Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. 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 ↗

Covered recipient · General Payments record

JUSTIN ADAM KARL

Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease

NPI: 1134366958
CMS profile: 680655
Location: LAWRENCEVILLE, NJ

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.

General Payments · PY2019–2025

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.”
— 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.
Featured-page threshold (a presentation gate, not a judgment): (records>=3 OR total>=100) AND records>=2 AND NPI identity (all years).
Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$1,585.25	82
Education	$63.99	1

By paying entity

PY2025 · sorted by reported total

Paying entity	Amount	Records
AOP Health US, LLC	$336.32	1
NOVARTIS PHARMACEUTICALS CORPORATION	$193.22	22
HEARTFLOW, INC.	$164.84	9
Amgen Inc.	$119.21	7
PFIZER INC.	$88.23	5
E.R. Squibb & Sons, L.L.C.	$84.48	5
Boehringer Ingelheim Pharmaceuticals, Inc.	$83.81	5
Actelion Pharmaceuticals US, Inc.	$80.16	2
Merck Sharp & Dohme Corporation	$65.57	4
Esperion Therapeutics, Inc.	$59.81	4
Philips Electronics North America Corporation	$58.55	2
Bayer HealthCare Pharmaceuticals Inc.	$56.97	3
Alnylam Pharmaceuticals Inc.	$52.97	3
Acerta Pharma LLC	$48.89	3
MEDICOMP INC	$42.94	2
Novo Nordisk AS	$42.69	2
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$37.42	2
Regeneron Healthcare Solutions, Inc.	$17.32	1
BridgeBio Pharma, Inc.	$15.84	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
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)

