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.

Saved items

Saved only in this browser. No account or alerts.

Filter and download payment records

General Payments · PY2025 · Entire year

$5,372.36

54 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

PY2025 · entire year · 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 · entire year · 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

Page 1 of 2; records 1–50 of 54 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, PY2025; 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 54 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1467685982?year=2025&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e

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, PY2025; 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 54 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1467685982?year=2025&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e.
APA 7
IndustryPayments. (2026). KAREN J FRESHWATER, NPI 1467685982, CMS profile ID 10734168. General Payments, PY2025; 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 54 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=2025&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e.
Bluebook
KAREN J FRESHWATER, NPI 1467685982, CMS profile ID 10734168, IndustryPayments, General Payments, PY2025; 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 54 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e. https://industrypayments.org/provider/npi-1467685982?year=2025&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 · PY2025

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

General Payments · PY2025 · Physicians and non-physician practitioners · CMS publication 2026-06-30

54 matching records · $5,372.36 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 54 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 54.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
TG Therapeutics, Inc. $26.0712/23/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1226264966 CMS
EMD Serono, Inc. $5.3412/19/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1236913798 CMS
Genentech USA, Inc. $24.8412/08/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1211643822 CMS
TG Therapeutics, Inc. $8.9512/04/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1226264979 CMS
ABBVIE INC. $5.6512/02/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1203861721 CMS
ABBVIE INC. $114.8112/01/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1203861715 CMS
Eisai Inc. $20.3611/26/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1244537413 CMS
ABBVIE INC. $6.7711/25/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1203861710 CMS
PFIZER INC. $14.0511/25/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1230863512 CMS
EMD Serono, Inc. $114.9711/20/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1236902294 CMS
EMD Serono, Inc. $4.1511/19/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1236879380 CMS
Celgene Corporation $16.8811/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1184855180 CMS
GENZYME CORPORATION $21.8911/04/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1233503771 CMS
GENZYME CORPORATION $91.7410/30/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1233503779 CMS
ABBVIE INC. $22.9310/28/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1203861704 CMS
TG Therapeutics, Inc. $120.8910/16/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1226264884 CMS
Novartis Pharmaceuticals Corporation $9.4810/14/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1200325466 CMS
Novartis Pharmaceuticals Corporation $29.0809/23/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1200325468 CMS
GENZYME CORPORATION $277.7909/13/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1233503789 CMS
GENZYME CORPORATION $2,782.0009/13/2025 Consulting Fee No dispute reported Delay: No
Change: NEW
06/30/2026 1233503791 CMS
GENZYME CORPORATION $163.1909/13/2025 Travel and Lodging No dispute reported Delay: No
Change: NEW
06/30/2026 1233503793 CMS
GENZYME CORPORATION $388.2209/13/2025 Travel and Lodging No dispute reported Delay: No
Change: NEW
06/30/2026 1233503795 CMS
ABBVIE INC. $15.9008/26/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1203861699 CMS
Neurelis, Inc. $19.3508/26/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1219208258 CMS
Novartis Pharmaceuticals Corporation $8.3108/20/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1200325458 CMS
GENZYME CORPORATION $16.1608/11/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1233503747 CMS
Novartis Pharmaceuticals Corporation $14.1307/28/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1200325454 CMS
ACADIA Pharmaceuticals Inc $14.4507/22/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1247813737 CMS
TG Therapeutics, Inc. $26.6307/22/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1226264766 CMS
UCB, Inc. $25.1307/15/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1248773380 CMS
PFIZER INC. $16.2906/24/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1229355249 CMS
Janssen Biotech, Inc. $16.1406/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1174833763 CMS
EMD Serono, Inc. $30.7905/30/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1236904019 CMS
Novartis Pharmaceuticals Corporation $34.7205/30/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1200325420 CMS
TG Therapeutics, Inc. $147.4705/29/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1226264692 CMS
TG Therapeutics, Inc. $42.6505/29/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1226264708 CMS
GENZYME CORPORATION $32.7905/28/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1233503703 CMS
Novartis Pharmaceuticals Corporation $76.2305/28/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1200325448 CMS
MDD US Operations, LLC $100.8505/15/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1241861973 CMS
EMD Serono, Inc. $100.4905/08/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1236923484 CMS
Novartis Pharmaceuticals Corporation $9.3505/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1200325438 CMS
ABBVIE INC. $7.1705/01/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1203861693 CMS
TG Therapeutics, Inc. $21.2504/28/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1226264715 CMS
ACADIA Pharmaceuticals Inc $22.7104/22/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1247813735 CMS
TG Therapeutics, Inc. $21.7304/22/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1226264722 CMS
Celgene Corporation $23.4104/01/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1184855084 CMS
ABBVIE INC. $6.4303/25/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1203861687 CMS
TG Therapeutics, Inc. $3.9803/20/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1226264635 CMS
GENZYME CORPORATION $86.0703/04/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1233503677 CMS
Novartis Pharmaceuticals Corporation $4.3702/25/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1200325444 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.