NANCY R SHIREY

Physician Assistants & Advanced Practice Nursing Providers|Advanced Practice Midwife LEXINGTON, KY NPI 1972550481

General Payments — all program years on this page

$1,058.78

  • Category: General Payments
  • Program years: PY2021–2024
  • Record count: 36
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $324.14 across 14 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is 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

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $324.1414

By paying entity

Latest program year (PY2024) · sorted by reported total.

By program year

Program yearAmountRecords
2021 $114.178
2022 $187.286
2023 $433.198
2024 $324.1414

Records — PY2024 (14)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1084888365 Hologic Sales and Service, LLC $17.15 01/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086318312 Bayer Healthcare Pharmaceuticals Inc. $14.79 09/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086355442 Bayer Healthcare Pharmaceuticals Inc. $14.26 01/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104842382 Biogen, Inc. $107.96 11/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120402178 Sage Therapeutics, Inc. $14.50 10/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1128625215 Gynesonics, Inc. $18.31 08/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1136259808 Organon Llc $14.88 10/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139560989 Astellas Pharma US Inc $15.27 04/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139561053 Astellas Pharma US Inc $15.66 08/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1148994744 Sumitomo Pharma America, Inc. $21.12 02/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1150019529 Exeltis, USA Inc. $13.95 02/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1150019531 Exeltis, USA Inc. $19.39 06/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1150124465 SHIELD THERAPEUTICS INC $17.24 03/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1150157872 SHIELD THERAPEUTICS INC $19.66 12/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.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.