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

Program year 2025 2019 2020 2021 2022 2023 2024 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
Novartis Pharmaceuticals Corporation	$17.89	12/17/2025	Food and Beverage	No dispute reported	06/30/2026	1200258353	CMS
Bayer Healthcare Pharmaceuticals Inc.	$19.50	12/12/2025	Food and Beverage	No dispute reported	06/30/2026	1225599374	CMS
BridgeBio Pharma, Inc.	$15.84	12/12/2025	Food and Beverage	No dispute reported	06/30/2026	1250432553	CMS
AstraZeneca Pharmaceuticals LP	$14.18	12/03/2025	Food and Beverage	No dispute reported	06/30/2026	1206879450	CMS
PFIZER INC.	$18.91	11/24/2025	Food and Beverage	No dispute reported	06/30/2026	1229331128	CMS
HEARTFLOW, INC.	$17.21	11/14/2025	Food and Beverage	No dispute reported	06/30/2026	1233573654	CMS
Amgen Inc.	$16.51	11/12/2025	Food and Beverage	No dispute reported	06/30/2026	1228531313	CMS
MEDICOMP INC	$20.18	11/10/2025	Food and Beverage	No dispute reported	06/30/2026	1185532914	CMS
Novartis Pharmaceuticals Corporation	$19.58	11/06/2025	Food and Beverage	No dispute reported	06/30/2026	1200258359	CMS
Amgen Inc.	$17.78	11/05/2025	Food and Beverage	No dispute reported	06/30/2026	1228531311	CMS
Novo Nordisk Inc	$19.60	10/29/2025	Food and Beverage	No dispute reported	06/30/2026	1189072833	CMS
Novartis Pharmaceuticals Corporation	$13.61	10/28/2025	Food and Beverage	No dispute reported	06/30/2026	1200325856	CMS
Novartis Pharmaceuticals Corporation	$20.40	10/22/2025	Food and Beverage	No dispute reported	06/30/2026	1200258357	CMS
Bayer Healthcare Pharmaceuticals Inc.	$18.38	10/20/2025	Food and Beverage	No dispute reported	06/30/2026	1225599372	CMS
Actelion Pharmaceuticals US, Inc.	$63.99	10/15/2025	Education	No dispute reported	06/30/2026	1174258766	CMS
AOP Health US, LLC	$336.32	10/02/2025	Food and Beverage	No dispute reported	06/30/2026	1254955306	CMS
Novartis Pharmaceuticals Corporation	$18.00	09/30/2025	Food and Beverage	No dispute reported	06/30/2026	1200325852	CMS
Novartis Pharmaceuticals Corporation	$4.77	09/30/2025	Food and Beverage	No dispute reported	06/30/2026	1200325854	CMS
HEARTFLOW, INC.	$3.97	09/24/2025	Food and Beverage	No dispute reported	06/30/2026	1233573669	CMS
Esperion Therapeutics, Inc.	$13.70	09/09/2025	Food and Beverage	No dispute reported	06/30/2026	1243963477	CMS
Amgen Inc.	$17.94	09/03/2025	Food and Beverage	No dispute reported	06/30/2026	1228531317	CMS
Bayer Healthcare Pharmaceuticals Inc.	$19.09	08/19/2025	Food and Beverage	No dispute reported	06/30/2026	1225599370	CMS
Novartis Pharmaceuticals Corporation	$18.00	08/06/2025	Food and Beverage	No dispute reported	06/30/2026	1200325848	CMS
Novartis Pharmaceuticals Corporation	$2.18	08/06/2025	Food and Beverage	No dispute reported	06/30/2026	1200325850	CMS
E.R. Squibb & Sons, L.L.C.	$14.48	08/05/2025	Food and Beverage	No dispute reported	06/30/2026	1184887172	CMS
HEARTFLOW, INC.	$20.67	08/05/2025	Food and Beverage	No dispute reported	06/30/2026	1233573658	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$22.85	07/30/2025	Food and Beverage	No dispute reported	06/30/2026	1173649732	CMS
Alnylam Pharmaceuticals Inc.	$18.08	07/28/2025	Food and Beverage	No dispute reported	06/30/2026	1212788286	CMS
AstraZeneca Pharmaceuticals LP	$17.85	07/23/2025	Food and Beverage	No dispute reported	06/30/2026	1206810179	CMS
Actelion Pharmaceuticals US, Inc.	$16.17	07/22/2025	Food and Beverage	No dispute reported	06/30/2026	1174258760	CMS
Amgen Inc.	$17.27	07/16/2025	Food and Beverage	No dispute reported	06/30/2026	1228531309	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.17	07/15/2025	Food and Beverage	No dispute reported	06/30/2026	1223075942	CMS
Merck Sharp & Dohme LLC	$17.42	07/07/2025	Food and Beverage	No dispute reported	06/30/2026	1238332059	CMS
Novartis Pharmaceuticals Corporation	$1.25	07/02/2025	Food and Beverage	No dispute reported	06/30/2026	1200325838	CMS
Novartis Pharmaceuticals Corporation	$14.05	07/02/2025	Food and Beverage	No dispute reported	06/30/2026	1200325840	CMS
Novartis Pharmaceuticals Corporation	$0.19	07/02/2025	Food and Beverage	No dispute reported	06/30/2026	1200325842	CMS
Novartis Pharmaceuticals Corporation	$2.05	07/02/2025	Food and Beverage	No dispute reported	06/30/2026	1200325846	CMS
HEARTFLOW, INC.	$10.94	06/18/2025	Food and Beverage	No dispute reported	06/30/2026	1233573642	CMS
Novartis Pharmaceuticals Corporation	$2.22	06/17/2025	Food and Beverage	No dispute reported	06/30/2026	1200325836	CMS
Novartis Pharmaceuticals Corporation	$13.42	06/17/2025	Food and Beverage	No dispute reported	06/30/2026	1200325844	CMS
E.R. Squibb & Sons, L.L.C.	$14.03	06/09/2025	Food and Beverage	No dispute reported	06/30/2026	1184887136	CMS
HEARTFLOW, INC.	$18.64	06/04/2025	Food and Beverage	No dispute reported	06/30/2026	1233573634	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.86	06/03/2025	Food and Beverage	No dispute reported	06/30/2026	1223075940	CMS
