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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

LANCE R VARNS

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1962583534
CMS profile
11187601
Location
SPOKANE, WA

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

$2,690.47

109 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 $2,501.53 107
Education $188.94 2

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Acerta Pharma LLC $451.18 17
Actelion Pharmaceuticals US, Inc. $410.16 13
GlaxoSmithKline, LLC. $391.25 23
Verona Pharma, Inc. $229.47 6
United Therapeutics Corporation $171.41 4
GENZYME CORPORATION $159.75 9
Merck Sharp & Dohme Corporation $141.79 5
BAXTER HEALTHCARE $138.27 10
Insmed, Inc. $103.30 3
SANOFI-AVENTIS U.S. LLC $99.95 1
Takeda Pharmaceuticals U.S.A., Inc. $82.50 3
Genentech USA, Inc. $49.90 2
Electromed, Inc. $47.16 2
Philips Electronics North America Corporation $37.51 2
Grifols USA, LLC $33.87 1
Viatris Specialty LLC $32.18 2
Boehringer Ingelheim Pharmaceuticals, Inc. $31.30 2
JAZZ PHARMACEUTICALS INC. $20.66 1
Liquidia Technologies, Inc. $20.46 1
Regeneron Healthcare Solutions, Inc. $19.88 1
Amgen Inc. $18.52 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,393.17 44
PY2022 $2,571.10 77
PY2023 $2,761.47 88
PY2024 $1,643.10 62
PY2025 $2,690.47 109

Payment records · PY2025 (109)

