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

MICHAEL V KARING

Allopathic & Osteopathic Physicians Internal Medicine

NPI: 1356346746
CMS profile: 197092
Location: EULESS, TX

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

$1,754.28

87 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	$1,754.28	87

By paying entity

PY2025 · sorted by reported total

Paying entity	Amount	Records
Lilly USA, LLC	$188.29	5
GlaxoSmithKline, LLC.	$177.74	8
Acerta Pharma LLC	$148.12	7
Bayer HealthCare Pharmaceuticals Inc.	$143.84	8
ABBVIE INC.	$141.03	10
Abbott Laboratories	$118.71	5
Amgen Inc.	$112.98	6
PFIZER INC.	$102.70	6
Exact Sciences Corporation	$95.52	4
Novo Nordisk AS	$91.50	5
Boehringer Ingelheim Pharmaceuticals, Inc.	$75.45	4
Tris Pharma Inc	$60.84	3
Astellas Pharma US Inc	$57.59	3
E.R. Squibb & Sons, L.L.C.	$39.52	2
AIMMUNE THERAPEUTICS, INC.	$39.48	2
Avvisto Therapeutics, LLC	$35.44	2
Sumitomo Pharma America, Inc.	$31.78	2
Azurity Pharmaceuticals, Inc.	$21.72	1
DEXCOM, INC.	$21.12	1
Lundbeck LLC	$18.40	1
Amneal Pharmaceuticals LLC	$17.78	1
Xeris Pharmaceuticals, Inc.	$14.73	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2019	$1,367.54	85
PY2020	$593.71	37
PY2021	$1,766.89	95
PY2022	$1,916.48	104
PY2023	$2,012.42	115
PY2024	$1,998.54	115
PY2025	$1,754.28	87

Payment records · PY2025 (87)

