96.00 08/27/2024 Food and Beverage Undisputed 01/23/2026 1135611455 CMS
Lilly USA, LLC $99.93 10/22/2024 Food and Beverage Undisputed 01/23/2026 1135624663 CMS
Lilly USA, LLC $125.00 12/04/2024 Food and Beverage Undisputed 01/23/2026 1135634896 CMS
Madrigal Pharmaceuticals $123.86 10/17/2024 Food and Beverage Undisputed 01/23/2026 1144196749 CMS
Neurocrine Biosciences, Inc. $139.77 02/22/2024 Food and Beverage Undisputed 01/23/2026 1150918466 CMS
Novo Nordisk Inc $17.67 03/19/2024 Food and Beverage Undisputed 01/23/2026 1108571604 CMS
Novo Nordisk Inc $19.34 09/26/2024 Food and Beverage Undisputed 01/23/2026 1108566891 CMS
Otsuka America Pharmaceutical, Inc. $121.84 04/10/2024 Food and Beverage Undisputed 01/23/2026 1119156423 CMS
PFIZER INC. $15.97 02/29/2024 Food and Beverage Undisputed 01/23/2026 1131634959 CMS
PFIZER INC. $16.45 03/05/2024 Food and Beverage Undisputed 01/23/2026 1131665280 CMS
PFIZER INC. $18.77 07/03/2024 Food and Beverage Undisputed 01/23/2026 1131824004 CMS
PFIZER INC. $14.25 08/15/2024 Food and Beverage Undisputed 01/23/2026 1131877402 CMS
PFIZER INC. $13.90 08/28/2024 Food and Beverage Undisputed 01/23/2026 1131892403 CMS
PFIZER INC. $19.18 12/10/2024 Food and Beverage Undisputed 01/23/2026 1131008408 CMS
Phathom Pharmaceuticals, Inc. $125.00 03/06/2024 Food and Beverage Undisputed 01/23/2026 1151194611 CMS
SHIELD THERAPEUTICS INC $19.03 01/03/2024 Food and Beverage Undisputed 01/23/2026 1150115311 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

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