Covered recipient · General Payments record

CHAFIC KARAM

Allopathic & Osteopathic Physicians Psychiatry & Neurology Neurology

NPI: 1326200163
CMS profile: 1027644
Location: PORTLAND, OR

General Payments · PY2018–2024

$610,787.32

Reported across 509 records
CMS publication 2026-01-23

Latest program year · PY2024

$135,495.02

116 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 payment	Amount	Records
Consulting Fee	$72,489.01	28
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$45,783.39	12
Travel and Lodging	$14,115.02	39
Food and Beverage	$2,107.60	36
Honoraria	$1,000.00	1

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Takeda Pharmaceuticals U.S.A., Inc.	$51,896.50	55
ARGENX US, INC.	$32,367.95	26
GENZYME CORPORATION	$15,291.79	12
AstraZeneca UK Limited	$9,397.50	4
Johnson & Johnson Health Care Systems Inc.	$5,121.12	3
Alnylam Pharmaceuticals Inc.	$3,999.94	2
Alexion Pharmaceuticals, Inc.	$3,245.00	1
UCB, Inc.	$2,998.60	4
Amicus Therapeutics, Inc.	$2,982.53	2
Janssen Scientific Affairs, LLC	$2,500.00	1
Amgen Inc.	$2,200.00	1
SANOFI US SERVICES INC.	$1,286.00	1
Acerta Pharma LLC	$1,171.15	2
Octapharma USA, Inc.	$1,000.00	1
Genentech, Inc.	$36.94	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$56,916.37	79
PY2019	$94,856.29	105
PY2020	$80,064.11	24
PY2021	$39,596.71	24
PY2022	$73,577.24	55
PY2023	$130,281.58	106
PY2024	$135,495.02	116

Payment records · PY2024 (116)