PFIZER INC.	$18.20	05/19/2025	Food and Beverage	No dispute reported	06/30/2026	1228817424	CMS
Amgen Inc.	$17.72	05/14/2025	Food and Beverage	No dispute reported	06/30/2026	1228531321	CMS
Alnylam Pharmaceuticals Inc.	$16.96	05/12/2025	Food and Beverage	No dispute reported	06/30/2026	1212788276	CMS
Merck Sharp & Dohme LLC	$17.10	05/08/2025	Food and Beverage	No dispute reported	06/30/2026	1238193272	CMS
Amgen Inc.	$16.68	04/23/2025	Food and Beverage	No dispute reported	06/30/2026	1228531315	CMS
PFIZER INC.	$16.32	04/22/2025	Food and Beverage	No dispute reported	06/30/2026	1231328118	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.80	04/15/2025	Food and Beverage	No dispute reported	06/30/2026	1223075938	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$14.57	04/09/2025	Food and Beverage	No dispute reported	06/30/2026	1173649734	CMS
Esperion Therapeutics, Inc.	$15.19	04/02/2025	Food and Beverage	No dispute reported	06/30/2026	1243963475	CMS
HEARTFLOW, INC.	$21.40	03/31/2025	Food and Beverage	No dispute reported	06/30/2026	1233573637	CMS
PFIZER INC.	$16.35	03/24/2025	Food and Beverage	No dispute reported	06/30/2026	1231392125	CMS
HEARTFLOW, INC.	$18.93	03/20/2025	Food and Beverage	No dispute reported	06/30/2026	1233573646	CMS
Alnylam Pharmaceuticals Inc.	$17.93	03/19/2025	Food and Beverage	No dispute reported	06/30/2026	1212788236	CMS
Novartis Pharmaceuticals Corporation	$12.05	03/18/2025	Food and Beverage	No dispute reported	06/30/2026	1200325830	CMS
Novartis Pharmaceuticals Corporation	$1.76	03/18/2025	Food and Beverage	No dispute reported	06/30/2026	1200325832	CMS
E.R. Squibb & Sons, L.L.C.	$18.43	03/17/2025	Food and Beverage	No dispute reported	06/30/2026	1184887120	CMS
Novartis Pharmaceuticals Corporation	$15.16	03/10/2025	Food and Beverage	No dispute reported	06/30/2026	1200325824	CMS
Novartis Pharmaceuticals Corporation	$0.79	03/10/2025	Food and Beverage	No dispute reported	06/30/2026	1200325826	CMS
Novartis Pharmaceuticals Corporation	$0.72	03/10/2025	Food and Beverage	No dispute reported	06/30/2026	1200325828	CMS
Amgen Inc.	$15.31	03/05/2025	Food and Beverage	No dispute reported	06/30/2026	1228531319	CMS
Merck Sharp & Dohme LLC	$15.85	02/27/2025	Food and Beverage	No dispute reported	06/30/2026	1238150872	CMS
E.R. Squibb & Sons, L.L.C.	$19.75	02/24/2025	Food and Beverage	No dispute reported	06/30/2026	1184887108	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.77	02/20/2025	Food and Beverage	No dispute reported	06/30/2026	1223075936	CMS
HEARTFLOW, INC.	$20.14	02/19/2025	Food and Beverage	No dispute reported	06/30/2026	1233573578	CMS
Esperion Therapeutics, Inc.	$15.84	02/12/2025	Food and Beverage	No dispute reported	06/30/2026	1243963473	CMS
Regeneron Healthcare Solutions, Inc.	$17.32	02/10/2025	Food and Beverage	No dispute reported	06/30/2026	1212956138	CMS
Philips North America LLC	$34.83	02/06/2025	Food and Beverage	No dispute reported	06/30/2026	1232602898	CMS
MEDICOMP INC	$22.76	02/03/2025	Food and Beverage	No dispute reported	06/30/2026	1185533590	CMS
Merck Sharp & Dohme LLC	$15.20	01/30/2025	Food and Beverage	No dispute reported	06/30/2026	1238332061	CMS
Esperion Therapeutics, Inc.	$15.08	01/28/2025	Food and Beverage	No dispute reported	06/30/2026	1243963471	CMS
AstraZeneca Pharmaceuticals LP	$16.86	01/27/2025	Food and Beverage	No dispute reported	06/30/2026	1206297502	CMS
HEARTFLOW, INC.	$32.94	01/22/2025	Food and Beverage	No dispute reported	06/30/2026	1233573470	CMS
PFIZER INC.	$18.45	01/15/2025	Food and Beverage	No dispute reported	06/30/2026	1231230224	CMS
E.R. Squibb & Sons, L.L.C.	$17.79	01/13/2025	Food and Beverage	No dispute reported	06/30/2026	1184887094	CMS
Philips North America LLC	$23.72	01/10/2025	Food and Beverage	No dispute reported	06/30/2026	1232602868	CMS
Novo Nordisk Inc	$23.09	01/08/2025	Food and Beverage	No dispute reported	06/30/2026	1188456994	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.21	01/07/2025	Food and Beverage	No dispute reported	06/30/2026	1223075934	CMS
Novartis Pharmaceuticals Corporation	$7.86	01/06/2025	Food and Beverage	No dispute reported	06/30/2026	1200325818	CMS
Novartis Pharmaceuticals Corporation	$1.12	01/06/2025	Food and Beverage	No dispute reported	06/30/2026	1200325820	CMS
Novartis Pharmaceuticals Corporation	$6.15	01/06/2025	Food and Beverage	No dispute reported	06/30/2026	1200325822	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

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.

Cite this record.

Permalink https://industrypayments.org/provider/npi-1134366958

Plain: JUSTIN ADAM KARL, NPI 1134366958. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1134366958.
APA 7: IndustryPayments. (2026). JUSTIN ADAM KARL, NPI 1134366958 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1134366958
Bluebook: JUSTIN ADAM KARL, NPI 1134366958, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1134366958.

Source: Centers for Medicare & Medicaid Services, Open Payments.