BioMarin Pharmaceutical Inc.

Saved items

Saved only in this browser. No account or alerts.

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

Centers for Medicare & Medicaid Services, Open Payments

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.

Figures reflect General Payments this manufacturer or GPO reported to CMS. Research and Ownership/Investment payments are separate datasets and are not included here.

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.

Page 10 of 63; records 451–500 of 3109 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

BioMarin Pharmaceutical Inc.

CMS reporting company ID 100000010405

General Payments, PY2025; Recipient scope: All recipient types; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 10 of 63; records 451–500 of 3109 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/company/100000010405?year=2025&recipient=all&page=10#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
BioMarin Pharmaceutical Inc., CMS reporting company ID 100000010405. General Payments, PY2025; Recipient scope: All recipient types; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 10 of 63; records 451–500 of 3109 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/company/100000010405?year=2025&recipient=all&page=10#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e.
APA 7
IndustryPayments. (2026). BioMarin Pharmaceutical Inc., CMS reporting company ID 100000010405. General Payments, PY2025; Recipient scope: All recipient types; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 10 of 63; records 451–500 of 3109 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/company/100000010405?year=2025&recipient=all&page=10#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e.
Bluebook
BioMarin Pharmaceutical Inc., CMS reporting company ID 100000010405, IndustryPayments, General Payments, PY2025; Recipient scope: All recipient types; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 10 of 63; records 451–500 of 3109 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e. https://industrypayments.org/company/100000010405?year=2025&recipient=all&page=10#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2025

Date, newest first, then reporting company; values as published by CMS.

General Payments · PY2025 · All recipient types · CMS publication 2026-06-30

3,109 matching records · $1,961,811.38 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 3,109 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 451–500 of 3,109.

Recipient Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
ANASTASIA M KOHLRUS
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $13.9911/10/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249726366 CMS
STEPHANIE A KARNIK
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $13.9911/10/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249726368 CMS
JOSE GAMEZ-GODOY
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $131.3811/10/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249726690 CMS
ANDRES E CACERES SALGADO
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $131.3811/10/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249726696 CMS
FAIQA MOHYUDDIN
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $22.8411/10/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249728621 CMS
SAADIA A ZAHEER
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $22.8411/10/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249728623 CMS
HORACIO J VELASQUEZ MUNOZ
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $175.1711/10/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249729013 CMS
PEDRO A SANCHEZ
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $326.6011/09/2025 Travel and Lodging No dispute reported Delay: No
Change: NEW
06/30/2026 1249728589 CMS
PEDRO A SANCHEZ
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $252.5211/09/2025 Travel and Lodging No dispute reported Delay: No
Change: NEW
06/30/2026 1249728609 CMS
LAURA S TOCHEN
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $38.5911/07/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249726082 CMS
BRENDAN H L LEE
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $5,580.0011/07/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: NEW
06/30/2026 1249726294 CMS
BARBARA K BURTON
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $4,250.0011/07/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: NEW
06/30/2026 1249728399 CMS
ELISHEVA ELLENBERG
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $2,805.0011/07/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: NEW
06/30/2026 1249728407 CMS
AMRIT S BHANGOO
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $2,208.0011/07/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: NEW
06/30/2026 1249728411 CMS
JOSEPH W RAY
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $1,600.0011/07/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: NEW
06/30/2026 1249728413 CMS
JOSEPH W RAY
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $1,600.0011/07/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: NEW
06/30/2026 1249728415 CMS
REBECCA SPONBERG
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $840.0011/07/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: NEW
06/30/2026 1249728417 CMS
MICHELLE THARP
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $840.0011/07/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: NEW
06/30/2026 1249728419 CMS
PEDRO A SANCHEZ
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $3,519.0011/07/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: NEW
06/30/2026 1249728421 CMS
ROBERT C GREEN
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $2,000.0011/07/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: NEW
06/30/2026 1249729007 CMS
MELODY ANN ELLIOTT
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $13.9111/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249725079 CMS
MICHELLE WHEELER EVETTE
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $13.9111/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249725087 CMS
JESSICA MUSE EARLY
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $13.9111/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249725557 CMS
JEFFREY NEAL FAUST
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $13.9111/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249725880 CMS
CHARLES STUART SIMKO
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $13.9111/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249725932 CMS
LAURA S TOCHEN
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $38.3611/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249725956 CMS
BRADLEY GRAHAM SIECKMAN
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $13.9111/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249725984 CMS
JAQWIANA SAMIA BAKER
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $13.9111/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249726066 CMS
RAHUL KATARIA
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $13.9111/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249726088 CMS
DENISE MARIE LIPPITT
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $22.1511/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249726186 CMS
KATHERINE SAVELLS
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $19.3711/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249726190 CMS
CASSANDRA MARIE BURNS STARKS
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $114.2011/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249726308 CMS
YURI ALEXANDER ZARATE
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $114.2011/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249726310 CMS
DARCI D EIKMEIER
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $20.9711/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249726370 CMS
ANANYA RAY
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $20.9711/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249726372 CMS
CLANCY ELLEN MCNALLY
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $20.9811/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249726374 CMS
STEVEN S SINDELAR
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $20.9811/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249726376 CMS
KATHLEEN ELIZABETH DAVIS
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $20.9811/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249726460 CMS
JANET A THOMAS
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $5,300.0011/06/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: NEW
06/30/2026 1249726506 CMS
JULLIE G RHEE
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $38.3611/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249726801 CMS
LATANYA D BRYANT
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $19.3711/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249728463 CMS
RACHEL MARIKO LEIBOWITZ
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $38.3611/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249728483 CMS
PETER SHIBUYA
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $38.3611/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249728521 CMS
HANNAH E BROOKS
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $19.3711/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249728545 CMS
PHILIPPE F BACKELJAUW
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $128.3811/06/2025 Travel and Lodging No dispute reported Delay: No
Change: NEW
06/30/2026 1249728573 CMS
PHILIPPE F BACKELJAUW
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $114.2011/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249728581 CMS
NATERRA D WEATHERS
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $38.3611/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249728667 CMS
MICHAEL BARSOOM
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $20.7111/05/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249725982 CMS
ROSA ESMERALDA REYES
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $23.9411/05/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249726050 CMS
BRUCE CHEN
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $20.7111/05/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249726106 CMS

