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

MARIANNA F KAREWICZ

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1255609392
CMS profile
11099124
Location
HONOLULU, HI

General Payments · PY2022–2024

$2,512.87

  • Reported across 11 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$2,500.36

10 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
Travel and Lodging $1,865.14 3
Food and Beverage $635.22 7

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
NOVARTIS PHARMACEUTICALS CORPORATION $2,160.62 5
E.R. Squibb & Sons, L.L.C. $171.18 2
PFIZER INC. $125.00 1
LEO Pharma Inc. $43.56 2

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $12.51 1
PY2024 $2,500.36 10

Payment records · PY2024 (10)

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

Program year 2024 2022 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
E.R. Squibb & Sons, L.L.C. $33.13 01/23/2024 Food and Beverage Undisputed 01/23/2026 1101584208 CMS
E.R. Squibb & Sons, L.L.C. $138.05 01/24/2024 Food and Beverage Undisputed 01/23/2026 1101584200 CMS
LEO Pharma Inc. $14.11 08/09/2024 Food and Beverage Undisputed 01/23/2026 1152674149 CMS
LEO Pharma Inc. $29.45 10/17/2024 Food and Beverage Undisputed 01/23/2026 1152674151 CMS
Novartis Pharmaceuticals Corporation $348.04 10/05/2024 Travel and Lodging Undisputed 01/23/2026 1087153774 CMS
Novartis Pharmaceuticals Corporation $1,362.03 10/05/2024 Travel and Lodging Undisputed 01/23/2026 1087153776 CMS
Novartis Pharmaceuticals Corporation $155.07 10/05/2024 Travel and Lodging Undisputed 01/23/2026 1087153778 CMS
Novartis Pharmaceuticals Corporation $121.90 10/05/2024 Food and Beverage Undisputed 01/23/2026 1087153780 CMS
Novartis Pharmaceuticals Corporation $173.58 10/05/2024 Food and Beverage Undisputed 01/23/2026 1087153782 CMS
PFIZER INC. $125.00 01/12/2024 Food and Beverage Undisputed 01/23/2026 1131307828 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
2022, 2024
Source files
Dataset page · Bulk file · PY2022 , 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.