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

ISAM E MARAR

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1104976109
CMS profile
5433
Location
COUNCIL BLUFFS, IA

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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Filter and download payment records

General Payments · PY2024 · Entire year

$3,256.51

169 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

Other CMS categories — not shown on this page

Research Payments

CMS also publishes Research Payments as a separate dataset. This site does not currently mirror it, and no research figure is shown on this page. This provider appears in that dataset.

“If you are a physician who served as a principal investigator on a research study, you may see the payments associated with that research study listed under your name. This does not necessarily mean the payments are attributed to you. The dollar amount of the record corresponds to the total payment; the amounts are not attributed to each individual on the record.”

— Centers for Medicare & Medicaid Services, Open Payments Frequently Asked Questions, FAQ #12224

These records are published by CMS and can be viewed on this provider’s official CMS record. View this provider on CMS Open Payments ↗

“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

PY2024 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $3,141.84 166
Education $114.67 3

By paying entity

PY2024 · entire year · sorted by reported total

Page 1 of 4; records 1–50 of 169 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

ISAM E MARAR

NPI 1104976109 · CMS profile ID 5433

Allopathic & Osteopathic Physicians / Internal Medicine

COUNCIL BLUFFS, IA

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.

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.

General Payments, PY2024; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; 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 1 of 4; records 1–50 of 169 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1104976109?year=2024&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/e6b17c6a-2534-4207-a4a1-6746a14911ff

Cite these filtered records

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

Plain
ISAM E MARAR, NPI 1104976109, CMS profile ID 5433. General Payments, PY2024; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; 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 1 of 4; records 1–50 of 169 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1104976109?year=2024&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/e6b17c6a-2534-4207-a4a1-6746a14911ff.
APA 7
IndustryPayments. (2026). ISAM E MARAR, NPI 1104976109, CMS profile ID 5433. General Payments, PY2024; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; 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 1 of 4; records 1–50 of 169 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1104976109?year=2024&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/e6b17c6a-2534-4207-a4a1-6746a14911ff.
Bluebook
ISAM E MARAR, NPI 1104976109, CMS profile ID 5433, IndustryPayments, General Payments, PY2024; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; 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 1 of 4; records 1–50 of 169 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/e6b17c6a-2534-4207-a4a1-6746a14911ff. https://industrypayments.org/provider/npi-1104976109?year=2024&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

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

Payment records · PY2024

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

General Payments · PY2024 · Physicians and non-physician practitioners · CMS publication 2026-06-30

169 matching records · $3,256.51 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 169 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 169.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Gilead Sciences, Inc. $10.4712/19/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1133761742 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.4912/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1153642312 CMS
Novo Nordisk Inc $15.6412/17/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1096866014 CMS
Lilly USA, LLC $2.7412/16/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135012107 CMS
Vanda Pharmaceuticals Inc. $13.4512/16/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1133911526 CMS
Xeris Pharmaceuticals, Inc. $13.2412/16/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1144597042 CMS
Corcept Therapeutics $13.1212/05/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1117756369 CMS
Azurity Pharmaceuticals, Inc. $18.8112/04/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1134009443 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.6312/03/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1086227544 CMS
Astellas Pharma US Inc $17.1512/02/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1139443760 CMS
Lilly USA, LLC $20.4411/28/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1134987008 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $13.4711/27/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1153542706 CMS
Novo Nordisk Inc $18.3911/26/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1096592110 CMS
Gilead Sciences, Inc. $30.9211/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1133761740 CMS
GlaxoSmithKline, LLC. $13.0711/13/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1116184537 CMS
Lilly USA, LLC $12.6511/12/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135036444 CMS
Amgen Inc. $12.6111/11/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1117318584 CMS
Lilly USA, LLC $16.8911/08/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135036494 CMS
Novo Nordisk Inc $17.5710/29/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1096970533 CMS
Azurity Pharmaceuticals, Inc. $15.3610/24/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1134009441 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.7010/23/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1086131330 CMS
PFIZER INC. $23.5810/21/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1132089073 CMS
Amgen Inc. $13.6810/17/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1111643460 CMS
AstraZeneca Pharmaceuticals LP $23.1210/16/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1105477227 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.5210/16/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1153534776 CMS
Lilly USA, LLC $17.0010/15/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135029792 CMS
AstraZeneca Pharmaceuticals LP $11.5610/11/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1105636828 CMS
Novo Nordisk Inc $19.2110/10/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1096940037 CMS
Novartis Pharmaceuticals Corporation $16.2510/09/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1087100680 CMS
Amgen Inc. $17.6810/04/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1117318582 CMS
ABBVIE INC. $18.8210/02/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1104963012 CMS
Novartis Pharmaceuticals Corporation $16.0509/24/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1087100678 CMS
Lilly USA, LLC $17.8809/23/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1134987018 CMS
Bayer Healthcare Pharmaceuticals Inc. $11.1809/20/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1086092941 CMS
Novo Nordisk Inc $21.5109/19/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1097138738 CMS
ABBVIE INC. $10.4209/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1104963010 CMS
AstraZeneca Pharmaceuticals LP $13.7709/13/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1104373225 CMS
Lilly USA, LLC $17.2109/09/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135012743 CMS
Lilly USA, LLC $10.9009/09/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135036438 CMS
Ardelyx, Inc. $15.3609/06/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1146694092 CMS
Xeris Pharmaceuticals, Inc. $14.5509/05/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1144597040 CMS
Lilly USA, LLC $18.6509/03/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135036442 CMS
Gilead Sciences, Inc. $24.7008/30/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1133761738 CMS
Astellas Pharma US Inc $15.3608/27/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1139384628 CMS
Lilly USA, LLC $16.4808/26/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135036502 CMS
Novo Nordisk Inc $17.0508/23/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1097029869 CMS
ABBVIE INC. $16.3108/19/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1104963008 CMS
Amgen Inc. $12.0708/19/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1111643470 CMS
AstraZeneca Pharmaceuticals LP $18.0608/16/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1105778056 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.8908/16/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1117875969 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $3,017.25 175
PY2020 $3,231.34 198
PY2021 $3,739.00 233
PY2022 $3,029.30 190
PY2023 $3,196.21 191
PY2024 $3,256.51 169
PY2025 $3,313.57 166

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
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files and profile matching
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.