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

NARAYAN DHAREL

Allopathic & Osteopathic Physicians Internal Medicine Gastroenterology

NPI
1942464102
CMS profile
675215
Location
FREDERICKSBURG, VA

General Payments · PY2018–2024

$40,963.73

  • Reported across 596 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,995.60

90 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 $1,995.60 90

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $11,073.57 104
PY2019 $13,615.08 102
PY2020 $8,188.66 54
PY2021 $3,078.29 79
PY2022 $1,759.85 90
PY2023 $1,252.68 77
PY2024 $1,995.60 90

Payment records · PY2024 (90)

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
ABBVIE INC. $1.07 01/05/2024 Food and Beverage Undisputed 01/23/2026 1103635136 CMS
ABBVIE INC. $26.79 01/05/2024 Food and Beverage Undisputed 01/23/2026 1103635138 CMS
ABBVIE INC. $14.90 01/12/2024 Food and Beverage Undisputed 01/23/2026 1103635140 CMS
ABBVIE INC. $23.42 01/30/2024 Food and Beverage Undisputed 01/23/2026 1103635142 CMS
ABBVIE INC. $26.04 02/10/2024 Food and Beverage Undisputed 01/23/2026 1103635144 CMS
ABBVIE INC. $14.90 02/22/2024 Food and Beverage Undisputed 01/23/2026 1103635146 CMS
ABBVIE INC. $13.53 03/21/2024 Food and Beverage Undisputed 01/23/2026 1103635148 CMS
ABBVIE INC. $15.99 04/12/2024 Food and Beverage Undisputed 01/23/2026 1103635150 CMS
ABBVIE INC. $25.02 06/05/2024 Food and Beverage Undisputed 01/23/2026 1103635152 CMS
ABBVIE INC. $24.65 06/14/2024 Food and Beverage Undisputed 01/23/2026 1103635154 CMS
ABBVIE INC. $12.58 06/20/2024 Food and Beverage Undisputed 01/23/2026 1103635156 CMS
ABBVIE INC. $15.05 07/02/2024 Food and Beverage Undisputed 01/23/2026 1103635158 CMS
ABBVIE INC. $13.25 09/17/2024 Food and Beverage Undisputed 01/23/2026 1103635160 CMS
ABBVIE INC. $21.02 10/09/2024 Food and Beverage Undisputed 01/23/2026 1103635162 CMS
ABBVIE INC. $10.73 10/11/2024 Food and Beverage Undisputed 01/23/2026 1103635164 CMS
ABBVIE INC. $15.10 11/06/2024 Food and Beverage Undisputed 01/23/2026 1103635166 CMS
ABBVIE INC. $14.09 11/08/2024 Food and Beverage Undisputed 01/23/2026 1103635168 CMS
ABBVIE INC. $12.01 12/02/2024 Food and Beverage Undisputed 01/23/2026 1103635170 CMS
Ardelyx, Inc. $14.78 07/08/2024 Food and Beverage Undisputed 01/23/2026 1146678138 CMS
Ardelyx, Inc. $13.71 09/20/2024 Food and Beverage Undisputed 01/23/2026 1146678140 CMS
Ardelyx, Inc. $18.61 09/25/2024 Food and Beverage Undisputed 01/23/2026 1146678142 CMS
Ardelyx, Inc. $15.46 11/18/2024 Food and Beverage Undisputed 01/23/2026 1146678144 CMS
Celgene Corporation $15.27 01/19/2024 Food and Beverage Undisputed 01/23/2026 1101180840 CMS
Celgene Corporation $27.26 03/18/2024 Food and Beverage Undisputed 01/23/2026 1101180844 CMS
Celgene Corporation $17.85 04/19/2024 Food and Beverage Undisputed 01/23/2026 1101180850 CMS
CONMED Corporation $45.45 05/29/2024 Food and Beverage Undisputed 01/23/2026 1142397577 CMS
E.R. Squibb & Sons, L.L.C. $118.87 03/21/2024 Food and Beverage Undisputed 01/23/2026 1101747466 CMS
E.R. Squibb & Sons, L.L.C. $130.60 05/28/2024 Food and Beverage Undisputed 01/23/2026 1101747496 CMS
GENZYME CORPORATION $24.12 06/10/2024 Food and Beverage Undisputed 01/23/2026 1139656374 CMS
