Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

ARIEL KARWAT

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1427648179
CMS profile
10707279
Location
BROOKLYN, NY

General Payments · PY2021–2025

$1,652.56

  • Reported across 62 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$704.55

24 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $584.99 23
Education $119.56 1

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $621.12 26
PY2023 $142.93 4
PY2024 $183.96 8
PY2025 $704.55 24

Payment records · PY2025 (24)

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

Program year 2025 202120232024 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
Alexion Pharmaceuticals, Inc. $17.71 11/17/2025 Food and Beverage Undisputed 06/30/2026 1202925126 CMS
AstraZeneca Pharmaceuticals LP $18.95 06/17/2025 Food and Beverage Undisputed 06/30/2026 1206275430 CMS
Celgene Corporation $19.43 03/07/2025 Food and Beverage Undisputed 06/30/2026 1184386282 CMS
Daiichi Sankyo Inc. $20.71 08/15/2025 Food and Beverage Undisputed 06/30/2026 1197015233 CMS
Gilead Sciences, Inc. $28.63 04/04/2025 Food and Beverage Undisputed 06/30/2026 1234447133 CMS
Janssen Biotech, Inc. $21.70 02/07/2025 Food and Beverage Undisputed 06/30/2026 1174746176 CMS
Janssen Biotech, Inc. $14.57 04/08/2025 Food and Beverage Undisputed 06/30/2026 1174746291 CMS
Janssen Biotech, Inc. $18.01 08/04/2025 Food and Beverage Undisputed 06/30/2026 1174746010 CMS
Lilly USA, LLC $119.56 05/15/2025 Education Undisputed 06/30/2026 1186989854 CMS
Merck Sharp & Dohme LLC $22.17 03/13/2025 Food and Beverage Undisputed 06/30/2026 1238158915 CMS
Merck Sharp & Dohme LLC $30.90 05/29/2025 Food and Beverage Undisputed 06/30/2026 1238210378 CMS
Novartis Pharmaceuticals Corporation $20.25 06/17/2025 Food and Beverage Undisputed 06/30/2026 1200370206 CMS
Novartis Pharmaceuticals Corporation $27.62 06/17/2025 Food and Beverage Undisputed 06/30/2026 1200370208 CMS
Novartis Pharmaceuticals Corporation $20.48 08/01/2025 Food and Beverage Undisputed 06/30/2026 1200370210 CMS
Novartis Pharmaceuticals Corporation $18.62 09/30/2025 Food and Beverage Undisputed 06/30/2026 1200370224 CMS
Novartis Pharmaceuticals Corporation $23.53 10/10/2025 Food and Beverage Undisputed 06/30/2026 1200370220 CMS
Novartis Pharmaceuticals Corporation $25.35 12/05/2025 Food and Beverage Undisputed 06/30/2026 1200278175 CMS
PharmaEssentia USA Corporation $17.31 03/28/2025 Food and Beverage Undisputed 06/30/2026 1246823201 CMS
RECORDATI_RARE_DISEASES_INC. $3.95 01/27/2025 Food and Beverage Undisputed 06/30/2026 1181730197 CMS
RECORDATI_RARE_DISEASES_INC. $125.00 04/30/2025 Food and Beverage Undisputed 06/30/2026 1181730199 CMS
RECORDATI_RARE_DISEASES_INC. $34.20 10/03/2025 Food and Beverage Undisputed 06/30/2026 1181730201 CMS
Stemline Therapeutics Inc. $25.11 03/25/2025 Food and Beverage Undisputed 06/30/2026 1244114582 CMS
Stemline Therapeutics Inc. $16.94 10/16/2025 Food and Beverage Undisputed 06/30/2026 1244114588 CMS
Takeda Pharmaceuticals U.S.A., Inc. $13.85 04/22/2025 Food and Beverage Undisputed 06/30/2026 1223963499 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
2021, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2021 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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