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

KARL OLE FJELLSTAD

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1235912544
CMS profile
11549299
Location
PUYALLUP, WA

General Payments · PY2023–2024

$956.44

  • Reported across 52 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$800.30

45 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 $800.30 45

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2023 $156.14 7
PY2024 $800.30 45

Payment records · PY2024 (45)

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

Program year 2024 2023 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
Abbott Laboratories $20.89 05/21/2024 Food and Beverage Undisputed 01/23/2026 1124917119 CMS
AstraZeneca Pharmaceuticals LP $14.85 01/04/2024 Food and Beverage Undisputed 01/23/2026 1104657983 CMS
AstraZeneca Pharmaceuticals LP $15.58 01/19/2024 Food and Beverage Undisputed 01/23/2026 1104772608 CMS
AstraZeneca Pharmaceuticals LP $16.35 07/18/2024 Food and Beverage Undisputed 01/23/2026 1104766978 CMS
AstraZeneca Pharmaceuticals LP $15.85 09/12/2024 Food and Beverage Undisputed 01/23/2026 1105556488 CMS
AstraZeneca Pharmaceuticals LP $21.95 12/05/2024 Food and Beverage Undisputed 01/23/2026 1105817959 CMS
Bayer Healthcare Pharmaceuticals Inc. $27.10 02/22/2024 Food and Beverage Undisputed 01/23/2026 1086334423 CMS
Bayer Healthcare Pharmaceuticals Inc. $26.86 04/18/2024 Food and Beverage Undisputed 01/23/2026 1086343961 CMS
Bayer Healthcare Pharmaceuticals Inc. $23.10 05/30/2024 Food and Beverage Undisputed 01/23/2026 1086307637 CMS
Bayer Healthcare Pharmaceuticals Inc. $28.37 07/11/2024 Food and Beverage Undisputed 01/23/2026 1086368283 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.60 08/30/2024 Food and Beverage Undisputed 01/23/2026 1086274528 CMS
Bayer Healthcare Pharmaceuticals Inc. $22.79 11/07/2024 Food and Beverage Undisputed 01/23/2026 1086356524 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $23.29 02/15/2024 Food and Beverage Undisputed 01/23/2026 1117929148 CMS
Exact Sciences Corporation $33.55 05/09/2024 Food and Beverage Undisputed 01/23/2026 1114540192 CMS
GlaxoSmithKline, LLC. $18.96 03/14/2024 Food and Beverage Undisputed 01/23/2026 1115790976 CMS
GlaxoSmithKline, LLC. $21.36 03/15/2024 Food and Beverage Undisputed 01/23/2026 1116417188 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $18.41 01/12/2024 Food and Beverage Undisputed 01/23/2026 1143448487 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $16.59 03/22/2024 Food and Beverage Undisputed 01/23/2026 1143448490 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $13.12 06/27/2024 Food and Beverage Undisputed 01/23/2026 1143448493 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $14.78 08/22/2024 Food and Beverage Undisputed 01/23/2026 1143448497 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $17.35 11/21/2024 Food and Beverage Undisputed 01/23/2026 1143448501 CMS
Lilly USA, LLC $4.81 01/03/2024 Food and Beverage Undisputed 01/23/2026 1135709722 CMS
Lilly USA, LLC $0.89 01/03/2024 Food and Beverage Undisputed 01/23/2026 1135725609 CMS
Lilly USA, LLC $0.80 01/03/2024 Food and Beverage Undisputed 01/23/2026 1135726809 CMS
Lilly USA, LLC $20.64 01/18/2024 Food and Beverage Undisputed 01/23/2026 1135726807 CMS
Lilly USA, LLC $13.98 05/03/2024 Food and Beverage Undisputed 01/23/2026 1135666204 CMS
Lilly USA, LLC $0.55 05/23/2024 Food and Beverage Undisputed 01/23/2026 1135648695 CMS
Lilly USA, LLC $25.41 05/23/2024 Food and Beverage Undisputed 01/23/2026 1135726811 CMS
Lilly USA, LLC $11.76 06/06/2024 Food and Beverage Undisputed 01/23/2026 1135733226 CMS
Lilly USA, LLC $28.27 06/13/2024 Food and Beverage Undisputed 01/23/2026 1135731562 CMS
Lilly USA, LLC $1.63 06/13/2024 Food and Beverage Undisputed 01/23/2026 1135733228 CMS
Lilly USA, LLC $11.79 08/03/2024 Food and Beverage Undisputed 01/23/2026 1135666972 CMS
Lilly USA, LLC $7.99 08/29/2024 Food and Beverage Undisputed 01/23/2026 1135725611 CMS
Lilly USA, LLC $17.83 09/27/2024 Food and Beverage Undisputed 01/23/2026 1135666970 CMS
Lilly USA, LLC $24.90 11/12/2024 Food and Beverage Undisputed 01/23/2026 1135726805 CMS
Lilly USA, LLC $0.60 11/12/2024 Food and Beverage Undisputed 01/23/2026 1135731560 CMS
Lilly USA, LLC $23.14 11/15/2024 Food and Beverage Undisputed 01/23/2026 1135725613 CMS
Novo Nordisk Inc $23.03 02/09/2024 Food and Beverage Undisputed 01/23/2026 1100395906 CMS
Novo Nordisk Inc $20.32 03/29/2024 Food and Beverage Undisputed 01/23/2026 1100442945 CMS
Novo Nordisk Inc $14.51 08/08/2024 Food and Beverage Undisputed 01/23/2026 1100635603 CMS
Novo Nordisk Inc $26.50 10/25/2024 Food and Beverage Undisputed 01/23/2026 1100432859 CMS
PFIZER INC. $25.21 01/31/2024 Food and Beverage Undisputed 01/23/2026 1131049707 CMS
PFIZER INC. $22.33 05/15/2024 Food and Beverage Undisputed 01/23/2026 1131365554 CMS
PFIZER INC. $13.47 08/01/2024 Food and Beverage Undisputed 01/23/2026 1131845835 CMS
Takeda Pharmaceuticals U.S.A., Inc. $27.24 09/05/2024 Food and Beverage Undisputed 01/23/2026 1137743796 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
2023, 2024
Source files
Dataset page · Bulk file · PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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