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

PAMELA ANN RUPPEL

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

NPI
1992868657
CMS profile
11056542
Location
ROANOKE, VA

General Payments · PY2021–2024

$19,668.18

  • Reported across 304 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$3,934.93

65 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

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $828.79 81
PY2022 $8,108.06 70
PY2023 $6,796.40 88
PY2024 $3,934.93 65

Payment records · PY2024 (65)

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

Program year 2024 202120222023 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
ABBVIE INC. $15.18 01/04/2024 Food and Beverage Undisputed 01/23/2026 1108125771 CMS
ABBVIE INC. $6.91 02/06/2024 Food and Beverage Undisputed 01/23/2026 1108125773 CMS
ABBVIE INC. $22.55 02/29/2024 Food and Beverage Undisputed 01/23/2026 1108125775 CMS
ABBVIE INC. $7.91 03/15/2024 Food and Beverage Undisputed 01/23/2026 1108125777 CMS
ABBVIE INC. $14.35 04/02/2024 Food and Beverage Undisputed 01/23/2026 1108125779 CMS
ABBVIE INC. $1,375.00 04/02/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1108125781 CMS
ABBVIE INC. $6.96 04/26/2024 Food and Beverage Undisputed 01/23/2026 1108125783 CMS
ABBVIE INC. $9.04 05/08/2024 Food and Beverage Undisputed 01/23/2026 1108125785 CMS
ABBVIE INC. $9.05 05/16/2024 Food and Beverage Undisputed 01/23/2026 1108125787 CMS
ABBVIE INC. $20.53 06/03/2024 Food and Beverage Undisputed 01/23/2026 1108125789 CMS
ABBVIE INC. $1,375.00 06/11/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1108125791 CMS
ABBVIE INC. $7.52 06/24/2024 Food and Beverage Undisputed 01/23/2026 1108125793 CMS
ABBVIE INC. $15.69 08/06/2024 Food and Beverage Undisputed 01/23/2026 1108125795 CMS
ABBVIE INC. $26.16 09/19/2024 Food and Beverage Undisputed 01/23/2026 1108125797 CMS
ABBVIE INC. $24.61 10/08/2024 Food and Beverage Undisputed 01/23/2026 1108125799 CMS
ABBVIE INC. $4.09 10/30/2024 Food and Beverage Undisputed 01/23/2026 1108125801 CMS
Alkermes, Inc. $18.11 10/24/2024 Food and Beverage Undisputed 01/23/2026 1120586495 CMS
Alkermes, Inc. $15.88 11/20/2024 Food and Beverage Undisputed 01/23/2026 1120586499 CMS
Corium, LLC $11.13 02/23/2024 Food and Beverage Undisputed 01/23/2026 1100120818 CMS
Corium, LLC $24.28 03/12/2024 Food and Beverage Undisputed 01/23/2026 1100085142 CMS
Corium, LLC $17.03 05/21/2024 Food and Beverage Undisputed 01/23/2026 1100106930 CMS
Corium, LLC $7.81 08/13/2024 Food and Beverage Undisputed 01/23/2026 1100150891 CMS
E.R. Squibb & Sons, L.L.C. $21.61 10/02/2024 Food and Beverage Undisputed 01/23/2026 1101786129 CMS
IDORSIA PHARMACEUTICALS US INC $17.43 06/18/2024 Food and Beverage Undisputed 01/23/2026 1146759256 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $10.18 03/06/2024 Food and Beverage Undisputed 01/23/2026 1143594245 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $24.49 03/19/2024 Food and Beverage Undisputed 01/23/2026 1143594249 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $2.75 05/20/2024 Food and Beverage Undisputed 01/23/2026 1143594253 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $2.34 05/23/2024 Food and Beverage Undisputed 01/23/2026 1143594256 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $18.51 05/24/2024 Food and Beverage Undisputed 01/23/2026 1143594261 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $21.80 06/06/2024 Food and Beverage Undisputed 01/23/2026 1143594264 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $13.38 06/24/2024 Food and Beverage Undisputed 01/23/2026 1143594269 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $20.86 08/12/2024 Food