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

KAREN F GIARDINO

Allopathic & Osteopathic Physicians Internal Medicine Endocrinology, Diabetes & Metabolism

NPI
1023175361
CMS profile
318209
Location
WILLIAMSVILLE, NY

General Payments · PY2018–2024

$7,787.11

  • Reported across 483 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,286.74

64 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

Nature of paymentAmountRecords
Food and Beverage $1,286.74 64

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $873.69 73
PY2019 $1,211.57 80
PY2020 $922.20 59
PY2021 $1,359.58 90
PY2022 $924.66 50
PY2023 $1,208.67 67
PY2024 $1,286.74 64

Payment records · PY2024 (64)

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

Program year 2024 201820192020202120222023 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
Abbott Laboratories $19.43 05/16/2024 Food and Beverage Undisputed 01/23/2026 1124800658 CMS
Abbott Laboratories $15.91 05/22/2024 Food and Beverage Undisputed 01/23/2026 1124800660 CMS
Abbott Laboratories $28.61 12/03/2024 Food and Beverage Undisputed 01/23/2026 1124800662 CMS
ABBVIE INC. $21.41 11/05/2024 Food and Beverage Undisputed 01/23/2026 1103794657 CMS
Amgen Inc. $18.49 06/06/2024 Food and Beverage Undisputed 01/23/2026 1111583344 CMS
Amgen Inc. $15.56 11/13/2024 Food and Beverage Undisputed 01/23/2026 1111583348 CMS
Amgen Inc. $18.56 12/10/2024 Food and Beverage Undisputed 01/23/2026 1111583346 CMS
Amgen Inc. $16.61 12/17/2024 Food and Beverage Undisputed 01/23/2026 1111583350 CMS
Amneal Pharmaceuticals LLC $25.14 04/01/2024 Food and Beverage Undisputed 01/23/2026 1139186628 CMS
Amneal Pharmaceuticals LLC $17.25 06/19/2024 Food and Beverage Undisputed 01/23/2026 1139186630 CMS
Amneal Pharmaceuticals LLC $27.22 10/10/2024 Food and Beverage Undisputed 01/23/2026 1139186632 CMS
Amphastar Pharmaceuticals, Inc. $20.74 11/13/2024 Food and Beverage Undisputed 01/23/2026 1149957327 CMS
Ascendis Pharma Inc $29.31 11/19/2024 Food and Beverage Undisputed 01/23/2026 1133850342 CMS
Ascensia Diabetes Care Us Inc. $17.94 02/12/2024 Food and Beverage Undisputed 01/23/2026 1089088330 CMS
Ascensia Diabetes Care Us Inc. $23.03 07/02/2024 Food and Beverage Undisputed 01/23/2026 1089088332 CMS
Ascensia Diabetes Care Us Inc. $29.23 10/29/2024 Food and Beverage Undisputed 01/23/2026 1089088334 CMS
Ascensia Diabetes Care Us Inc. $16.64 11/07/2024 Food and Beverage Undisputed 01/23/2026 1089088328 CMS
Bayer Healthcare Pharmaceuticals Inc. $25.79 02/06/2024 Food and Beverage Undisputed 01/23/2026 1086265061 CMS
BETA BIONICS, INC. $21.58 06/07/2024 Food and Beverage Undisputed 01/23/2026 1087877951 CMS
BETA BIONICS, INC. $27.59 07/12/2024 Food and Beverage Undisputed 01/23/2026 1087879459 CMS
BETA BIONICS, INC. $19.75 08/19/2024 Food and Beverage Undisputed 01/23/2026 1087881791 CMS
BETA BIONICS, INC. $21.28 10/25/2024 Food and Beverage Undisputed 01/23/2026 1087885405 CMS
BETA BIONICS, INC. $3.91 12/26/2024 Food and Beverage Undisputed 01/23/2026 1087889457 CMS
BETA BIONICS, INC. $16.17 12/26/2024 Food and Beverage Undisputed 01/23/2026 1087889487 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $20.59 01/25/2024 Food and Beverage Undisputed 01/23/2026 1117840943 CMS
Currax Pharmaceuticals LLC $13.19 05/14/2024 Food and Beverage Undisputed 01/23/2026 1089512204 CMS
IBSA Pharma Inc. $17.45 05/15/2024 Food and Beverage Undisputed 01/23/2026 1142978610 CMS
