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

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General Payments · PY2021 · Entire year

$2,071.76

57 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

“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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . 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 ↗

By nature of payment

PY2021 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,440.81 54
Consulting Fee $432.00 1
Education $198.95 2

By paying entity

PY2021 · entire year · sorted by reported total

Page 1 of 2; records 1–50 of 57 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

KAREN J FRESHWATER

NPI 1467685982 · CMS profile ID 10734168

Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant / Medical

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.

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.

General Payments, PY2021; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 2; records 1–50 of 57 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1467685982?year=2021&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
KAREN J FRESHWATER, NPI 1467685982, CMS profile ID 10734168. General Payments, PY2021; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 57 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1467685982?year=2021&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202.
APA 7
IndustryPayments. (2026). KAREN J FRESHWATER, NPI 1467685982, CMS profile ID 10734168. General Payments, PY2021; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 57 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1467685982?year=2021&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202.
Bluebook
KAREN J FRESHWATER, NPI 1467685982, CMS profile ID 10734168, IndustryPayments, General Payments, PY2021; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 2; records 1–50 of 57 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202. https://industrypayments.org/provider/npi-1467685982?year=2021&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2021

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

General Payments · PY2021 · Physicians and non-physician practitioners · CMS publication 2026-06-30

57 matching records · $2,071.76 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 57 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 57.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Teva Pharmaceuticals USA, Inc. $16.5012/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 839522067 CMS
Teva Pharmaceuticals USA, Inc. $5.8912/20/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 839522053 CMS
Biogen, Inc. $9.2412/15/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 827868413 CMS
Eisai Inc. $21.2412/14/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 818052247 CMS
Teva Pharmaceuticals USA, Inc. $9.2012/02/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 839522051 CMS
GENZYME CORPORATION $86.0012/01/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 843662405 CMS
Janssen Pharmaceuticals, Inc $5.9512/01/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 788284991 CMS
SANOFI-AVENTIS U.S. LLC $83.4311/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 843662409 CMS
ACADIA Pharmaceuticals Inc $19.4611/22/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 838036679 CMS
Biogen, Inc. $10.5011/10/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 827868407 CMS
Teva Pharmaceuticals USA, Inc. $65.6011/10/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 839521933 CMS
Janssen Pharmaceuticals, Inc $99.0010/29/2021 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 788284995 CMS
Novartis Pharmaceuticals Corporation $28.8710/26/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 814457901 CMS
Janssen Pharmaceuticals, Inc $124.8110/25/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 788284987 CMS
Novartis Pharmaceuticals Corporation $29.4910/24/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 814457899 CMS
Biogen, Inc. $56.5510/20/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 827868405 CMS
Biohaven Pharmaceuticals, Inc. $16.7009/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 852726843 CMS
Genentech USA, Inc. $117.7909/22/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 836049293 CMS
GENZYME CORPORATION $32.4109/19/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 843662395 CMS
Celgene Corporation $94.1309/08/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 783673657 CMS
Teva Pharmaceuticals USA, Inc. $25.9508/24/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 839522049 CMS
Biogen, Inc. $8.9208/18/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 827868401 CMS
Teva Pharmaceuticals USA, Inc. $4.6908/04/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 839522045 CMS
Teva Pharmaceuticals USA, Inc. $4.8508/04/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 839522047 CMS
Adamas Pharmaceuticals, Inc. $11.5407/27/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 834406969 CMS
Biogen, Inc. $18.8007/27/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 827868409 CMS
Celgene Corporation $9.6407/27/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 783673649 CMS
Teva Pharmaceuticals USA, Inc. $99.9507/27/2021 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 839521931 CMS
Janssen Pharmaceuticals, Inc $6.3107/14/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 788284985 CMS
Teva Pharmaceuticals USA, Inc. $6.1307/07/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 839522043 CMS
Biohaven Pharmaceuticals, Inc. $13.4006/29/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 852726839 CMS
GENZYME CORPORATION $12.7406/23/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 843662327 CMS
UCB, Inc. $25.7206/21/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 807358445 CMS
Teva Pharmaceuticals USA, Inc. $6.0306/14/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 839522041 CMS
Teva Pharmaceuticals USA, Inc. $23.0106/08/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 839522039 CMS
Teva Pharmaceuticals USA, Inc. $7.5805/27/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 839522037 CMS
Celgene Corporation $5.4105/26/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 783673639 CMS
Adamas Pharmaceuticals, Inc. $11.7505/25/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 834406967 CMS
Celgene Corporation $10.1705/25/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 783673633 CMS
Kyowa Kirin, Inc. $20.9405/25/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 852995557 CMS
Biogen, Inc. $11.1905/24/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 827868411 CMS
Teva Pharmaceuticals USA, Inc. $28.9505/19/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 839522035 CMS
EMD Serono, Inc. $76.3204/29/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 849187853 CMS
SK Life Science, Inc. $11.5404/29/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 826834977 CMS
Teva Pharmaceuticals USA, Inc. $3.5004/27/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 839522033 CMS
Eisai Inc. $17.9604/26/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 817907353 CMS
Sunovion Pharmaceuticals Inc. $8.1404/22/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 821907157 CMS
Teva Pharmaceuticals USA, Inc. $3.0004/21/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 839522031 CMS
Teva Pharmaceuticals USA, Inc. $24.6704/06/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 839522029 CMS
Novartis Pharmaceuticals Corporation $13.1204/01/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 814457897 CMS

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

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 and profile matching
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.