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

Program year 2024 2018 2019 2020 2021 2022 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
Alexion Pharmaceuticals, Inc.	$3,245.00	06/18/2024	Consulting Fee	Undisputed	01/23/2026	1094030614	CMS
Alnylam Pharmaceuticals Inc.	$89.68	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1125831905	CMS
Alnylam Pharmaceuticals Inc.	$3,910.26	09/04/2024	Consulting Fee	Undisputed	01/23/2026	1125831999	CMS
Amgen Inc.	$2,200.00	05/23/2024	Consulting Fee	Undisputed	01/23/2026	1111614563	CMS
Amicus Therapeutics, Inc.	$2,605.00	11/20/2024	Consulting Fee	Undisputed	01/23/2026	1148420470	CMS
Amicus Therapeutics, Inc.	$377.53	11/20/2024	Travel and Lodging	Undisputed	01/23/2026	1148420769	CMS
ARGENX US, INC.	$1,150.00	02/28/2024	Consulting Fee	Undisputed	01/23/2026	1142113805	CMS
ARGENX US, INC.	$949.00	03/01/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1142113667	CMS
ARGENX US, INC.	$5,000.00	03/27/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1142113011	CMS
ARGENX US, INC.	$65.96	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1142113669	CMS
ARGENX US, INC.	$101.67	03/27/2024	Travel and Lodging	Undisputed	01/23/2026	1142114479	CMS
ARGENX US, INC.	$338.63	03/27/2024	Travel and Lodging	Undisputed	01/23/2026	1142114955	CMS
ARGENX US, INC.	$2,812.50	05/17/2024	Consulting Fee	Undisputed	01/23/2026	1142114347	CMS
ARGENX US, INC.	$122.76	05/22/2024	Travel and Lodging	Undisputed	01/23/2026	1142114353	CMS
ARGENX US, INC.	$76.68	05/22/2024	Travel and Lodging	Undisputed	01/23/2026	1142114355	CMS
ARGENX US, INC.	$380.82	05/22/2024	Travel and Lodging	Undisputed	01/23/2026	1142114943	CMS
ARGENX US, INC.	$1,250.00	05/29/2024	Consulting Fee	Undisputed	01/23/2026	1142114131	CMS
ARGENX US, INC.	$19.17	06/22/2024	Food and Beverage	Undisputed	01/23/2026	1142106638	CMS
ARGENX US, INC.	$1,250.00	06/24/2024	Consulting Fee	Undisputed	01/23/2026	1142113857	CMS
ARGENX US, INC.	$1,250.00	08/14/2024	Consulting Fee	Undisputed	01/23/2026	1142112849	CMS
ARGENX US, INC.	$1,562.50	09/12/2024	Consulting Fee	Undisputed	01/23/2026	1142126767	CMS
ARGENX US, INC.	$2,500.00	09/19/2024	Consulting Fee	Undisputed	01/23/2026	1142115497	CMS
ARGENX US, INC.	$2,500.00	09/20/2024	Consulting Fee	Undisputed	01/23/2026	1142115803	CMS
ARGENX US, INC.	$16.95	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1142119545	CMS
ARGENX US, INC.	$1,562.50	10/24/2024	Consulting Fee	Undisputed	01/23/2026	1142126737	CMS
ARGENX US, INC.	$89.11	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1142120253	CMS
ARGENX US, INC.	$408.47	12/01/2024	Travel and Lodging	Undisputed	01/23/2026	1142121143	CMS
ARGENX US, INC.	$625.00	12/02/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1142121131	CMS
ARGENX US, INC.	$98.53	12/02/2024	Travel and Lodging	Undisputed	01/23/2026	1142121141	CMS
ARGENX US, INC.	$837.70	12/02/2024	Travel and Lodging	Undisputed	01/23/2026	1142121145	CMS
ARGENX US, INC.	$5,000.00	12/02/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1142121193	CMS
ARGENX US, INC.	$2,400.00	12/05/2024	Consulting Fee	Undisputed	01/23/2026	1142121463	CMS
AstraZeneca Pharmaceuticals LP	$1,074.00	01/04/2024	Consulting Fee	Undisputed	01/23/2026	1104328604	CMS
AstraZeneca Pharmaceuticals LP	$97.15	06/22/2024	Food and Beverage	Undisputed	01/23/2026	1105658506	CMS
AstraZeneca UK Limited	$1,611.00	02/07/2024	Consulting Fee	Undisputed	01/23/2026	1093938011	CMS
AstraZeneca UK Limited	$4,833.00	04/25/2024	Consulting Fee	Undisputed	01/23/2026	1093899366	CMS
AstraZeneca UK Limited	$2,148.00	10/23/2024	Consulting Fee	Undisputed	01/23/2026	1093989173	CMS
AstraZeneca UK Limited	$805.50	12/02/2024	Consulting Fee	Undisputed	01/23/2026	1093949024	CMS
Genentech, Inc.	$36.94	04/13/2024	Food and Beverage	Undisputed	01/23/2026	1132985720	CMS
GENZYME CORPORATION	$38.36	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1139841559	CMS
GENZYME CORPORATION	$10,036.00	03/05/2024	Consulting Fee	Undisputed	01/23/2026	1139841595	CMS
GENZYME CORPORATION	$338.63	03/05/2024	Travel and Lodging	Undisputed	01/23/2026	1139841597	CMS
GENZYME CORPORATION	$39.75	03/05/2024	Travel and Lodging	Undisputed	01/23/2026	1139841599	CMS
GENZYME CORPORATION	$36.98	03/05/2024	Travel and Lodging	Undisputed	01/23/2026	1139841601	CMS
GENZYME CORPORATION	$37.95	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1139841603	CMS
GENZYME CORPORATION	$35.82	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1139841605	CMS
GENZYME CORPORATION	$2,251.00	04/22/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1139841615	CMS
GENZYME CORPORATION	$124.00	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1139841619	CMS
GENZYME CORPORATION	$2,251.00	05/24/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1139841617	CMS
GENZYME CORPORATION	$35.88	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1139841635	CMS
GENZYME CORPORATION	$66.42	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1139841651	CMS
Janssen Scientific Affairs, LLC	$2,500.00	10/23/2024	Consulting Fee	Undisputed	01/23/2026	1078857228	CMS
Johnson & Johnson Health Care Systems Inc.	$161.74	10/24/2024	Travel and Lodging	Undisputed	01/23/2026	1077573126	CMS
Johnson & Johnson Health Care Systems Inc.	$4,905.00	10/29/2024	Consulting Fee	Undisputed	01/23/2026	1077573122	CMS
Johnson & Johnson Health Care Systems Inc.	$54.38	11/19/2024	Travel and Lodging	Undisputed	01/23/2026	1077573120	CMS
Octapharma USA, Inc.	$1,000.00	04/14/2024	Honoraria	Undisputed	01/23/2026	1142315912	CMS
SANOFI US SERVICES INC.	