Practitioner overview · all loaded program years

4,885 providers listed 15,175 records General Payments

General Payments to practitioners — all loaded program years

  • Category: General Payments
  • Program years: 2019, 2020, 2021, 2022, 2023, 2024, 2025
  • Record count: 15,175
  • Providers listed: 4,885

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

Figures reflect General Payments this manufacturer or GPO reported to CMS. Research and Ownership/Investment payments are separate datasets and are not included here.

Coverage: program years 2019–2025, General Payments only, reported to physicians and non-physician practitioners. Payments to teaching hospitals are not included in these practitioner figures. Each figure is labeled with its category and program year; categories are never combined.

Practitioner payments by program year

Program yearReportedRecordsProvidersDetail
PY2019 $2,032,405.30 2,248 524 This company in PY2019 →
PY2020 $1,818,867.58 760 327 This company in PY2020 →
PY2021 $1,560,320.15 1,215 653 This company in PY2021 →
PY2022 $1,930,588.75 2,417 1,069 This company in PY2022 →
PY2023 $2,136,493.40 2,515 983 This company in PY2023 →
PY2024 $2,858,719.23 2,919 1,610 This company in PY2024 →
PY2025 $1,909,453.38 3,101 1,591 This company in PY2025 →

By recipient specialty (133)

Sorted by name; identical names by identifier.

Allopathic & Osteopathic Physicians 105 specialties 3,436 providers
Chiropractic Providers 1 specialty 3 providers
Dental Providers 2 specialties 3 providers
Eye and Vision Services Providers 1 specialty 2 providers
Nursing Service Providers 4 specialties 6 providers
Physician Assistants & Advanced Practice Nursing Providers 18 specialties 1,323 providers
Podiatric Medicine & Surgery Service Providers 2 specialties 4 providers

Providers listed (4,885)

Sorted by name; identical names by identifier.

