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

JUSTIN ADAM KARL

Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease

NPI
1134366958
CMS profile
680655
Location
LAWRENCEVILLE, NJ

General Payments · PY2019–2025

$7,313.03

  • Reported across 450 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$1,649.24

83 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 $1,585.25 82
Education $63.99 1

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $1,026.04 77
PY2020 $453.24 36
PY2021 $683.59 53
PY2022 $955.31 57
PY2023 $1,231.72 67
PY2024 $1,313.89 77
PY2025 $1,649.24 83

Payment records · PY2025 (83)

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

Program year 2025 201920202021202220232024 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
Actelion Pharmaceuticals US, Inc. $16.17 07/22/2025 Food and Beverage Undisputed 06/30/2026 1174258760 CMS
Actelion Pharmaceuticals US, Inc. $63.99 10/15/2025 Education Undisputed 06/30/2026 1174258766 CMS
Alnylam Pharmaceuticals Inc. $17.93 03/19/2025 Food and Beverage Undisputed 06/30/2026 1212788236 CMS
Alnylam Pharmaceuticals Inc. $16.96 05/12/2025 Food and Beverage Undisputed 06/30/2026 1212788276 CMS
Alnylam Pharmaceuticals Inc. $18.08 07/28/2025 Food and Beverage Undisputed 06/30/2026 1212788286 CMS
Amgen Inc. $15.31 03/05/2025 Food and Beverage Undisputed 06/30/2026 1228531319 CMS
Amgen Inc. $16.68 04/23/2025 Food and Beverage Undisputed 06/30/2026 1228531315 CMS
Amgen Inc. $17.72 05/14/2025 Food and Beverage Undisputed 06/30/2026 1228531321 CMS
Amgen Inc. $17.27 07/16/2025 Food and Beverage Undisputed 06/30/2026 1228531309 CMS
Amgen Inc. $17.94 09/03/2025 Food and Beverage Undisputed 06/30/2026 1228531317 CMS
Amgen Inc. $17.78 11/05/2025 Food and Beverage Undisputed 06/30/2026 1228531311 CMS
Amgen Inc. $16.51 11/12/2025 Food and Beverage Undisputed 06/30/2026 1228531313 CMS
AOP Health US, LLC $336.32 10/02/2025 Food and Beverage Undisputed 06/30/2026 1254955306 CMS
AstraZeneca Pharmaceuticals LP $16.86 01/27/2025 Food and Beverage Undisputed 06/30/2026 1206297502 CMS
AstraZeneca Pharmaceuticals LP $17.85 07/23/2025 Food and Beverage Undisputed 06/30/2026 1206810179 CMS
AstraZeneca Pharmaceuticals LP $14.18 12/03/2025 Food and Beverage Undisputed 06/30/2026 1206879450 CMS
Bayer Healthcare Pharmaceuticals Inc. $19.09 08/19/2025 Food and Beverage Undisputed 06/30/2026 1225599370 CMS
Bayer Healthcare Pharmaceuticals Inc. $18.38 10/20/2025 Food and Beverage Undisputed 06/30/2026 1225599372 CMS
Bayer Healthcare Pharmaceuticals Inc. $19.50 12/12/2025 Food and Beverage Undisputed 06/30/2026 1225599374 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.21 01/07/2025 Food and Beverage Undisputed 06/30/2026 1223075934 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.77 02/20/2025 Food and Beverage Undisputed 06/30/2026 1223075936 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.80 04/15/2025 Food and Beverage Undisputed 06/30/2026 1223075938 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.86 06/03/2025 Food and Beverage Undisputed 06/30/2026 1223075940 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.17 07/15/2025 Food and Beverage Undisputed 06/30/2026 1223075942 CMS