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
Liquidia Technologies, Inc. $20.46 12/22/2025 Food and Beverage No dispute reported 06/30/2026 1208897851 CMS
AstraZeneca Pharmaceuticals LP $19.52 12/19/2025 Food and Beverage No dispute reported 06/30/2026 1207316244 CMS
Merck Sharp & Dohme LLC $30.61 12/17/2025 Food and Beverage No dispute reported 06/30/2026 1238317866 CMS
GlaxoSmithKline, LLC. $16.21 12/16/2025 Food and Beverage No dispute reported 06/30/2026 1190666161 CMS
AstraZeneca Pharmaceuticals LP $14.34 12/08/2025 Food and Beverage No dispute reported 06/30/2026 1206763148 CMS
GENZYME CORPORATION $21.27 12/08/2025 Food and Beverage No dispute reported 06/30/2026 1233642097 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.68 12/05/2025 Food and Beverage No dispute reported 06/30/2026 1223050748 CMS
AstraZeneca Pharmaceuticals LP $21.85 12/03/2025 Food and Beverage No dispute reported 06/30/2026 1206930811 CMS
United Therapeutics Corporation $21.12 12/03/2025 Food and Beverage No dispute reported 06/30/2026 1242553946 CMS
AstraZeneca Pharmaceuticals LP $24.65 11/21/2025 Food and Beverage No dispute reported 06/30/2026 1206849755 CMS
Electromed, Inc. $25.50 11/11/2025 Food and Beverage No dispute reported 06/30/2026 1224615228 CMS
Verona Pharma, Inc. $18.22 11/11/2025 Food and Beverage No dispute reported 06/30/2026 1233746895 CMS
Takeda Pharmaceuticals U.S.A., Inc. $35.33 11/10/2025 Food and Beverage No dispute reported 06/30/2026 1224091084 CMS
GENZYME CORPORATION $20.20 11/07/2025 Food and Beverage No dispute reported 06/30/2026 1233642117 CMS
Baxter Healthcare $9.92 11/06/2025 Food and Beverage No dispute reported 06/30/2026 1181706833 CMS
Merck Sharp & Dohme LLC $29.43 11/05/2025 Food and Beverage No dispute reported 06/30/2026 1238092253 CMS
Philips North America LLC $20.15 11/03/2025 Food and Beverage No dispute reported 06/30/2026 1232604864 CMS
Verona Pharma, Inc. $124.56 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1233746855 CMS
AstraZeneca Pharmaceuticals LP $16.21 10/29/2025 Food and Beverage No dispute reported 06/30/2026 1206335643 CMS
GlaxoSmithKline, LLC. $8.98 10/28/2025 Food and Beverage No dispute reported 06/30/2026 1190347744 CMS
Verona Pharma, Inc. $16.52 10/27/2025 Food and Beverage No dispute reported 06/30/2026 1233746911 CMS
Actelion Pharmaceuticals US, Inc. $17.97 10/16/2025 Food and Beverage No dispute reported 06/30/2026 1174321506 CMS
GlaxoSmithKline, LLC. $1.97 10/14/2025 Food and Beverage No dispute reported 06/30/2026 1190918075 CMS
GlaxoSmithKline, LLC. $3.84 10/14/2025 Food and Beverage No dispute reported 06/30/2026 1191381175 CMS
GlaxoSmithKline, LLC. $20.82 10/14/2025 Food and Beverage No dispute reported 06/30/2026 1191600947 CMS
Baxter Healthcare $15.65 10/09/2025 Food and Beverage No dispute reported 06/30/2026 1181706831 CMS
United Therapeutics Corporation $88.20 10/09/2025 Food and Beverage No dispute reported 06/30/2026 1242546452 CMS
Regeneron Healthcare Solutions, Inc. $19.88 10/08/2025 Food and Beverage No dispute reported 06/30/2026 1213222612 CMS
AstraZeneca Pharmaceuticals LP $19.81 10/07/2025 Food and Beverage No dispute reported 06/30/2026 1206371703 CMS
Genentech USA, Inc. $24.95 10/02/2025 Food and Beverage No dispute reported 06/30/2026 1211649869 CMS
Actelion Pharmaceuticals US, Inc. $37.38 09/29/2025 Food and Beverage No dispute reported 06/30/2026 1174321725 CMS
GlaxoSmithKline, LLC. $101.16 09/29/2025 Food and Beverage No dispute reported 06/30/2026 1191431595 CMS
GENZYME CORPORATION $19.00 09/26/2025 Food and Beverage No dispute reported 06/30/2026 1233642071 CMS
Actelion Pharmaceuticals US, Inc. $150.00 09/25/2025 Food and Beverage No dispute reported 06/30/2026 1174321286 CMS
Actelion Pharmaceuticals US, Inc. $15.05 09/24/2025 Food and Beverage No dispute reported 06/30/2026 1174321248 CMS
Viatris Specialty LLC $18.18 09/24/2025 Food and Beverage No dispute reported 06/30/2026 1238466631 CMS
Baxter Healthcare $8.71 09/17/2025 Food and Beverage No dispute reported 06/30/2026 1181706827 CMS
