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

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

KAREN J FRESHWATER

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

NPI
1467685982
CMS profile
10734168
Location
KALAMAZOO, MI

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 · PY2021–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$5,372.36

54 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 paymentAmountRecords
Consulting Fee $2,782.00 1
Food and Beverage $2,038.95 51
Travel and Lodging $551.41 2

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
GENZYME CORPORATION $3,931.74 10
TG THERAPEUTICS, INC. $419.62 9
EMD Serono, Inc. $268.13 6
NOVARTIS PHARMACEUTICALS CORPORATION $229.85 9
ABBVIE INC. $179.66 7
MDD US Operations, LLC $100.85 1
EISAI INC. $49.26 2
Celgene Corporation $40.29 2
ACADIA Pharmaceuticals Inc $37.16 2
PFIZER INC. $30.34 2
UCB, Inc. $25.13 1
Genentech USA, Inc. $24.84 1
Neurelis, Inc. $19.35 1
Janssen Biotech, Inc. $16.14 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $2,071.76 57
PY2022 $2,879.18 76
PY2023 $6,604.55 95
PY2024 $1,658.51 57
PY2025 $5,372.36 54

Payment records · PY2025 (54)

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Program year 2025 2021202220232024 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
TG Therapeutics, Inc. $26.07 12/23/2025 Food and Beverage No dispute reported 06/30/2026 1226264966 CMS
EMD Serono, Inc. $5.34 12/19/2025 Food and Beverage No dispute reported 06/30/2026 1236913798 CMS
Genentech USA, Inc. $24.84 12/08/2025 Food and Beverage No dispute reported 06/30/2026 1211643822 CMS
TG Therapeutics, Inc. $8.95 12/04/2025 Food and Beverage No dispute reported 06/30/2026 1226264979 CMS
ABBVIE INC. $5.65 12/02/2025 Food and Beverage No dispute reported 06/30/2026 1203861721 CMS
ABBVIE INC. $114.81 12/01/2025 Food and Beverage No dispute reported 06/30/2026 1203861715 CMS
Eisai Inc. $20.36 11/26/2025 Food and Beverage No dispute reported 06/30/2026 1244537413 CMS
ABBVIE INC. $6.77 11/25/2025 Food and Beverage No dispute reported 06/30/2026 1203861710 CMS
PFIZER INC. $14.05 11/25/2025 Food and Beverage No dispute reported 06/30/2026 1230863512 CMS
EMD Serono, Inc. $114.97 11/20/2025 Food and Beverage No dispute reported 06/30/2026 1236902294 CMS
EMD Serono, Inc. $4.15 11/19/2025 Food and Beverage No dispute reported 06/30/2026 1236879380 CMS
Celgene Corporation $16.88 11/18/2025 Food and Beverage No dispute reported 06/30/2026 1184855180 CMS
GENZYME CORPORATION $21.89 11/04/2025 Food and Beverage No dispute reported 06/30/2026 1233503771 CMS
GENZYME CORPORATION $91.74 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1233503779 CMS
ABBVIE INC. $22.93 10/28/2025 Food and Beverage No dispute reported 06/30/2026 1203861704 CMS
TG Therapeutics, Inc. $120.89 10/16/2025 Food and Beverage No dispute reported 06/30/2026 1226264884 CMS
Novartis Pharmaceuticals Corporation $9.48 10/14/2025 Food and Beverage No dispute reported 06/30/2026 1200325466 CMS
Novartis Pharmaceuticals Corporation $29.08 09/23/2025 Food and Beverage No dispute reported 06/30/2026 1200325468 CMS
GENZYME CORPORATION $277.79 09/13/2025 Food and Beverage No dispute reported 06/30/2026 1233503789 CMS
GENZYME CORPORATION $2,782.00 09/13/2025 Consulting Fee No dispute reported 06/30/2026 1233503791 CMS
GENZYME CORPORATION $163.19 09/13/2025 Travel and Lodging No dispute reported 06/30/2026 1233503793 CMS
GENZYME CORPORATION $388.22 09/13/2025 Travel and Lodging No dispute reported 06/30/2026 1233503795 CMS
ABBVIE INC. $15.90 08/26/2025 Food and Beverage No dispute reported 06/30/2026 1203861699 CMS
Neurelis, Inc. $19.35 08/26/2025 Food and Beverage No dispute reported 06/30/2026 1219208258 CMS