BridgeBio Pharma, Inc. $15.84 12/12/2025 Food and Beverage Undisputed 06/30/2026 1250432553 CMS
E.R. Squibb & Sons, L.L.C. $17.79 01/13/2025 Food and Beverage Undisputed 06/30/2026 1184887094 CMS
E.R. Squibb & Sons, L.L.C. $19.75 02/24/2025 Food and Beverage Undisputed 06/30/2026 1184887108 CMS
E.R. Squibb & Sons, L.L.C. $18.43 03/17/2025 Food and Beverage Undisputed 06/30/2026 1184887120 CMS
E.R. Squibb & Sons, L.L.C. $14.03 06/09/2025 Food and Beverage Undisputed 06/30/2026 1184887136 CMS
E.R. Squibb & Sons, L.L.C. $14.48 08/05/2025 Food and Beverage Undisputed 06/30/2026 1184887172 CMS
Esperion Therapeutics, Inc. $15.08 01/28/2025 Food and Beverage Undisputed 06/30/2026 1243963471 CMS
Esperion Therapeutics, Inc. $15.84 02/12/2025 Food and Beverage Undisputed 06/30/2026 1243963473 CMS
Esperion Therapeutics, Inc. $15.19 04/02/2025 Food and Beverage Undisputed 06/30/2026 1243963475 CMS
Esperion Therapeutics, Inc. $13.70 09/09/2025 Food and Beverage Undisputed 06/30/2026 1243963477 CMS
HEARTFLOW, INC. $32.94 01/22/2025 Food and Beverage Undisputed 06/30/2026 1233573470 CMS
HEARTFLOW, INC. $20.14 02/19/2025 Food and Beverage Undisputed 06/30/2026 1233573578 CMS
HEARTFLOW, INC. $18.93 03/20/2025 Food and Beverage Undisputed 06/30/2026 1233573646 CMS
HEARTFLOW, INC. $21.40 03/31/2025 Food and Beverage Undisputed 06/30/2026 1233573637 CMS
HEARTFLOW, INC. $18.64 06/04/2025 Food and Beverage Undisputed 06/30/2026 1233573634 CMS
HEARTFLOW, INC. $10.94 06/18/2025 Food and Beverage Undisputed 06/30/2026 1233573642 CMS
HEARTFLOW, INC. $20.67 08/05/2025 Food and Beverage Undisputed 06/30/2026 1233573658 CMS
HEARTFLOW, INC. $3.97 09/24/2025 Food and Beverage Undisputed 06/30/2026 1233573669 CMS
HEARTFLOW, INC. $17.21 11/14/2025 Food and Beverage Undisputed 06/30/2026 1233573654 CMS
MEDICOMP INC $22.76 02/03/2025 Food and Beverage Undisputed 06/30/2026 1185533590 CMS
MEDICOMP INC $20.18 11/10/2025 Food and Beverage Undisputed 06/30/2026 1185532914 CMS
Merck Sharp & Dohme LLC $15.20 01/30/2025 Food and Beverage Undisputed 06/30/2026 1238332061 CMS
Merck Sharp & Dohme LLC $15.85 02/27/2025 Food and Beverage Undisputed 06/30/2026 1238150872 CMS
Merck Sharp & Dohme LLC $17.10 05/08/2025 Food and Beverage Undisputed 06/30/2026 1238193272 CMS
Merck Sharp & Dohme LLC $17.42 07/07/2025 Food and Beverage Undisputed 06/30/2026 1238332059 CMS
Novartis Pharmaceuticals Corporation $7.86 01/06/2025 Food and Beverage Undisputed 06/30/2026 1200325818 CMS
Novartis Pharmaceuticals Corporation $1.12 01/06/2025 Food and Beverage Undisputed 06/30/2026 1200325820 CMS
Novartis Pharmaceuticals Corporation $6.15 01/06/2025 Food and Beverage Undisputed 06/30/2026 1200325822 CMS
Novartis Pharmaceuticals Corporation $15.16 03/10/2025 Food and Beverage Undisputed 06/30/2026 1200325824 CMS
Novartis Pharmaceuticals Corporation $0.79 03/10/2025 Food and Beverage Undisputed 06/30/2026 1200325826 CMS
Novartis Pharmaceuticals Corporation $0.72 03/10/2025 Food and Beverage Undisputed 06/30/2026 1200325828 CMS