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
PFIZER INC.	$16.09	12/18/2025	Food and Beverage	No dispute reported	06/30/2026	1229324217	CMS
Lilly USA, LLC	$26.41	12/15/2025	Food and Beverage	No dispute reported	06/30/2026	1186831308	CMS
Bayer Healthcare Pharmaceuticals Inc.	$18.25	12/11/2025	Food and Beverage	No dispute reported	06/30/2026	1225599332	CMS
GlaxoSmithKline, LLC.	$18.78	12/10/2025	Food and Beverage	No dispute reported	06/30/2026	1190948029	CMS
Novo Nordisk Inc	$14.15	12/10/2025	Food and Beverage	No dispute reported	06/30/2026	1188973695	CMS
Amgen Inc.	$17.03	12/05/2025	Food and Beverage	No dispute reported	06/30/2026	1228644981	CMS
Astellas Pharma US Inc	$22.41	12/03/2025	Food and Beverage	No dispute reported	06/30/2026	1238623006	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.76	11/26/2025	Food and Beverage	No dispute reported	06/30/2026	1222982057	CMS
Abbott Laboratories	$26.24	11/20/2025	Food and Beverage	No dispute reported	06/30/2026	1241002268	CMS
Lundbeck LLC	$18.40	11/20/2025	Food and Beverage	No dispute reported	06/30/2026	1251811035	CMS
ABBVIE INC.	$13.11	11/18/2025	Food and Beverage	No dispute reported	06/30/2026	1202161358	CMS
Exact Sciences Corporation	$27.67	11/13/2025	Food and Beverage	No dispute reported	06/30/2026	1235490595	CMS
Aimmune Therapeutics, Inc.	$21.56	11/05/2025	Food and Beverage	No dispute reported	06/30/2026	1249694651	CMS
Bayer Healthcare Pharmaceuticals Inc.	$19.08	11/05/2025	Food and Beverage	No dispute reported	06/30/2026	1225599330	CMS
AstraZeneca Pharmaceuticals LP	$15.33	10/31/2025	Food and Beverage	No dispute reported	06/30/2026	1207045897	CMS
Amgen Inc.	$15.27	10/23/2025	Food and Beverage	No dispute reported	06/30/2026	1228644983	CMS
ABBVIE INC.	$15.60	10/22/2025	Food and Beverage	No dispute reported	06/30/2026	1202161356	CMS
PFIZER INC.	$14.69	10/16/2025	Food and Beverage	No dispute reported	06/30/2026	1229834727	CMS
Bayer Healthcare Pharmaceuticals Inc.	$19.27	10/13/2025	Food and Beverage	No dispute reported	06/30/2026	1225599328	CMS
E.R. Squibb & Sons, L.L.C.	$20.00	09/30/2025	Food and Beverage	No dispute reported	06/30/2026	1184948700	CMS
GlaxoSmithKline, LLC.	$23.92	09/30/2025	Food and Beverage	No dispute reported	06/30/2026	1191373612	CMS
Avvisto Therapeutics, LLC	$20.38	09/24/2025	Food and Beverage	No dispute reported	06/30/2026	1223115347	CMS
Novo Nordisk Inc	$16.86	09/11/2025	Food and Beverage	No dispute reported	06/30/2026	1188836873	CMS
Dexcom, Inc.	$21.12	09/09/2025	Food and Beverage	No dispute reported	06/30/2026	1250509071	CMS
Abbott Laboratories	$27.94	09/03/2025	Food and Beverage	No dispute reported	06/30/2026	1240970690	CMS
Abbott Laboratories	$24.38	09/03/2025	Food and Beverage	No dispute reported	06/30/2026	1240970749	CMS
Astellas Pharma US Inc	$18.08	08/29/2025	Food and Beverage	No dispute reported	06/30/2026	1238650025	CMS
PFIZER INC.	$16.75	08/27/2025	Food and Beverage	No dispute reported	06/30/2026	1229275833	CMS
ABBVIE INC.	$12.79	08/26/2025	Food and Beverage	No dispute reported	06/30/2026	1202161354	CMS
ABBVIE INC.	$10.07	08/22/2025	Food and Beverage	No dispute reported	06/30/2026	1202161352	CMS
Amgen Inc.	$20.31	08/15/2025	Food and Beverage	No dispute reported	06/30/2026	1228644987	CMS
AstraZeneca Pharmaceuticals LP	$14.43	08/12/2025	Food and Beverage	No dispute reported	06/30/2026	1207084753	CMS
GlaxoSmithKline, LLC.	$20.41	08/08/2025	Food and Beverage	No dispute reported	06/30/2026	1190621019	CMS
Bayer Healthcare Pharmaceuticals Inc.	$17.49	08/06/2025	Food and Beverage	No dispute reported	06/30/2026	1225599326	CMS
Sumitomo Pharma America, Inc.	$17.32	08/06/2025	Food and Beverage	No dispute reported	06/30/2026	1176673509	CMS
AstraZeneca Pharmaceuticals LP	$19.36	07/30/2025	Food and Beverage	No dispute reported	06/30/2026	1206374325	CMS
Novo Nordisk Inc	$29.17	07/22/2025	Food and Beverage	No dispute reported	06/30/2026	1188513218	CMS
Lilly USA, LLC	$100.30	07/15/2025	Food and Beverage	No dispute reported	06/30/2026	1186843075	CMS
Bayer Healthcare Pharmaceuticals Inc.	$18.44	07/14/2025	Food and Beverage	No dispute reported	06/30/2026	1225599320	CMS
GlaxoSmithKline, LLC.	$23.81	07/11/2025	Food and Beverage	No dispute reported	06/30/2026	1190771521	CMS
Novo Nordisk Inc	$14.42	07/10/2025	Food and Beverage	No dispute reported	06/30/2026	1188946306	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.73	07/09/2025	Food and Beverage	No dispute reported	06/30/2026	1222982055	CMS
ABBVIE INC.	$18.07	07/03/2025	Food and Beverage	No dispute reported	06/30/2026	1202161350	CMS
Amneal Pharmaceuticals LLC	$17.78	07/03/2025	Food and Beverage	No dispute reported	06/30/2026	1220538385	CMS
Tris Pharma Inc	$20.78	06/25/2025	Food and Beverage	No dispute reported	06/30/2026	1192257789	CMS
ABBVIE INC.	$13.24	06/18/2025	Food and Beverage	No dispute reported	06/30/2026	1202161348	CMS