$1,286.00	03/08/2024	Consulting Fee	Undisputed	01/23/2026	1139841611	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$63.99	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1137595328	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$50.00	02/06/2024	Travel and Lodging	Undisputed	01/23/2026	1137595331	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$436.08	02/06/2024	Travel and Lodging	Undisputed	01/23/2026	1137595335	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$1,003.90	02/06/2024	Travel and Lodging	Undisputed	01/23/2026	1137595339	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$244.03	02/06/2024	Travel and Lodging	Undisputed	01/23/2026	1137595342	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$9.78	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1137595346	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$35.65	02/15/2024	Travel and Lodging	Undisputed	01/23/2026	1137595350	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$4,331.25	02/15/2024	Travel and Lodging	Undisputed	01/23/2026	1137595354	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$41.86	02/15/2024	Travel and Lodging	Undisputed	01/23/2026	1137595357	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$54.08	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1137595361	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$39.76	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1137595365	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$1,856.25	02/15/2024	Consulting Fee	Undisputed	01/23/2026	1137595368	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$5,878.13	02/22/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1137595372	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$32.78	02/22/2024	Travel and Lodging	Undisputed	01/23/2026	1137595376	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$66.20	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1137595379	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$49.56	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1137595383	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$7.43	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1137595387	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$39.13	02/22/2024	Travel and Lodging	Undisputed	01/23/2026	1137595390	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$1,546.88	02/28/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1137595394	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$100.18	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1137595398	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$37.00	04/05/2024	Travel and Lodging	Undisputed	01/23/2026	1137595401	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$920.33	04/10/2024	Travel and Lodging	Undisputed	01/23/2026	1137595405	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$4,021.88	04/10/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1137595409	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$125.00	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1137595412	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$5,261.50	05/01/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1137595416	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$76.68	05/20/2024	Travel and Lodging	Undisputed	01/23/2026	1137595420	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$122.76	05/20/2024	Travel and Lodging	Undisputed	01/23/2026	1137595423	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$58.45	05/20/2024	Travel and Lodging	Undisputed	01/23/2026	1137595427	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$43.08	05/20/2024	Travel and Lodging	Undisputed	01/23/2026	1137595431	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$5,880.50	05/23/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1137595435	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$124.99	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1137595438	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$238.26	07/27/2024	Travel and Lodging	Undisputed	01/23/2026	1137595442	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$415.60	07/27/2024	Travel and Lodging	Undisputed	01/23/2026	1137595446	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$14.99	07/27/2024	Food and Beverage	Undisputed	01/23/2026	1137595449	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$50.00	07/27/2024	Food and Beverage	Undisputed	01/23/2026	1137595453	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$22.06	07/27/2024	Food and Beverage	Undisputed	01/23/2026	1137595457	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$30.00	07/27/2024	Food and Beverage	Undisputed	01/23/2026	1137595461	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$35.00	07/27/2024	Food and Beverage	Undisputed	01/23/2026	1137595464	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$115.35	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1137595468	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$891.36	09/26/2024	Travel and Lodging	Undisputed	01/23/2026	1137595472	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$1,457.18	09/26/2024	Travel and Lodging	Undisputed	01/23/2026	1137595475	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$107.64	09/26/2024	Travel and Lodging	Undisputed	01/23/2026	1137595479	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$116.98	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1137595483	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$8,356.50	10/03/2024	Consulting Fee	Undisputed	01/23/2026	1137595486	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$34.05	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1137595490	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$21.47	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1137595494	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$39.60	10/03/2024	Travel and Lodging	Undisputed	01/23/2026	1137595498	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$41.23	10/28/2024	Travel and Lodging	Undisputed	01/23/2026	1137595502	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$15.00	10/28/2024	Travel and Lodging	Undisputed	01/23/2026	1137595505	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$16.67	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1137595509	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$25.97	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1137595513	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$7,118.50	11/01/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1137595516	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$112.10	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1137595520	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$27.15	12/23/2024	Travel and Lodging	Undisputed	01/23/2026	1137595524	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$34.75	12/23/2024	Travel and Lodging	Undisputed	01/23/2026	1137595528	CMS
UCB, Inc.	$960.00	03/28/2024	Consulting Fee	Undisputed	01/23/2026	1143166016	CMS
UCB, Inc.	$118.60	04/14/2024	Food and Beverage	Undisputed	01/23/2026	1143166018	CMS
UCB, Inc.	$960.00	06/13/2024	Consulting Fee	Undisputed	01/23/2026	1143166020	CMS
UCB, Inc.	$960.00	07/18/2024	Consulting Fee	Undisputed	01/23/2026	1143166022	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: 2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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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.