Novartis Pharmaceuticals Corporation $12.05 03/18/2025 Food and Beverage Undisputed 06/30/2026 1200325830 CMS
Novartis Pharmaceuticals Corporation $1.76 03/18/2025 Food and Beverage Undisputed 06/30/2026 1200325832 CMS
Novartis Pharmaceuticals Corporation $2.22 06/17/2025 Food and Beverage Undisputed 06/30/2026 1200325836 CMS
Novartis Pharmaceuticals Corporation $13.42 06/17/2025 Food and Beverage Undisputed 06/30/2026 1200325844 CMS
Novartis Pharmaceuticals Corporation $1.25 07/02/2025 Food and Beverage Undisputed 06/30/2026 1200325838 CMS
Novartis Pharmaceuticals Corporation $14.05 07/02/2025 Food and Beverage Undisputed 06/30/2026 1200325840 CMS
Novartis Pharmaceuticals Corporation $0.19 07/02/2025 Food and Beverage Undisputed 06/30/2026 1200325842 CMS
Novartis Pharmaceuticals Corporation $2.05 07/02/2025 Food and Beverage Undisputed 06/30/2026 1200325846 CMS
Novartis Pharmaceuticals Corporation $18.00 08/06/2025 Food and Beverage Undisputed 06/30/2026 1200325848 CMS
Novartis Pharmaceuticals Corporation $2.18 08/06/2025 Food and Beverage Undisputed 06/30/2026 1200325850 CMS
Novartis Pharmaceuticals Corporation $18.00 09/30/2025 Food and Beverage Undisputed 06/30/2026 1200325852 CMS
Novartis Pharmaceuticals Corporation $4.77 09/30/2025 Food and Beverage Undisputed 06/30/2026 1200325854 CMS
Novartis Pharmaceuticals Corporation $20.40 10/22/2025 Food and Beverage Undisputed 06/30/2026 1200258357 CMS
Novartis Pharmaceuticals Corporation $13.61 10/28/2025 Food and Beverage Undisputed 06/30/2026 1200325856 CMS
Novartis Pharmaceuticals Corporation $19.58 11/06/2025 Food and Beverage Undisputed 06/30/2026 1200258359 CMS
Novartis Pharmaceuticals Corporation $17.89 12/17/2025 Food and Beverage Undisputed 06/30/2026 1200258353 CMS
Novo Nordisk Inc $23.09 01/08/2025 Food and Beverage Undisputed 06/30/2026 1188456994 CMS
Novo Nordisk Inc $19.60 10/29/2025 Food and Beverage Undisputed 06/30/2026 1189072833 CMS
PFIZER INC. $18.45 01/15/2025 Food and Beverage Undisputed 06/30/2026 1231230224 CMS
PFIZER INC. $16.35 03/24/2025 Food and Beverage Undisputed 06/30/2026 1231392125 CMS
PFIZER INC. $16.32 04/22/2025 Food and Beverage Undisputed 06/30/2026 1231328118 CMS
PFIZER INC. $18.20 05/19/2025 Food and Beverage Undisputed 06/30/2026 1228817424 CMS
PFIZER INC. $18.91 11/24/2025 Food and Beverage Undisputed 06/30/2026 1229331128 CMS
Philips North America LLC $23.72 01/10/2025 Food and Beverage Undisputed 06/30/2026 1232602868 CMS
Philips North America LLC $34.83 02/06/2025 Food and Beverage Undisputed 06/30/2026 1232602898 CMS
Regeneron Healthcare Solutions, Inc. $17.32 02/10/2025 Food and Beverage Undisputed 06/30/2026 1212956138 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $14.57 04/09/2025 Food and Beverage Undisputed 06/30/2026 1173649734 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $22.85 07/30/2025 Food and Beverage Undisputed 06/30/2026 1173649732 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
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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