AstraZeneca Pharmaceuticals LP	$18.33	06/17/2025	Food and Beverage	No dispute reported	06/30/2026	1206825665	CMS
Bayer Healthcare Pharmaceuticals Inc.	$17.59	06/10/2025	Food and Beverage	No dispute reported	06/30/2026	1225599322	CMS
GlaxoSmithKline, LLC.	$26.52	06/05/2025	Food and Beverage	No dispute reported	06/30/2026	1191027217	CMS
PFIZER INC.	$17.87	05/28/2025	Food and Beverage	No dispute reported	06/30/2026	1231510578	CMS
Xeris Pharmaceuticals, Inc.	$14.73	05/27/2025	Food and Beverage	No dispute reported	06/30/2026	1250169078	CMS
Lilly USA, LLC	$18.38	05/21/2025	Food and Beverage	No dispute reported	06/30/2026	1186831310	CMS
AstraZeneca Pharmaceuticals LP	$15.29	05/15/2025	Food and Beverage	No dispute reported	06/30/2026	1206360870	CMS
Aimmune Therapeutics, Inc.	$17.92	05/14/2025	Food and Beverage	No dispute reported	06/30/2026	1249694649	CMS
Exact Sciences Corporation	$25.06	05/09/2025	Food and Beverage	No dispute reported	06/30/2026	1235490587	CMS
ABBVIE INC.	$8.54	05/01/2025	Food and Beverage	No dispute reported	06/30/2026	1202161346	CMS
Bayer Healthcare Pharmaceuticals Inc.	$17.57	05/01/2025	Food and Beverage	No dispute reported	06/30/2026	1225599318	CMS
Abbott Laboratories	$19.93	04/30/2025	Food and Beverage	No dispute reported	06/30/2026	1240929425	CMS
GlaxoSmithKline, LLC.	$18.97	04/23/2025	Food and Beverage	No dispute reported	06/30/2026	1190628896	CMS
Novo Nordisk Inc	$16.90	04/22/2025	Food and Beverage	No dispute reported	06/30/2026	1188479880	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$24.34	04/17/2025	Food and Beverage	No dispute reported	06/30/2026	1222982053	CMS
Avvisto Therapeutics, LLC	$15.06	04/16/2025	Food and Beverage	No dispute reported	06/30/2026	1223115345	CMS
Amgen Inc.	$14.28	04/10/2025	Food and Beverage	No dispute reported	06/30/2026	1227120203	CMS
Exact Sciences Corporation	$23.76	04/09/2025	Food and Beverage	No dispute reported	06/30/2026	1235490583	CMS
Amgen Inc.	$17.89	04/08/2025	Food and Beverage	No dispute reported	06/30/2026	1228644985	CMS
Tris Pharma Inc	$22.87	04/03/2025	Food and Beverage	No dispute reported	06/30/2026	1192257791	CMS
Bayer Healthcare Pharmaceuticals Inc.	$16.15	04/01/2025	Food and Beverage	No dispute reported	06/30/2026	1225599324	CMS
Lilly USA, LLC	$25.16	03/27/2025	Food and Beverage	No dispute reported	06/30/2026	1186843073	CMS
Abbott Laboratories	$20.22	03/18/2025	Food and Beverage	No dispute reported	06/30/2026	1240913424	CMS
ABBVIE INC.	$19.18	03/12/2025	Food and Beverage	No dispute reported	06/30/2026	1202161344	CMS
AstraZeneca Pharmaceuticals LP	$14.65	03/11/2025	Food and Beverage	No dispute reported	06/30/2026	1207019948	CMS
Exact Sciences Corporation	$19.03	03/04/2025	Food and Beverage	No dispute reported	06/30/2026	1235490579	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$21.62	02/28/2025	Food and Beverage	No dispute reported	06/30/2026	1222982051	CMS
ABBVIE INC.	$16.28	02/27/2025	Food and Beverage	No dispute reported	06/30/2026	1202161342	CMS
Tris Pharma Inc	$17.19	02/26/2025	Food and Beverage	No dispute reported	06/30/2026	1192257787	CMS
Astellas Pharma US Inc	$17.10	02/20/2025	Food and Beverage	No dispute reported	06/30/2026	1238735316	CMS
GlaxoSmithKline, LLC.	$23.79	02/17/2025	Food and Beverage	No dispute reported	06/30/2026	1191555307	CMS
E.R. Squibb & Sons, L.L.C.	$19.52	02/12/2025	Food and Beverage	No dispute reported	06/30/2026	1184948622	CMS
PFIZER INC.	$19.63	02/05/2025	Food and Beverage	No dispute reported	06/30/2026	1231368375	CMS
Sumitomo Pharma America, Inc.	$14.46	02/04/2025	Food and Beverage	No dispute reported	06/30/2026	1176673507	CMS
Azurity Pharmaceuticals, Inc.	$21.72	01/29/2025	Food and Beverage	No dispute reported	06/30/2026	1242673383	CMS
ABBVIE INC.	$14.15	01/28/2025	Food and Beverage	No dispute reported	06/30/2026	1202161340	CMS
AstraZeneca Pharmaceuticals LP	$50.73	01/22/2025	Food and Beverage	No dispute reported	06/30/2026	1207017756	CMS
GlaxoSmithKline, LLC.	$21.54	01/22/2025	Food and Beverage	No dispute reported	06/30/2026	1191835904	CMS
Lilly USA, LLC	$18.04	01/16/2025	Food and Beverage	No dispute reported	06/30/2026	1186758745	CMS
PFIZER INC.	$17.67	01/16/2025	Food and Beverage	No dispute reported	06/30/2026	1229147963	CMS
Amgen Inc.	$28.20	01/07/2025	Food and Beverage	No dispute reported	06/30/2026	1228644979	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-1356346746

Plain: MICHAEL V KARING, NPI 1356346746. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1356346746.
APA 7: IndustryPayments. (2026). MICHAEL V KARING, NPI 1356346746 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1356346746
Bluebook: MICHAEL V KARING, NPI 1356346746, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1356346746.

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