and Beverage Undisputed 01/23/2026 1143594273 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $18.00 08/30/2024 Food and Beverage Undisputed 01/23/2026 1143594277 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $14.79 09/05/2024 Food and Beverage Undisputed 01/23/2026 1143594281 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $15.23 09/09/2024 Food and Beverage Undisputed 01/23/2026 1143594284 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $6.83 10/02/2024 Food and Beverage Undisputed 01/23/2026 1143594289 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $4.03 10/07/2024 Food and Beverage Undisputed 01/23/2026 1143594293 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $22.37 10/08/2024 Food and Beverage Undisputed 01/23/2026 1143594296 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $20.26 10/24/2024 Food and Beverage Undisputed 01/23/2026 1143594301 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $12.18 11/04/2024 Food and Beverage Undisputed 01/23/2026 1143594304 CMS
Janssen Pharmaceuticals, Inc $115.73 09/12/2024 Food and Beverage Undisputed 01/23/2026 1078242561 CMS
LivaNova USA, Inc. $96.87 02/26/2024 Food and Beverage Undisputed 01/23/2026 1152786827 CMS
Lundbeck LLC $20.85 04/22/2024 Food and Beverage Undisputed 01/23/2026 1146084631 CMS
Lundbeck LLC $18.76 08/14/2024 Food and Beverage Undisputed 01/23/2026 1146084633 CMS
Lundbeck LLC $26.44 10/09/2024 Food and Beverage Undisputed 01/23/2026 1146084635 CMS
Neurocrine Biosciences, Inc. $17.25 02/13/2024 Food and Beverage Undisputed 01/23/2026 1150993598 CMS
Neurocrine Biosciences, Inc. $13.81 04/25/2024 Food and Beverage Undisputed 01/23/2026 1151008315 CMS
Neurocrine Biosciences, Inc. $20.28 08/21/2024 Food and Beverage Undisputed 01/23/2026 1150978376 CMS
Neurocrine Biosciences, Inc. $16.68 09/24/2024 Food and Beverage Undisputed 01/23/2026 1150996458 CMS
Neurocrine Biosciences, Inc. $18.40 10/23/2024 Food and Beverage Undisputed 01/23/2026 1150987990 CMS
Noven Therapeutics, LLC $16.28 06/25/2024 Food and Beverage Undisputed 01/23/2026 1084836760 CMS
Noven Therapeutics, LLC $13.61 08/08/2024 Food and Beverage Undisputed 01/23/2026 1084836762 CMS
Otsuka America Pharmaceutical, Inc. $15.93 08/26/2024 Food and Beverage Undisputed 01/23/2026 1119176702 CMS
Otsuka America Pharmaceutical, Inc. $25.81 09/05/2024 Food and Beverage Undisputed 01/23/2026 1119176704 CMS
Otsuka America Pharmaceutical, Inc. $15.22 11/12/2024 Food and Beverage Undisputed 01/23/2026 1119176706 CMS
Takeda Pharmaceuticals U.S.A., Inc. $21.79 02/26/2024 Food and Beverage Undisputed 01/23/2026 1137817913 CMS
Takeda Pharmaceuticals U.S.A., Inc. $22.84 05/29/2024 Food and Beverage Undisputed 01/23/2026 1137817915 CMS
Teva Pharmaceuticals USA, Inc. $18.62 02/08/2024 Food and Beverage Undisputed 01/23/2026 1151638183 CMS
Teva Pharmaceuticals USA, Inc. $15.05 05/16/2024 Food and Beverage Undisputed 01/23/2026 1151638259 CMS
Teva Pharmaceuticals USA, Inc. $16.93 08/29/2024 Food and Beverage Undisputed 01/23/2026 1151638307 CMS
Vanda Pharmaceuticals Inc. $16.56 08/26/2024 Food and Beverage Undisputed 01/23/2026 1133967585 CMS
Vanda Pharmaceuticals Inc. $14.64 09/10/2024 Food and Beverage Undisputed 01/23/2026 1133967587 CMS
Vanda Pharmaceuticals Inc. $15.36 10/10/2024 Food and Beverage Undisputed 01/23/2026 1133967589 CMS
Vanda Pharmaceuticals Inc. $20.42 10/21/2024 Food and Beverage Undisputed 01/23/2026 1133967591 CMS
Vanda Pharmaceuticals Inc. $18.97 11/11/2024 Food and Beverage Undisputed 01/23/2026 1133967593 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
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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