Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

LARRY S KRAMER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1134118664
CMS profile
10888066
Location
SALISBURY, MD

General Payments · PY2021–2025

$2,210.37

  • Reported across 117 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$399.93

23 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $399.93 23

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $717.06 34
PY2022 $344.65 18
PY2023 $323.12 17
PY2024 $425.61 25
PY2025 $399.93 23

Payment records · PY2025 (23)

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

Program year 2025 2021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Abbott Laboratories $21.35 01/27/2025 Food and Beverage Undisputed 06/30/2026 1240899160 CMS
Abbott Laboratories $13.77 09/26/2025 Food and Beverage Undisputed 06/30/2026 1240977114 CMS
ABBVIE INC. $18.17 02/21/2025 Food and Beverage Undisputed 06/30/2026 1204596239 CMS
ABBVIE INC. $19.41 05/01/2025 Food and Beverage Undisputed 06/30/2026 1204596243 CMS
ABBVIE INC. $15.33 08/11/2025 Food and Beverage Undisputed 06/30/2026 1204596247 CMS
ABBVIE INC. $21.03 09/09/2025 Food and Beverage Undisputed 06/30/2026 1204596251 CMS
AstraZeneca Pharmaceuticals LP $14.04 07/02/2025 Food and Beverage Undisputed 06/30/2026 1206201382 CMS
AstraZeneca Pharmaceuticals LP $21.60 07/17/2025 Food and Beverage Undisputed 06/30/2026 1206844937 CMS
AstraZeneca Pharmaceuticals LP $20.97 08/25/2025 Food and Beverage Undisputed 06/30/2026 1206419392 CMS
AstraZeneca Pharmaceuticals LP $14.63 12/05/2025 Food and Beverage Undisputed 06/30/2026 1206301758 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.30 05/10/2025 Food and Beverage Undisputed 06/30/2026 1225612140 CMS
Bayer Healthcare Pharmaceuticals Inc. $19.43 10/31/2025 Food and Beverage Undisputed 06/30/2026 1225612142 CMS
Lilly USA, LLC $19.86 01/31/2025 Food and Beverage Undisputed 06/30/2026 1187151362 CMS
Lilly USA, LLC $14.83 07/18/2025 Food and Beverage Undisputed 06/30/2026 1187140683 CMS
Novo Nordisk Inc $21.36 02/18/2025 Food and Beverage Undisputed 06/30/2026 1189087168 CMS
Novo Nordisk Inc $14.08 04/23/2025 Food and Beverage Undisputed 06/30/2026 1189048313 CMS
Novo Nordisk Inc $13.68 06/18/2025 Food and Beverage Undisputed 06/30/2026 1188683909 CMS
PFIZER INC. $22.22 08/19/2025 Food and Beverage Undisputed 06/30/2026 1229202217 CMS
Phathom Pharmaceuticals, Inc. $20.74 05/20/2025 Food and Beverage Undisputed 06/30/2026 1219307295 CMS
Phathom Pharmaceuticals, Inc. $12.39 08/13/2025 Food and Beverage Undisputed 06/30/2026 1219224888 CMS
Phathom Pharmaceuticals, Inc. $3.53 08/13/2025 Food and Beverage Undisputed 06/30/2026 1219224890 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.48 03/06/2025 Food and Beverage Undisputed 06/30/2026 1232102261 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $20.73 06/30/2025 Food and Beverage Undisputed 06/30/2026 1232102263 CMS

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
2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024 , PY2025
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.