Takeda Pharmaceuticals U.S.A., Inc. $30.90 09/17/2025 Food and Beverage No dispute reported 06/30/2026 1224082608 CMS
Viatris Specialty LLC $14.00 09/16/2025 Food and Beverage No dispute reported 06/30/2026 1238467111 CMS
Actelion Pharmaceuticals US, Inc. $19.06 09/12/2025 Food and Beverage No dispute reported 06/30/2026 1174321240 CMS
GENZYME CORPORATION $7.01 09/02/2025 Food and Beverage No dispute reported 06/30/2026 1233642057 CMS
GENZYME CORPORATION $34.90 08/26/2025 Food and Beverage No dispute reported 06/30/2026 1233642055 CMS
Merck Sharp & Dohme LLC $15.11 08/25/2025 Food and Beverage No dispute reported 06/30/2026 1238271702 CMS
Baxter Healthcare $17.54 08/22/2025 Food and Beverage No dispute reported 06/30/2026 1181706829 CMS
GlaxoSmithKline, LLC. $9.20 08/20/2025 Food and Beverage No dispute reported 06/30/2026 1190468959 CMS
Verona Pharma, Inc. $23.07 08/20/2025 Food and Beverage No dispute reported 06/30/2026 1233746969 CMS
GlaxoSmithKline, LLC. $3.49 08/19/2025 Food and Beverage No dispute reported 06/30/2026 1190608489 CMS
GlaxoSmithKline, LLC. $1.66 08/19/2025 Food and Beverage No dispute reported 06/30/2026 1190684443 CMS
GlaxoSmithKline, LLC. $17.63 08/19/2025 Food and Beverage No dispute reported 06/30/2026 1190713549 CMS
GlaxoSmithKline, LLC. $2.22 08/19/2025 Food and Beverage No dispute reported 06/30/2026 1191146614 CMS
Insmed, Inc. $33.08 08/18/2025 Food and Beverage No dispute reported 06/30/2026 1186313247 CMS
AstraZeneca Pharmaceuticals LP $17.88 08/14/2025 Food and Beverage No dispute reported 06/30/2026 1206403247 CMS
GENZYME CORPORATION $12.83 08/14/2025 Food and Beverage No dispute reported 06/30/2026 1233642053 CMS
AstraZeneca Pharmaceuticals LP $29.00 08/12/2025 Food and Beverage No dispute reported 06/30/2026 1206148229 CMS
Verona Pharma, Inc. $21.98 08/08/2025 Food and Beverage No dispute reported 06/30/2026 1233746963 CMS
Amgen Inc. $18.52 08/06/2025 Food and Beverage No dispute reported 06/30/2026 1229976382 CMS
AstraZeneca Pharmaceuticals LP $16.32 08/04/2025 Food and Beverage No dispute reported 06/30/2026 1206211215 CMS
GlaxoSmithKline, LLC. $14.94 08/01/2025 Food and Beverage No dispute reported 06/30/2026 1191296816 CMS
Merck Sharp & Dohme LLC $33.33 07/30/2025 Food and Beverage No dispute reported 06/30/2026 1238094327 CMS
GlaxoSmithKline, LLC. $3.68 07/29/2025 Food and Beverage No dispute reported 06/30/2026 1190470332 CMS
GlaxoSmithKline, LLC. $7.34 07/29/2025 Food and Beverage No dispute reported 06/30/2026 1190757691 CMS
GlaxoSmithKline, LLC. $2.31 07/29/2025 Food and Beverage No dispute reported 06/30/2026 1191241221 CMS
Baxter Healthcare $16.22 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1181706821 CMS
AstraZeneca Pharmaceuticals LP $15.26 07/21/2025 Food and Beverage No dispute reported 06/30/2026 1206462249 CMS
Verona Pharma, Inc. $25.12 07/18/2025 Food and Beverage No dispute reported 06/30/2026 1233746977 CMS
Actelion Pharmaceuticals US, Inc. $14.02 07/16/2025 Food and Beverage No dispute reported 06/30/2026 1174321585 CMS
JAZZ PHARMACEUTICALS INC. $20.66 07/15/2025 Food and Beverage No dispute reported 06/30/2026 1234896089 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.62 06/30/2025 Food and Beverage No dispute reported 06/30/2026 1223050772 CMS
United Therapeutics Corporation $30.00 06/18/2025 Food and Beverage No dispute reported 06/30/2026 1242549404 CMS
AstraZeneca Pharmaceuticals LP $14.15 06/16/2025 Food and Beverage No dispute reported 06/30/2026 1206480141 CMS
GlaxoSmithKline, LLC. $24.84 06/12/2025 Food and Beverage No dispute reported 06/30/2026 1191405572 CMS
AstraZeneca Pharmaceuticals LP $24.77 06/03/2025 Food and Beverage No dispute reported 06/30/2026 1206788242 CMS
Baxter Healthcare $19.89 05/22/2025 Food and Beverage No dispute reported 06/30/2026 1181706825 CMS
GlaxoSmithKline, LLC. $10.22 05/21/2025 Food and Beverage No dispute reported 06/30/2026 1190391955 CMS
Actelion Pharmaceuticals US, Inc. $16.13 05/09/2025 Food and Beverage No dispute reported 06/30/2026 1174321384 CMS
