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

THOMAS J TOOLE

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1962081638
CMS profile
11253088
Location
CONROE, TX

General Payments · PY2022–2024

$1,360.85

  • Reported across 75 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$642.93

34 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 $642.93 34

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $290.87 17
PY2023 $427.05 24
PY2024 $642.93 34

Payment records · PY2024 (34)

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

Program year 2024 20222023 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
Acella Pharmaceuticals, LLC $17.92 09/19/2024 Food and Beverage Undisputed 01/23/2026 1126638664 CMS
Astellas Pharma US Inc $22.50 04/05/2024 Food and Beverage Undisputed 01/23/2026 1139497394 CMS
Astellas Pharma US Inc $19.41 10/22/2024 Food and Beverage Undisputed 01/23/2026 1139543074 CMS
AstraZeneca Pharmaceuticals LP $15.47 01/31/2024 Food and Beverage Undisputed 01/23/2026 1105346539 CMS
AstraZeneca Pharmaceuticals LP $17.49 04/02/2024 Food and Beverage Undisputed 01/23/2026 1105617067 CMS
AstraZeneca Pharmaceuticals LP $22.13 05/02/2024 Food and Beverage Undisputed 01/23/2026 1104578914 CMS
AstraZeneca Pharmaceuticals LP $20.07 06/25/2024 Food and Beverage Undisputed 01/23/2026 1105788028 CMS
AstraZeneca Pharmaceuticals LP $13.58 09/25/2024 Food and Beverage Undisputed 01/23/2026 1105481681 CMS
AstraZeneca Pharmaceuticals LP $20.07 11/06/2024 Food and Beverage Undisputed 01/23/2026 1105898494 CMS
AstraZeneca Pharmaceuticals LP $23.78 11/19/2024 Food and Beverage Undisputed 01/23/2026 1105713024 CMS
Corium, LLC $19.68 04/30/2024 Food and Beverage Undisputed 01/23/2026 1100098826 CMS
Corium, LLC $1.60 04/30/2024 Food and Beverage Undisputed 01/23/2026 1100136979 CMS
Dexcom, Inc. $13.54 10/10/2024 Food and Beverage Undisputed 01/23/2026 1153389654 CMS
Exact Sciences Corporation $16.67 04/22/2024 Food and Beverage Undisputed 01/23/2026 1114933195 CMS
Exact Sciences Corporation $15.98 10/17/2024 Food and Beverage Undisputed 01/23/2026 1114933198 CMS
GlaxoSmithKline, LLC. $16.14 02/20/2024 Food and Beverage Undisputed 01/23/2026 1115943042 CMS
GlaxoSmithKline, LLC. $20.89 02/21/2024 Food and Beverage Undisputed 01/23/2026 1115961921 CMS
GlaxoSmithKline, LLC. $24.65 07/30/2024 Food and Beverage Undisputed 01/23/2026 1116669014 CMS
IRONSHORE PHARMACEUTICALS INC. $24.81 01/19/2024 Food and Beverage Undisputed 01/23/2026 1146250615 CMS
Itamar Medical Inc $22.80 01/04/2024 Food and Beverage Undisputed 01/23/2026 1154006318 CMS
Lilly USA, LLC $17.69 02/16/2024 Food and Beverage Undisputed 01/23/2026 1135968780 CMS
Lilly USA, LLC $14.43 03/21/2024 Food and Beverage Undisputed 01/23/2026 1135979770 CMS
Lilly USA, LLC $19.07 04/30/2024 Food and Beverage Undisputed 01/23/2026 1135895709 CMS
Medtronic, Inc. $17.51 11/26/2024 Food and Beverage Undisputed 01/23/2026 1117015422 CMS
Novo Nordisk Inc $13.53 05/17/2024 Food and Beverage Undisputed 01/23/2026 1100472367 CMS
Otsuka America Pharmaceutical, Inc. $19.64 03/07/2024 Food and Beverage Undisputed 01/23/2026 1119201978 CMS
Otsuka America Pharmaceutical, Inc. $13.10 06/04/2024 Food and Beverage Undisputed 01/23/2026 1119201980 CMS
PFIZER INC. $27.87 06/20/2024 Food and Beverage Undisputed 01/23/2026 1131709675 CMS
PFIZER INC. $27.33 12/03/2024 Food and Beverage Undisputed 01/23/2026 1131194849 CMS
Sumitomo Pharma America, Inc. $24.82 04/26/2024 Food and Beverage Undisputed 01/23/2026 1149000114 CMS
Sumitomo Pharma America, Inc. $19.85 12/17/2024 Food and Beverage Undisputed 01/23/2026 1149000116 CMS
Takeda Pharmaceuticals U.S.A., Inc. $21.06 02/22/2024 Food and Beverage Undisputed 01/23/2026 1137834853 CMS
Takeda Pharmaceuticals U.S.A., Inc. $20.84 05/21/2024 Food and Beverage Undisputed 01/23/2026 1137834855 CMS
Takeda Pharmaceuticals U.S.A., Inc. $17.01 08/15/2024 Food and Beverage Undisputed 01/23/2026 1137834857 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
2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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