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

TERESA M KARCSMAR

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1134312200
CMS profile
187099
Location
WINTER GARDEN, FL

General Payments · PY2021–2025

$6,093.11

  • Reported across 297 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$763.38

28 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 $763.38 28

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,311.18 72
PY2022 $1,303.42 65
PY2023 $1,461.19 70
PY2024 $1,253.94 62
PY2025 $763.38 28

Payment records · PY2025 (28)

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 $23.37 03/11/2025 Food and Beverage Undisputed 06/30/2026 1240911037 CMS
Amgen Inc. $17.11 01/21/2025 Food and Beverage Undisputed 06/30/2026 1228834195 CMS
Amgen Inc. $15.30 02/18/2025 Food and Beverage Undisputed 06/30/2026 1228834201 CMS
AstraZeneca Pharmaceuticals LP $18.19 02/04/2025 Food and Beverage Undisputed 06/30/2026 1206586203 CMS
AstraZeneca Pharmaceuticals LP $125.00 02/26/2025 Food and Beverage Undisputed 06/30/2026 1206467080 CMS
AstraZeneca Pharmaceuticals LP $21.13 03/13/2025 Food and Beverage Undisputed 06/30/2026 1206653409 CMS
Avadel CNS Pharmaceuticals, LLC $36.47 12/02/2025 Food and Beverage Undisputed 06/30/2026 1208548662 CMS
Baxter Healthcare $30.92 12/11/2025 Food and Beverage Undisputed 06/30/2026 1181542636 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.14 01/28/2025 Food and Beverage Undisputed 06/30/2026 1225599230 CMS
Bayer Healthcare Pharmaceuticals Inc. $15.71 04/25/2025 Food and Beverage Undisputed 06/30/2026 1225599228 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $24.37 02/11/2025 Food and Beverage Undisputed 06/30/2026 1222870144 CMS
Electromed, Inc. $17.75 10/16/2025 Food and Beverage Undisputed 06/30/2026 1224618496 CMS
Electromed, Inc. $11.72 12/01/2025 Food and Beverage Undisputed 06/30/2026 1224618491 CMS
GENZYME CORPORATION $33.30 10/07/2025 Food and Beverage Undisputed 06/30/2026 1233293706 CMS
Grifols USA, LLC $26.60 12/29/2025 Food and Beverage Undisputed 06/30/2026 1249599136 CMS
JAZZ PHARMACEUTICALS INC. $29.97 10/27/2025 Food and Beverage Undisputed 06/30/2026 1234891273 CMS
JAZZ PHARMACEUTICALS INC. $39.71 11/14/2025 Food and Beverage Undisputed 06/30/2026 1234887901 CMS
Lilly USA, LLC $17.17 01/14/2025 Food and Beverage Undisputed 06/30/2026 1187267117 CMS
Lilly USA, LLC $16.75 04/17/2025 Food and Beverage Undisputed 06/30/2026 1187311582 CMS
Novo Nordisk Inc $23.76 01/23/2025 Food and Beverage Undisputed 06/30/2026 1188907193 CMS
Novo Nordisk Inc $24.19 04/09/2025 Food and Beverage Undisputed 06/30/2026 1188841694 CMS
Phathom Pharmaceuticals, Inc. $17.99 02/26/2025 Food and Beverage Undisputed 06/30/2026 1219308095 CMS
Pulmonx Corporation $24.37 12/18/2025 Food and Beverage Undisputed 06/30/2026 1199553522 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $22.32 05/27/2025 Food and Beverage Undisputed 06/30/2026 1232149603 CMS
Sumitomo Pharma America, Inc. $25.93 03/20/2025 Food and Beverage Undisputed 06/30/2026 1176774246 CMS
Takeda Pharmaceuticals U.S.A., Inc. $32.75 10/14/2025 Food and Beverage Undisputed 06/30/2026 1224086784 CMS
Takeda Pharmaceuticals U.S.A., Inc. $27.86 11/20/2025 Food and Beverage Undisputed 06/30/2026 1224072645 CMS
Takeda Pharmaceuticals U.S.A., Inc. $26.53 12/18/2025 Food and Beverage Undisputed 06/30/2026 1224067021 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

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