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.

Saved items

Saved only in this browser. No account or alerts.

Filter and download payment records

General Payments · PY2023 · Entire year

$3,196.21

191 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

PY2023 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $3,034.86 186
Education $161.35 5

By paying entity

PY2023 · entire year · sorted by reported total

Page 1 of 4; records 1–50 of 191 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, PY2023; 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 191 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1104976109?year=2023&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9

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, PY2023; 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 191 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1104976109?year=2023&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9.
APA 7
IndustryPayments. (2026). ISAM E MARAR, NPI 1104976109, CMS profile ID 5433. General Payments, PY2023; 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 191 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=2023&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9.
Bluebook
ISAM E MARAR, NPI 1104976109, CMS profile ID 5433, IndustryPayments, General Payments, PY2023; 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 191 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9. https://industrypayments.org/provider/npi-1104976109?year=2023&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 · PY2023

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

General Payments · PY2023 · Physicians and non-physician practitioners · CMS publication 2026-06-30

191 matching records · $3,196.21 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 191 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 191.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Novo Nordisk Inc $17.1012/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1000314703 CMS
PFIZER INC. $18.1812/19/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1049137279 CMS
Bayer Healthcare Pharmaceuticals Inc. $11.7612/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1000229465 CMS
GlaxoSmithKline, LLC. $7.2912/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1001426123 CMS
Gilead Sciences, Inc. $18.4712/15/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1025875965 CMS
AstraZeneca Pharmaceuticals LP $17.5512/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1011511573 CMS
GlaxoSmithKline, LLC. $6.4112/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1001425987 CMS
Lilly USA, LLC $17.3712/12/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1031593111 CMS
Novartis Pharmaceuticals Corporation $18.7412/11/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 992937981 CMS
GlaxoSmithKline, LLC. $13.3512/08/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1001423931 CMS
Lilly USA, LLC $17.0912/05/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1031696677 CMS
Sumitomo Pharma America, Inc. $15.5112/05/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1030851789 CMS
Lilly USA, LLC $13.6612/04/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1031528621 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.6012/01/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 996930161 CMS
Amgen Inc. $13.3511/30/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1019937745 CMS
Novo Nordisk Inc $16.7211/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1000314697 CMS
Novo Nordisk Inc $16.2411/27/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1000314683 CMS
GlaxoSmithKline, LLC. $6.9611/22/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1001424643 CMS
AstraZeneca Pharmaceuticals LP $16.6111/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1011525563 CMS
E.R. Squibb & Sons, L.L.C. $14.6811/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1015376961 CMS
Amgen Inc. $13.8111/07/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1019937729 CMS
GlaxoSmithKline, LLC. $8.8611/07/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1001426079 CMS
Novo Nordisk Inc $15.3311/02/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1000314677 CMS
Lilly USA, LLC $11.9311/01/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1031494733 CMS
Lilly USA, LLC $9.4410/27/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1031479941 CMS
Novartis Pharmaceuticals Corporation $18.0310/27/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 992937977 CMS
Lilly USA, LLC $10.1710/26/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1031494711 CMS
Novo Nordisk Inc $14.7510/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1000314663 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.7310/24/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 996930165 CMS
AstraZeneca Pharmaceuticals LP $17.4510/23/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1014254267 CMS
Lilly USA, LLC $14.7210/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1031588271 CMS
E.R. Squibb & Sons, L.L.C. $15.9210/17/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1015376947 CMS
Janssen Pharmaceuticals, Inc $15.7210/17/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 987792019 CMS
Amgen Inc. $5.6610/16/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1020590607 CMS
Novo Nordisk Inc $32.2710/13/2023 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1000314743 CMS
Novo Nordisk Inc $32.2710/13/2023 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1000314751 CMS
Novo Nordisk Inc $32.2710/13/2023 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1000314757 CMS
Novo Nordisk Inc $32.2710/13/2023 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1000314765 CMS
Novo Nordisk Inc $32.2710/13/2023 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1000314771 CMS
GlaxoSmithKline, LLC. $8.8610/10/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1001426055 CMS
Novo Nordisk Inc $11.1610/10/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1000314633 CMS
Merck Sharp & Dohme LLC $16.2710/06/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1048937493 CMS
Novo Nordisk Inc $5.2310/05/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1000314619 CMS
PFIZER INC. $21.6210/05/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1050425459 CMS
AstraZeneca Pharmaceuticals LP $14.7210/04/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1015676501 CMS
Lilly USA, LLC $10.2710/03/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1031588265 CMS
Novo Nordisk Inc $16.5209/29/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1000314691 CMS
Amgen Inc. $10.3509/26/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1019937741 CMS
Novartis Pharmaceuticals Corporation $17.2709/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 992937975 CMS
Bayer Healthcare Pharmaceuticals Inc. $16.2009/23/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1000272365 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.