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

MARCIA A AYER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Acute Care

NPI
1952903056
CMS profile
10648740
Location
COLUMBUS, OH

General Payments · PY2021–2024

$6,707.22

  • Reported across 115 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,738.68

66 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 $1,718.94 60
Education $19.74 6

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $344.08 10
PY2022 $125.09 6
PY2023 $4,499.37 33
PY2024 $1,738.68 66

Payment records · PY2024 (66)

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
AstraZeneca Pharmaceuticals LP $16.32 04/05/2024 Food and Beverage Undisputed 01/23/2026 1104576144 CMS
Avadel CNS Pharmaceuticals, LLC $22.86 02/21/2024 Food and Beverage Undisputed 01/23/2026 1123390186 CMS
Avadel CNS Pharmaceuticals, LLC $28.37 03/08/2024 Food and Beverage Undisputed 01/23/2026 1123390188 CMS
Avadel CNS Pharmaceuticals, LLC $22.80 04/04/2024 Food and Beverage Undisputed 01/23/2026 1123390190 CMS
Avadel CNS Pharmaceuticals, LLC $22.70 05/30/2024 Food and Beverage Undisputed 01/23/2026 1123390192 CMS
Avadel CNS Pharmaceuticals, LLC $20.04 07/20/2024 Food and Beverage Undisputed 01/23/2026 1123390194 CMS
Avadel CNS Pharmaceuticals, LLC $27.48 08/20/2024 Food and Beverage Undisputed 01/23/2026 1123390196 CMS
Avadel CNS Pharmaceuticals, LLC $16.54 09/17/2024 Food and Beverage Undisputed 01/23/2026 1123390198 CMS
Avadel CNS Pharmaceuticals, LLC $14.58 12/06/2024 Food and Beverage Undisputed 01/23/2026 1123390200 CMS
Axsome Therapeutics, Inc. $2.82 03/11/2024 Education Undisputed 01/23/2026 1148387846 CMS
Axsome Therapeutics, Inc. $5.64 04/25/2024 Education Undisputed 01/23/2026 1148387848 CMS
Axsome Therapeutics, Inc. $2.82 05/29/2024 Education Undisputed 01/23/2026 1148387850 CMS
Axsome Therapeutics, Inc. $2.82 06/13/2024 Education Undisputed 01/23/2026 1148387852 CMS
Axsome Therapeutics, Inc. $2.82 10/04/2024 Education Undisputed 01/23/2026 1148387856 CMS
Axsome Therapeutics, Inc. $2.82 10/18/2024 Education Undisputed 01/23/2026 1148387854 CMS
Axsome Therapeutics, Inc. $121.20 11/07/2024 Food and Beverage Undisputed 01/23/2026 1148387858 CMS
Axsome Therapeutics, Inc. $6.80 12/05/2024 Food and Beverage Undisputed 01/23/2026 1148387860 CMS
Axsome Therapeutics, Inc. $6.75 12/19/2024 Food and Beverage Undisputed 01/23/2026 1148387862 CMS
HARMONY BIOSCIENCES LLC $28.91 04/13/2024 Food and Beverage Undisputed 01/23/2026 1126086475 CMS
HARMONY BIOSCIENCES LLC $14.30 05/10/2024 Food and Beverage Undisputed 01/23/2026 1126086481 CMS
HARMONY BIOSCIENCES LLC $31.00 05/20/2024 Food and Beverage Undisputed 01/23/2026 1126086473 CMS
HARMONY BIOSCIENCES LLC $21.29 06/13/2024 Food and Beverage Undisputed 01/23/2026 1126086477 CMS
HARMONY BIOSCIENCES LLC $12.86 06/20/2024 Food and Beverage Undisputed 01/23/2026 1126086483 CMS
HARMONY BIOSCIENCES LLC $11.50 06/28/2024 Food and Beverage Undisputed 01/23/2026 1126086485 CMS
HARMONY BIOSCIENCES LLC $10.19 07/09/2024 Food and Beverage Undisputed 01/23/2026 1126086487 CMS
HARMONY BIOSCIENCES LLC $20.47 08/23/2024 Food and Beverage Undisputed 01/23/2026 1126086479 CMS
IDORSIA PHARMACEUTICALS US INC $7.89 02/28/2024 Food and Beverage Undisputed 01/23/2026 1146771538 CMS
IDORSIA PHARMACEUTICALS US INC $3.53 03/20/2024 Food and Beverage Undisputed 01/23/2026 1146773370 CMS
IDORSIA PHARMACEUTICALS US INC $4.46 05/08/2024 Food and Beverage Undisputed 01/23/2026 1146779781 CMS
IDORSIA PHARMACEUTICALS US INC $14.60 09/18/2024 Food and Beverage Undisputed 01/23/2026 1146791141 CMS
IDORSIA PHARMACEUTICALS US INC $7.78 10/28/2024 Food and Beverage Undisputed 01/23/2026 1146792910 CMS