Novartis Pharmaceuticals Corporation $8.31 08/20/2025 Food and Beverage No dispute reported 06/30/2026 1200325458 CMS
GENZYME CORPORATION $16.16 08/11/2025 Food and Beverage No dispute reported 06/30/2026 1233503747 CMS
Novartis Pharmaceuticals Corporation $14.13 07/28/2025 Food and Beverage No dispute reported 06/30/2026 1200325454 CMS
ACADIA Pharmaceuticals Inc $14.45 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1247813737 CMS
TG Therapeutics, Inc. $26.63 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1226264766 CMS
UCB, Inc. $25.13 07/15/2025 Food and Beverage No dispute reported 06/30/2026 1248773380 CMS
PFIZER INC. $16.29 06/24/2025 Food and Beverage No dispute reported 06/30/2026 1229355249 CMS
Janssen Biotech, Inc. $16.14 06/17/2025 Food and Beverage No dispute reported 06/30/2026 1174833763 CMS
EMD Serono, Inc. $30.79 05/30/2025 Food and Beverage No dispute reported 06/30/2026 1236904019 CMS
Novartis Pharmaceuticals Corporation $34.72 05/30/2025 Food and Beverage No dispute reported 06/30/2026 1200325420 CMS
TG Therapeutics, Inc. $147.47 05/29/2025 Food and Beverage No dispute reported 06/30/2026 1226264692 CMS
TG Therapeutics, Inc. $42.65 05/29/2025 Food and Beverage No dispute reported 06/30/2026 1226264708 CMS
GENZYME CORPORATION $32.79 05/28/2025 Food and Beverage No dispute reported 06/30/2026 1233503703 CMS
Novartis Pharmaceuticals Corporation $76.23 05/28/2025 Food and Beverage No dispute reported 06/30/2026 1200325448 CMS
MDD US Operations, LLC $100.85 05/15/2025 Food and Beverage No dispute reported 06/30/2026 1241861973 CMS
EMD Serono, Inc. $100.49 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1236923484 CMS
Novartis Pharmaceuticals Corporation $9.35 05/06/2025 Food and Beverage No dispute reported 06/30/2026 1200325438 CMS
ABBVIE INC. $7.17 05/01/2025 Food and Beverage No dispute reported 06/30/2026 1203861693 CMS
TG Therapeutics, Inc. $21.25 04/28/2025 Food and Beverage No dispute reported 06/30/2026 1226264715 CMS
ACADIA Pharmaceuticals Inc $22.71 04/22/2025 Food and Beverage No dispute reported 06/30/2026 1247813735 CMS
TG Therapeutics, Inc. $21.73 04/22/2025 Food and Beverage No dispute reported 06/30/2026 1226264722 CMS
Celgene Corporation $23.41 04/01/2025 Food and Beverage No dispute reported 06/30/2026 1184855084 CMS
ABBVIE INC. $6.43 03/25/2025 Food and Beverage No dispute reported 06/30/2026 1203861687 CMS
TG Therapeutics, Inc. $3.98 03/20/2025 Food and Beverage No dispute reported 06/30/2026 1226264635 CMS
GENZYME CORPORATION $86.07 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1233503677 CMS
Novartis Pharmaceuticals Corporation $4.37 02/25/2025 Food and Beverage No dispute reported 06/30/2026 1200325444 CMS
Eisai Inc. $28.90 01/28/2025 Food and Beverage No dispute reported 06/30/2026 1244537411 CMS
Novartis Pharmaceuticals Corporation $44.18 01/27/2025 Food and Beverage No dispute reported 06/30/2026 1200325434 CMS
EMD Serono, Inc. $12.39 01/15/2025 Food and Beverage No dispute reported 06/30/2026 1236897790 CMS
GENZYME CORPORATION $71.89 01/07/2025 Food and Beverage No dispute reported 06/30/2026 1233503663 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, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · 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.

Plain
KAREN J FRESHWATER, NPI 1467685982. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1467685982.
APA 7
IndustryPayments. (2026). KAREN J FRESHWATER, NPI 1467685982 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1467685982
Bluebook
KAREN J FRESHWATER, NPI 1467685982, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1467685982.

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