ProviderSpecialtyStateRecords reported by this company
AAINA KOCHHAR Allopathic & Osteopathic Physicians|Medical Genetics|Clinical Genetics (M.D.) CO 1
AAKASH PATEL Allopathic & Osteopathic Physicians|Anesthesiology NJ 1
AAMIR AHMED Podiatric Medicine & Surgery Service Providers|Podiatrist TX 1
AARON A SEE Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Pediatric Orthopaedic Surgery UT 1
AARON G VAN NINGEN Allopathic & Osteopathic Physicians|Pediatrics ND 1
AARON JOSEPH HUSER Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Pediatric Orthopaedic Surgery FL 35
AARON M KING Allopathic & Osteopathic Physicians|Pediatrics IL 1
AARON R JACKSON Allopathic & Osteopathic Physicians|Orthopaedic Surgery PA 1
AARON S CHIDEKEL Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Pulmonology DE 1
AASHIMA BANSAL Allopathic & Osteopathic Physicians|Pediatrics AZ 1
ABBEY JO BENTLEY Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Pediatrics UT 2
ABBEY L MILLER Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant NY 1
ABBY E HANSEN Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant NE 1
ABBY JO LOCH Allopathic & Osteopathic Physicians|Pediatrics KS 1
ABDALLAH F ELIAS Allopathic & Osteopathic Physicians|Medical Genetics|Clinical Genetics (M.D.) MT 4
ABDELRAHIM YAMIN ABDEL Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology with Special Qualifications in Child Neurology GA 1
ABDUL HALEEM IBRAHIM KAZMI Allopathic & Osteopathic Physicians|Internal Medicine MI 1
ABDUL HUSSEIN MAZIN Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology IL 1
ABDULRAZAK ALALI Allopathic & Osteopathic Physicians|Medical Genetics|Clinical Genetics (M.D.) WV 3
ABDULWAHAB ALDOUSANY Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Cardiology FL 1
ABHA DEWAN Allopathic & Osteopathic Physicians|Pediatrics NJ 1
ABHISHEK WATTS Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Gastroenterology OK 1
ABIGAIL FELIX Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Pediatrics NY 2
ABIGAIL HALL Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant|Medical NY 1
ABIGAIL L MANTICA Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Pediatric Orthopaedic Surgery NY 2
ABIGAIL M MCNEELY Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Pediatrics PA 1
ABIGAIL REBECCA LEE Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Pediatrics FL 1
ABIGAIL TAYLOR STEWART Allopathic & Osteopathic Physicians|Pediatrics OH 1
ABIMBOLA O IYANOYE Allopathic & Osteopathic Physicians|Pediatrics NJ 1
ACACIA D PACKER Allopathic & Osteopathic Physicians|Pediatrics AZ 1
ACACIA LEIGH BURROWS Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant|Medical MI 1
ADA M MONTALVO Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant TX 1
ADAM D DEVRIES Allopathic & Osteopathic Physicians|Pediatrics NE 1
ADAM E WHITMAN Allopathic & Osteopathic Physicians|Pediatrics CA 1
ADAM GIERMASZ Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology CA 38
ADAM HARARI Allopathic & Osteopathic Physicians|Anesthesiology NY 1
ADAM LERCHE Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Emergency Medicine NY 1
ADAM S KOTOWSKI Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology NY 2
ADAM VE LOCK Allopathic & Osteopathic Physicians|Pediatrics NY 2
ADANETTE WISCOVITCH Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Endocrinology PR 1
ADEL OLSHANSKY Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology CA 1
ADELENE SOTO Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Pediatrics FL 1
ADIANET PEREZ Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Pediatrics FL 1
ADIL BAIG Allopathic & Osteopathic Physicians|Pediatrics OH 1
ADITI KHOKHAR Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Endocrinology NJ 1
ADITI MANMOHAN TRIVEDI Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology with Special Qualifications in Child Neurology CA 1
ADITI YADAV Allopathic & Osteopathic Physicians|Medical Genetics|Clinical Genetics (M.D.) OH 1
ADNAN AHMED AL-DAIS Allopathic & Osteopathic Physicians|Pediatrics MI 1
ADOLFO ETCHEGARAY Allopathic & Osteopathic Physicians|Obstetrics & Gynecology|Maternal & Fetal Medicine OH 6
ADRIAN C BANKS Allopathic & Osteopathic Physicians|Family Medicine KY 1