IBSA Pharma Inc. $23.67 08/12/2024 Food and Beverage Undisputed 01/23/2026 1142971922 CMS
IBSA Pharma Inc. $17.99 10/09/2024 Food and Beverage Undisputed 01/23/2026 1142975567 CMS
IBSA Pharma Inc. $15.81 11/15/2024 Food and Beverage Undisputed 01/23/2026 1142976184 CMS
Insulet Corporation $25.83 01/09/2024 Food and Beverage Undisputed 01/23/2026 1116794347 CMS
Insulet Corporation $21.33 12/12/2024 Food and Beverage Undisputed 01/23/2026 1116824240 CMS
Lilly USA, LLC $18.68 01/08/2024 Food and Beverage Undisputed 01/23/2026 1135120017 CMS
Lilly USA, LLC $20.85 02/08/2024 Food and Beverage Undisputed 01/23/2026 1135090183 CMS
Lilly USA, LLC $24.10 02/12/2024 Food and Beverage Undisputed 01/23/2026 1135090177 CMS
Lilly USA, LLC $27.28 02/19/2024 Food and Beverage Undisputed 01/23/2026 1135076139 CMS
Lilly USA, LLC $26.36 02/19/2024 Food and Beverage Undisputed 01/23/2026 1135094211 CMS
Lilly USA, LLC $20.22 03/07/2024 Food and Beverage Undisputed 01/23/2026 1135119319 CMS
Lilly USA, LLC $18.87 03/19/2024 Food and Beverage Undisputed 01/23/2026 1135076141 CMS
Lilly USA, LLC $17.86 03/26/2024 Food and Beverage Undisputed 01/23/2026 1135119321 CMS
Lilly USA, LLC $11.58 04/09/2024 Food and Beverage Undisputed 01/23/2026 1135090179 CMS
Lilly USA, LLC $23.98 04/18/2024 Food and Beverage Undisputed 01/23/2026 1135076145 CMS
Lilly USA, LLC $18.57 04/19/2024 Food and Beverage Undisputed 01/23/2026 1135120015 CMS
Lilly USA, LLC $18.89 04/22/2024 Food and Beverage Undisputed 01/23/2026 1135076143 CMS
Lilly USA, LLC $17.64 06/04/2024 Food and Beverage Undisputed 01/23/2026 1135106813 CMS
Lilly USA, LLC $12.65 06/26/2024 Food and Beverage Undisputed 01/23/2026 1135094209 CMS
Lilly USA, LLC $27.69 08/07/2024 Food and Beverage Undisputed 01/23/2026 1135090181 CMS
Lilly USA, LLC $22.65 08/13/2024 Food and Beverage Undisputed 01/23/2026 1135094207 CMS
Medtronic, Inc. $26.97 09/17/2024 Food and Beverage Undisputed 01/23/2026 1117030208 CMS
Novo Nordisk Inc $19.73 02/15/2024 Food and Beverage Undisputed 01/23/2026 1096677266 CMS
Novo Nordisk Inc $15.89 04/10/2024 Food and Beverage Undisputed 01/23/2026 1096574480 CMS
Novo Nordisk Inc $15.89 04/10/2024 Food and Beverage Undisputed 01/23/2026 1096769269 CMS
Novo Nordisk Inc $17.60 04/25/2024 Food and Beverage Undisputed 01/23/2026 1096901779 CMS
Novo Nordisk Inc $10.20 05/21/2024 Food and Beverage Undisputed 01/23/2026 1097829124 CMS
Novo Nordisk Inc $14.02 06/13/2024 Food and Beverage Undisputed 01/23/2026 1097178995 CMS
Novo Nordisk Inc $16.86 07/24/2024 Food and Beverage Undisputed 01/23/2026 1097314570 CMS
Novo Nordisk Inc $26.49 09/12/2024 Food and Beverage Undisputed 01/23/2026 1096616786 CMS
Novo Nordisk Inc $19.08 10/16/2024 Food and Beverage Undisputed 01/23/2026 1097496001 CMS
Novo Nordisk Inc $19.63 11/21/2024 Food and Beverage Undisputed 01/23/2026 1097677624 CMS
SANOFI-AVENTIS U.S. LLC $25.43 02/21/2024 Food and Beverage Undisputed 01/23/2026 1139618995 CMS
SANOFI-AVENTIS U.S. LLC $19.22 07/16/2024 Food and Beverage Undisputed 01/23/2026 1139619099 CMS
Tandem Diabetes Care, Inc. $14.07 09/18/2024 Food and Beverage Undisputed 01/23/2026 1138742179 CMS
Ultragenyx Pharmaceutical Inc. $24.04 03/06/2024 Food and Beverage Undisputed 01/23/2026 1153286720 CMS
Xeris Pharmaceuticals, Inc. $20.74 03/18/2024 Food and Beverage Undisputed 01/23/2026 1144600977 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
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
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.