GENZYME CORPORATION $24.03 08/20/2024 Food and Beverage Undisputed 01/23/2026 1139656382 CMS
Gilead Sciences, Inc. $23.71 05/22/2024 Food and Beverage Undisputed 01/23/2026 1133777323 CMS
Gilead Sciences, Inc. $24.38 12/17/2024 Food and Beverage Undisputed 01/23/2026 1133777325 CMS
Ipsen Biopharmaceuticals, Inc $96.30 03/15/2024 Food and Beverage Undisputed 01/23/2026 1091974388 CMS
Ipsen Biopharmaceuticals, Inc $12.51 05/01/2024 Food and Beverage Undisputed 01/23/2026 1091974392 CMS
Ipsen Biopharmaceuticals, Inc $23.32 06/19/2024 Food and Beverage Undisputed 01/23/2026 1091974395 CMS
Ipsen Biopharmaceuticals, Inc $18.71 08/21/2024 Food and Beverage Undisputed 01/23/2026 1091974397 CMS
Ipsen Biopharmaceuticals, Inc $112.53 09/17/2024 Food and Beverage Undisputed 01/23/2026 1091974403 CMS
Ipsen Biopharmaceuticals, Inc $21.70 10/16/2024 Food and Beverage Undisputed 01/23/2026 1091974408 CMS
IRONWOOD PHARMACEUTICALS, INC $17.57 01/24/2024 Food and Beverage Undisputed 01/23/2026 1153757769 CMS
IRONWOOD PHARMACEUTICALS, INC $20.19 08/28/2024 Food and Beverage Undisputed 01/23/2026 1153722419 CMS
IRONWOOD PHARMACEUTICALS, INC $17.30 11/11/2024 Food and Beverage Undisputed 01/23/2026 1153713505 CMS
Madrigal Pharmaceuticals $25.28 11/12/2024 Food and Beverage Undisputed 01/23/2026 1144164549 CMS
Merck Sharp & Dohme LLC $17.88 01/26/2024 Food and Beverage Undisputed 01/23/2026 1141842679 CMS
Novo Nordisk Inc $18.81 03/04/2024 Food and Beverage Undisputed 01/23/2026 1096745063 CMS
PFIZER INC. $23.75 03/06/2024 Food and Beverage Undisputed 01/23/2026 1131237372 CMS
PFIZER INC. $22.57 07/01/2024 Food and Beverage Undisputed 01/23/2026 1131767378 CMS
PFIZER INC. $16.87 08/26/2024 Food and Beverage Undisputed 01/23/2026 1131855860 CMS
PFIZER INC. $22.42 09/30/2024 Food and Beverage Undisputed 01/23/2026 1131968823 CMS
Phathom Pharmaceuticals, Inc. $17.79 03/01/2024 Food and Beverage Undisputed 01/23/2026 1151055609 CMS
Phathom Pharmaceuticals, Inc. $18.15 04/26/2024 Food and Beverage Undisputed 01/23/2026 1151055611 CMS
Phathom Pharmaceuticals, Inc. $16.77 08/23/2024 Food and Beverage Undisputed 01/23/2026 1151055613 CMS
Phathom Pharmaceuticals, Inc. $13.29 10/15/2024 Food and Beverage Undisputed 01/23/2026 1151055615 CMS
QOL Medical, LLC $21.62 01/03/2024 Food and Beverage Undisputed 01/23/2026 1147726696 CMS
QOL Medical, LLC $23.94 02/26/2024 Food and Beverage Undisputed 01/23/2026 1147726698 CMS
QOL Medical, LLC $16.00 03/12/2024 Food and Beverage Undisputed 01/23/2026 1147726700 CMS
QOL Medical, LLC $13.89 05/07/2024 Food and Beverage Undisputed 01/23/2026 1147726702 CMS
QOL Medical, LLC $40.86 06/19/2024 Food and Beverage Undisputed 01/23/2026 1147726704 CMS
QOL Medical, LLC $32.92 09/13/2024 Food and Beverage Undisputed 01/23/2026 1147726706 CMS
QOL Medical, LLC $23.86 10/29/2024 Food and Beverage Undisputed 01/23/2026 1147726708 CMS
QOL Medical, LLC $14.12 12/23/2024 Food and Beverage Undisputed 01/23/2026 1147726710 CMS