AstraZeneca Pharmaceuticals LP $14.96 05/06/2025 Food and Beverage No dispute reported 06/30/2026 1207075259 CMS
AstraZeneca Pharmaceuticals LP $19.13 05/02/2025 Food and Beverage No dispute reported 06/30/2026 1206316815 CMS
SANOFI-AVENTIS U.S. LLC $99.95 04/29/2025 Education No dispute reported 06/30/2026 1233642005 CMS
GENZYME CORPORATION $18.47 04/28/2025 Food and Beverage No dispute reported 06/30/2026 1233642011 CMS
Actelion Pharmaceuticals US, Inc. $88.99 04/25/2025 Education No dispute reported 06/30/2026 1174321376 CMS
GlaxoSmithKline, LLC. $2.39 04/25/2025 Food and Beverage No dispute reported 06/30/2026 1190438370 CMS
GlaxoSmithKline, LLC. $7.18 04/25/2025 Food and Beverage No dispute reported 06/30/2026 1190518732 CMS
Baxter Healthcare $20.35 04/23/2025 Food and Beverage No dispute reported 06/30/2026 1181706823 CMS
GlaxoSmithKline, LLC. $17.51 04/21/2025 Food and Beverage No dispute reported 06/30/2026 1190654880 CMS
Insmed, Inc. $34.10 04/21/2025 Food and Beverage No dispute reported 06/30/2026 1186286472 CMS
Genentech USA, Inc. $24.95 04/16/2025 Food and Beverage No dispute reported 06/30/2026 1211649866 CMS
GlaxoSmithKline, LLC. $5.04 04/15/2025 Food and Beverage No dispute reported 06/30/2026 1190958985 CMS
Philips North America LLC $17.36 04/15/2025 Food and Beverage No dispute reported 06/30/2026 1232604808 CMS
GENZYME CORPORATION $7.55 03/27/2025 Food and Beverage No dispute reported 06/30/2026 1233641997 CMS
Merck Sharp & Dohme LLC $33.31 03/26/2025 Food and Beverage No dispute reported 06/30/2026 1238094329 CMS
Grifols USA, LLC $33.87 03/23/2025 Food and Beverage No dispute reported 06/30/2026 1249565924 CMS
Baxter Healthcare $5.15 03/19/2025 Food and Beverage No dispute reported 06/30/2026 1181706819 CMS
Actelion Pharmaceuticals US, Inc. $10.43 03/07/2025 Food and Beverage No dispute reported 06/30/2026 1174321467 CMS
AstraZeneca Pharmaceuticals LP $19.67 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1207243714 CMS
GlaxoSmithKline, LLC. $98.04 02/19/2025 Food and Beverage No dispute reported 06/30/2026 1190509309 CMS
Takeda Pharmaceuticals U.S.A., Inc. $16.27 02/18/2025 Food and Beverage No dispute reported 06/30/2026 1223983021 CMS
GENZYME CORPORATION $18.52 02/10/2025 Food and Beverage No dispute reported 06/30/2026 1233641981 CMS
Actelion Pharmaceuticals US, Inc. $13.47 01/31/2025 Food and Beverage No dispute reported 06/30/2026 1174321823 CMS
GlaxoSmithKline, LLC. $10.58 01/31/2025 Food and Beverage No dispute reported 06/30/2026 1191134200 CMS
Insmed, Inc. $36.12 01/28/2025 Food and Beverage No dispute reported 06/30/2026 1186322652 CMS
Baxter Healthcare $7.23 01/24/2025 Food and Beverage No dispute reported 06/30/2026 1181706815 CMS
Baxter Healthcare $17.61 01/23/2025 Food and Beverage No dispute reported 06/30/2026 1181706817 CMS
AstraZeneca Pharmaceuticals LP $15.40 01/22/2025 Food and Beverage No dispute reported 06/30/2026 1206609576 CMS
Actelion Pharmaceuticals US, Inc. $15.06 01/17/2025 Food and Beverage No dispute reported 06/30/2026 1174321602 CMS
United Therapeutics Corporation $32.09 01/17/2025 Food and Beverage No dispute reported 06/30/2026 1242540786 CMS
AstraZeneca Pharmaceuticals LP $148.26 01/14/2025 Food and Beverage No dispute reported 06/30/2026 1207015009 CMS
Electromed, Inc. $21.66 01/14/2025 Food and Beverage No dispute reported 06/30/2026 1224615230 CMS
Actelion Pharmaceuticals US, Inc. $8.80 01/06/2025 Food and Beverage No dispute reported 06/30/2026 1174321419 CMS
Actelion Pharmaceuticals US, Inc. $3.80 01/05/2025 Food and Beverage No dispute reported 06/30/2026 1174321747 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.

Permalink https://industrypayments.org/provider/npi-1962583534

Plain
LANCE R VARNS, NPI 1962583534. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1962583534.
APA 7
IndustryPayments. (2026). LANCE R VARNS, NPI 1962583534 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1962583534
Bluebook
LANCE R VARNS, NPI 1962583534, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1962583534.

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