IDORSIA PHARMACEUTICALS US INC $121.20 11/14/2024 Food and Beverage Undisputed 01/23/2026 1146782494 CMS
IDORSIA PHARMACEUTICALS US INC $8.76 12/02/2024 Food and Beverage Undisputed 01/23/2026 1146785694 CMS
Inspire Medical Systems, Inc. $7.50 01/18/2024 Food and Beverage Undisputed 01/23/2026 1148132607 CMS
Inspire Medical Systems, Inc. $19.76 01/19/2024 Food and Beverage Undisputed 01/23/2026 1148132611 CMS
Inspire Medical Systems, Inc. $15.76 02/01/2024 Food and Beverage Undisputed 01/23/2026 1148132616 CMS
Inspire Medical Systems, Inc. $137.50 03/12/2024 Food and Beverage Undisputed 01/23/2026 1148132620 CMS
Inspire Medical Systems, Inc. $116.53 04/01/2024 Food and Beverage Undisputed 01/23/2026 1148132624 CMS
Inspire Medical Systems, Inc. $14.91 05/08/2024 Food and Beverage Undisputed 01/23/2026 1148132629 CMS
Inspire Medical Systems, Inc. $20.27 05/18/2024 Food and Beverage Undisputed 01/23/2026 1148132633 CMS
Inspire Medical Systems, Inc. $24.65 06/11/2024 Food and Beverage Undisputed 01/23/2026 1148132637 CMS
Inspire Medical Systems, Inc. $28.25 07/06/2024 Food and Beverage Undisputed 01/23/2026 1148132641 CMS
Inspire Medical Systems, Inc. $19.62 07/12/2024 Food and Beverage Undisputed 01/23/2026 1148132646 CMS
Inspire Medical Systems, Inc. $23.34 09/06/2024 Food and Beverage Undisputed 01/23/2026 1148132650 CMS
Inspire Medical Systems, Inc. $20.17 10/12/2024 Food and Beverage Undisputed 01/23/2026 1148132654 CMS
Inspire Medical Systems, Inc. $119.79 10/24/2024 Food and Beverage Undisputed 01/23/2026 1148132658 CMS
Inspire Medical Systems, Inc. $22.73 11/08/2024 Food and Beverage Undisputed 01/23/2026 1148132662 CMS
Inspire Medical Systems, Inc. $9.90 11/21/2024 Food and Beverage Undisputed 01/23/2026 1148132666 CMS
JAZZ PHARMACEUTICALS INC. $27.25 01/17/2024 Food and Beverage Undisputed 01/23/2026 1151319472 CMS
JAZZ PHARMACEUTICALS INC. $23.86 01/27/2024 Food and Beverage Undisputed 01/23/2026 1151319458 CMS
JAZZ PHARMACEUTICALS INC. $24.59 02/08/2024 Food and Beverage Undisputed 01/23/2026 1151319450 CMS
JAZZ PHARMACEUTICALS INC. $2.51 02/20/2024 Food and Beverage Undisputed 01/23/2026 1151319446 CMS
JAZZ PHARMACEUTICALS INC. $19.34 02/20/2024 Food and Beverage Undisputed 01/23/2026 1151319452 CMS
JAZZ PHARMACEUTICALS INC. $19.82 03/05/2024 Food and Beverage Undisputed 01/23/2026 1151319444 CMS
JAZZ PHARMACEUTICALS INC. $149.18 04/03/2024 Food and Beverage Undisputed 01/23/2026 1151319448 CMS
JAZZ PHARMACEUTICALS INC. $11.51 06/12/2024 Food and Beverage Undisputed 01/23/2026 1151319454 CMS
JAZZ PHARMACEUTICALS INC. $3.63 08/01/2024 Food and Beverage Undisputed 01/23/2026 1151319466 CMS
JAZZ PHARMACEUTICALS INC. $32.54 08/02/2024 Food and Beverage Undisputed 01/23/2026 1151319478 CMS
JAZZ PHARMACEUTICALS INC. $31.55 08/05/2024 Food and Beverage Undisputed 01/23/2026 1151319464 CMS
JAZZ PHARMACEUTICALS INC. $2.72 08/05/2024 Food and Beverage Undisputed 01/23/2026 1151319468 CMS
JAZZ PHARMACEUTICALS INC. $17.96 09/11/2024 Food and Beverage Undisputed 01/23/2026 1151319460 CMS
JAZZ PHARMACEUTICALS INC. $15.51 09/19/2024 Food and Beverage Undisputed 01/23/2026 1151319470 CMS
JAZZ PHARMACEUTICALS INC. $30.85 10/01/2024 Food and Beverage Undisputed 01/23/2026 1151319456 CMS
JAZZ PHARMACEUTICALS INC. $16.78 11/13/2024 Food and Beverage Undisputed 01/23/2026 1151319474 CMS
JAZZ PHARMACEUTICALS INC. $21.26 12/03/2024 Food and Beverage Undisputed 01/23/2026 1151319462 CMS
JAZZ PHARMACEUTICALS INC. $22.22 12/11/2024 Food and Beverage Undisputed 01/23/2026 1151319476 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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