Regeneron Healthcare Solutions, Inc. $16.89 05/13/2024 Food and Beverage Undisputed 01/23/2026 1114037027 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $23.82 05/07/2024 Food and Beverage Undisputed 01/23/2026 1153720594 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $22.81 07/23/2024 Food and Beverage Undisputed 01/23/2026 1153667912 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $22.58 10/04/2024 Food and Beverage Undisputed 01/23/2026 1153700493 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $24.56 10/14/2024 Food and Beverage Undisputed 01/23/2026 1153695659 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $24.56 11/12/2024 Food and Beverage Undisputed 01/23/2026 1153526319 CMS
Takeda Pharmaceuticals U.S.A., Inc. $21.62 02/12/2024 Food and Beverage Undisputed 01/23/2026 1137530008 CMS
Takeda Pharmaceuticals U.S.A., Inc. $24.17 02/23/2024 Food and Beverage Undisputed 01/23/2026 1137530011 CMS
Takeda Pharmaceuticals U.S.A., Inc. $1.51 02/23/2024 Food and Beverage Undisputed 01/23/2026 1137530015 CMS
Takeda Pharmaceuticals U.S.A., Inc. $0.45 03/11/2024 Food and Beverage Undisputed 01/23/2026 1137530019 CMS
Takeda Pharmaceuticals U.S.A., Inc. $27.19 03/11/2024 Food and Beverage Undisputed 01/23/2026 1137530023 CMS
Takeda Pharmaceuticals U.S.A., Inc. $25.44 03/14/2024 Food and Beverage Undisputed 01/23/2026 1137530027 CMS
Takeda Pharmaceuticals U.S.A., Inc. $10.90 04/16/2024 Food and Beverage Undisputed 01/23/2026 1137530030 CMS
Takeda Pharmaceuticals U.S.A., Inc. $21.92 06/17/2024 Food and Beverage Undisputed 01/23/2026 1137530034 CMS
Takeda Pharmaceuticals U.S.A., Inc. $5.90 06/17/2024 Food and Beverage Undisputed 01/23/2026 1137530038 CMS
Takeda Pharmaceuticals U.S.A., Inc. $15.94 07/10/2024 Food and Beverage Undisputed 01/23/2026 1137530042 CMS
Takeda Pharmaceuticals U.S.A., Inc. $18.49 08/19/2024 Food and Beverage Undisputed 01/23/2026 1137530046 CMS
Takeda Pharmaceuticals U.S.A., Inc. $0.67 08/19/2024 Food and Beverage Undisputed 01/23/2026 1137530050 CMS
Takeda Pharmaceuticals U.S.A., Inc. $0.52 09/16/2024 Food and Beverage Undisputed 01/23/2026 1137530054 CMS
Takeda Pharmaceuticals U.S.A., Inc. $13.91 09/16/2024 Food and Beverage Undisputed 01/23/2026 1137530057 CMS
Takeda Pharmaceuticals U.S.A., Inc. $19.01 09/23/2024 Food and Beverage Undisputed 01/23/2026 1137530061 CMS
Takeda Pharmaceuticals U.S.A., Inc. $0.53 09/23/2024 Food and Beverage Undisputed 01/23/2026 1137530065 CMS
Takeda Pharmaceuticals U.S.A., Inc. $0.68 10/21/2024 Food and Beverage Undisputed 01/23/2026 1137530069 CMS
Takeda Pharmaceuticals U.S.A., Inc. $16.24 10/21/2024 Food and Beverage Undisputed 01/23/2026 1137530072 CMS
Takeda Pharmaceuticals U.S.A., Inc. $22.46 11/15/2024 Food and Beverage Undisputed 01/23/2026 1137530076 CMS
Takeda Pharmaceuticals U.S.A., Inc. $0.77 11/15/2024 Food and Beverage Undisputed 01/23/2026 1137530080 CMS
Takeda Pharmaceuticals U.S.A., Inc. $21.54 11/25/2024 Food and Beverage Undisputed 01/23/2026 1137530084 CMS
Takeda Pharmaceuticals U.S.A., Inc. $17.83 12/16/2024 Food and Beverage Undisputed 01/23/2026 1137530088 CMS
Takeda Pharmaceuticals U.S.A., Inc. $0.73 12/18/2024 Food and Beverage Undisputed 01/23/2026 1137530091 CMS
Takeda Pharmaceuticals U.S.A., Inc. $16.80 12/18/2024 Food and Beverage Undisputed 01/23/2026 1137530095 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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