Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official 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.

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General Payments · PY2021 · Entire year

$1,393.17

44 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

“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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . 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 ↗

By nature of payment

PY2021 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,393.17 44

By paying entity

PY2021 · entire year · sorted by reported total

Payment records · PY2021

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

General Payments · PY2021 · Physicians and non-physician practitioners · CMS publication 2026-06-30

44 matching records · $1,393.17 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 44 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–44 of 44.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
AstraZeneca Pharmaceuticals LP $18.1312/14/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026830093877 CMS
United Therapeutics Corporation $19.9412/01/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026839142627 CMS
Amgen Inc. $21.6311/09/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026826546361 CMS
United Therapeutics Corporation $17.7811/05/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026839142625 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $123.9011/01/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026763421624 CMS
Alkermes, Inc. $107.6110/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026818305285 CMS
AstraZeneca Pharmaceuticals LP $15.3610/27/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026830052047 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $9.3110/12/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026763421610 CMS
Regeneron Healthcare Solutions, Inc. $18.6010/12/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026809677023 CMS
GlaxoSmithKline, LLC. $17.6410/07/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026802915089 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $23.9110/06/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026763421612 CMS
Mylan Specialty L.P. $19.0409/29/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026965433689 CMS
GlaxoSmithKline, LLC. $5.7109/23/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026802752638 CMS
GlaxoSmithKline, LLC. $14.0309/23/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026803195339 CMS
United Therapeutics Corporation $25.3709/23/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026839136131 CMS
AstraZeneca Pharmaceuticals LP $19.7209/22/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026829442371 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $84.0809/15/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026763421622 CMS
United Therapeutics Corporation $12.0209/01/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026839138911 CMS
GlaxoSmithKline, LLC. $8.8208/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026802593103 CMS
GlaxoSmithKline, LLC. $1.7408/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026802860851 CMS
Advanced Respiratory, Inc $14.2808/24/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026853544365 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $102.0908/24/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026763421620 CMS
Janssen Pharmaceuticals, Inc $94.4608/12/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026788868747 CMS
GlaxoSmithKline, LLC. $12.7908/04/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026801878551 CMS
GlaxoSmithKline, LLC. $16.9607/16/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026802211417 CMS
Insmed, Inc. $95.3807/07/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026851734231 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.7606/15/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026763421614 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $20.0206/09/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026763421616 CMS
Mylan Specialty L.P. $16.5006/02/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026965418001 CMS
AstraZeneca Pharmaceuticals LP $18.7805/27/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026829974817 CMS
GlaxoSmithKline, LLC. $16.5905/19/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026802304855 CMS
Insmed, Inc. $21.1205/07/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026851729961 CMS
GlaxoSmithKline, LLC. $14.7405/04/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026802943059 CMS
Advanced Respiratory, Inc $19.9904/14/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026853544363 CMS
Pinnacle Biologics, Inc $17.8604/12/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026770937602 CMS
AstraZeneca Pharmaceuticals LP $20.6604/01/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026829617071 CMS
AstraZeneca Pharmaceuticals LP $24.4503/17/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026829810035 CMS
AstraZeneca Pharmaceuticals LP $63.3303/17/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026830064477 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $27.1803/15/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026763421618 CMS
Alkermes, Inc. $108.5002/25/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026818305283 CMS
AstraZeneca Pharmaceuticals LP $13.1502/12/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026830078453 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $18.8302/05/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026841298193 CMS
United Therapeutics Corporation $17.7702/04/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026839126743 CMS
GlaxoSmithKline, LLC. $18.6402/01/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026801960027 CMS

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

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 and profile matching
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.

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.