Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

KAROL ANN ZSARNAY

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1154654879
CMS profile
10638229
Location
TOLEDO, OH

General Payments · PY2021–2024

$532.19

  • Reported across 20 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$288.04

12 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

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $288.04 12

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Novo Nordisk AS $103.35 2
DEXCOM, INC. $51.22 3
Tandem Diabetes Care, Inc. $37.22 2
Antares Pharma, Inc. $22.15 1
Alvogen Inc $18.83 1
Bayer HealthCare Pharmaceuticals Inc. $18.61 1
Lilly USA, LLC $18.34 1
Medtronic, Inc. $18.32 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $17.37 1
PY2022 $16.14 1
PY2023 $210.64 6
PY2024 $288.04 12

Payment records · PY2024 (12)

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

Program year 2024 202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Alvogen Inc $18.83 08/05/2024 Food and Beverage Undisputed 01/23/2026 1137627536 CMS
Antares Pharma, Inc. $22.15 10/23/2024 Food and Beverage Undisputed 01/23/2026 1146528791 CMS
Bayer Healthcare Pharmaceuticals Inc. $18.61 10/07/2024 Food and Beverage Undisputed 01/23/2026 1086303244 CMS
Dexcom, Inc. $18.13 05/13/2024 Food and Beverage Undisputed 01/23/2026 1153369661 CMS
Dexcom, Inc. $14.95 08/12/2024 Food and Beverage Undisputed 01/23/2026 1153369663 CMS
Dexcom, Inc. $18.14 11/25/2024 Food and Beverage Undisputed 01/23/2026 1153369665 CMS
Lilly USA, LLC $18.34 07/15/2024 Food and Beverage Undisputed 01/23/2026 1135726497 CMS
Medtronic, Inc. $18.32 05/20/2024 Food and Beverage Undisputed 01/23/2026 1116911395 CMS
Novo Nordisk Inc $87.51 08/14/2024 Food and Beverage Undisputed 01/23/2026 1100607668 CMS
Novo Nordisk Inc $15.84 09/16/2024 Food and Beverage Undisputed 01/23/2026 1100435871 CMS
Tandem Diabetes Care, Inc. $26.75 02/13/2024 Food and Beverage Undisputed 01/23/2026 1138744721 CMS
Tandem Diabetes Care, Inc. $10.47 07/17/2024 Food and Beverage Undisputed 01/23/2026 1138743075 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.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.