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 · PY2025 · Entire year

$2,690.47

109 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

PY2025 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,501.53 107
Education $188.94 2

By paying entity

PY2025 · entire year · sorted by reported total

Payment records · PY2025

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

General Payments · PY2025 · Physicians and non-physician practitioners · CMS publication 2026-06-30

109 matching records · $2,690.47 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 109 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 1–50 of 109.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Liquidia Technologies, Inc. $20.4612/22/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261208897851 CMS
AstraZeneca Pharmaceuticals LP $19.5212/19/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261207316244 CMS
Merck Sharp & Dohme LLC $30.6112/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261238317866 CMS
GlaxoSmithKline, LLC. $16.2112/16/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261190666161 CMS
AstraZeneca Pharmaceuticals LP $14.3412/08/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261206763148 CMS
GENZYME CORPORATION $21.2712/08/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261233642097 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.6812/05/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261223050748 CMS
AstraZeneca Pharmaceuticals LP $21.8512/03/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261206930811 CMS
United Therapeutics Corporation $21.1212/03/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261242553946 CMS
AstraZeneca Pharmaceuticals LP $24.6511/21/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261206849755 CMS
Electromed, Inc. $25.5011/11/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261224615228 CMS
Verona Pharma, Inc. $18.2211/11/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261233746895 CMS
Takeda Pharmaceuticals U.S.A., Inc. $35.3311/10/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261224091084 CMS
GENZYME CORPORATION $20.2011/07/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261233642117 CMS
Baxter Healthcare $9.9211/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261181706833 CMS
Merck Sharp & Dohme LLC $29.4311/05/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261238092253 CMS
Philips North America LLC $20.1511/03/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261232604864 CMS
Verona Pharma, Inc. $124.5610/30/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261233746855 CMS
AstraZeneca Pharmaceuticals LP $16.2110/29/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261206335643 CMS
GlaxoSmithKline, LLC. $8.9810/28/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261190347744 CMS
Verona Pharma, Inc. $16.5210/27/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261233746911 CMS
Actelion Pharmaceuticals US, Inc. $17.9710/16/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261174321506 CMS
GlaxoSmithKline, LLC. $1.9710/14/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261190918075 CMS
GlaxoSmithKline, LLC. $3.8410/14/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261191381175 CMS
GlaxoSmithKline, LLC. $20.8210/14/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261191600947 CMS
Baxter Healthcare $15.6510/09/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261181706831 CMS
United Therapeutics Corporation $88.2010/09/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261242546452 CMS
Regeneron Healthcare Solutions, Inc. $19.8810/08/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261213222612 CMS
AstraZeneca Pharmaceuticals LP $19.8110/07/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261206371703 CMS
Genentech USA, Inc. $24.9510/02/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261211649869 CMS
Actelion Pharmaceuticals US, Inc. $37.3809/29/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261174321725 CMS
GlaxoSmithKline, LLC. $101.1609/29/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261191431595 CMS
GENZYME CORPORATION $19.0009/26/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261233642071 CMS
Actelion Pharmaceuticals US, Inc. $150.0009/25/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261174321286 CMS
Actelion Pharmaceuticals US, Inc. $15.0509/24/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261174321248 CMS
Viatris Specialty LLC $18.1809/24/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261238466631 CMS
Baxter Healthcare $8.7109/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261181706827 CMS
Takeda Pharmaceuticals U.S.A., Inc. $30.9009/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261224082608 CMS
Viatris Specialty LLC $14.0009/16/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261238467111 CMS
Actelion Pharmaceuticals US, Inc. $19.0609/12/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261174321240 CMS
GENZYME CORPORATION $7.0109/02/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261233642057 CMS
GENZYME CORPORATION $34.9008/26/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261233642055 CMS
Merck Sharp & Dohme LLC $15.1108/25/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261238271702 CMS
Baxter Healthcare $17.5408/22/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261181706829 CMS
GlaxoSmithKline, LLC. $9.2008/20/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261190468959 CMS
Verona Pharma, Inc. $23.0708/20/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261233746969 CMS
GlaxoSmithKline, LLC. $3.4908/19/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261190608489 CMS
GlaxoSmithKline, LLC. $1.6608/19/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261190684443 CMS
GlaxoSmithKline, LLC. $17.6308/19/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261190713549 CMS
GlaxoSmithKline, LLC. $2.2208/19/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261191146614 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.