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

JOSEPH R KARAM

Allopathic & Osteopathic Physicians Surgery

NPI
1497999718
CMS profile
1340477
Location
SAN ANTONIO, 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.

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General Payments · PY2024 · Entire year

$20,852.03

51 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

PY2024 · entire year · sorted by reported total

By paying entity

PY2024 · entire year · sorted by reported total

Paying entityAmountRecords
INTUITIVE SURGICAL, INC. $19,961.68 42
TELA Bio, Inc. $269.94 2
Janssen Pharmaceuticals, Inc $129.30 1
Phathom Pharmaceuticals, Inc. $124.99 1
GlaxoSmithKline, LLC. $120.56 1
Lilly USA, LLC $117.41 1
Medtronic, Inc. $114.33 2
Davol Inc. $13.82 1

Payment records · PY2024

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

General Payments · PY2024 · Physicians and non-physician practitioners · CMS publication 2026-06-30

51 matching records · $20,852.03 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 51 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 51.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
INTUITIVE SURGICAL, INC. $24.4912/17/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137289897 CMS
INTUITIVE SURGICAL, INC. $23.3912/10/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137104903 CMS
INTUITIVE SURGICAL, INC. $80.0012/10/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137215327 CMS
INTUITIVE SURGICAL, INC. $27.3312/10/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137251145 CMS
INTUITIVE SURGICAL, INC. $58.7512/10/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137264281 CMS
INTUITIVE SURGICAL, INC. $1,000.0012/06/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137141789 CMS
INTUITIVE SURGICAL, INC. $191.7811/27/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137210517 CMS
INTUITIVE SURGICAL, INC. $30.0011/26/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137106020 CMS
INTUITIVE SURGICAL, INC. $202.6311/26/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137277012 CMS
INTUITIVE SURGICAL, INC. $130.7711/26/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137297347 CMS
INTUITIVE SURGICAL, INC. $294.4911/21/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137140146 CMS
INTUITIVE SURGICAL, INC. $30.0011/21/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137159610 CMS
Phathom Pharmaceuticals, Inc. $124.9911/20/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261151079616 CMS
INTUITIVE SURGICAL, INC. $29.6511/19/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137123403 CMS
INTUITIVE SURGICAL, INC. $218.4811/09/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137194797 CMS
INTUITIVE SURGICAL, INC. $19.0011/09/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137214207 CMS
INTUITIVE SURGICAL, INC. $19.0011/09/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137264351 CMS
INTUITIVE SURGICAL, INC. $281.0611/09/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137267150 CMS
INTUITIVE SURGICAL, INC. $21.9111/05/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137156675 CMS
Medtronic, Inc. $100.0010/30/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261119348714 CMS
TELA Bio, Inc. $169.9410/30/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261154225060 CMS
TELA Bio, Inc. $100.0010/30/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261154225062 CMS
INTUITIVE SURGICAL, INC. $500.0010/25/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137253763 CMS
INTUITIVE SURGICAL, INC. $1,000.0010/23/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137245676 CMS
INTUITIVE SURGICAL, INC. $750.0008/23/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137071685 CMS
INTUITIVE SURGICAL, INC. $4,000.0007/19/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137206743 CMS
INTUITIVE SURGICAL, INC. $150.0007/19/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137263547 CMS
INTUITIVE SURGICAL, INC. $500.0007/17/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137257699 CMS
Janssen Pharmaceuticals, Inc $129.3007/17/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261078214909 CMS
INTUITIVE SURGICAL, INC. $500.0007/03/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137280446 CMS
INTUITIVE SURGICAL, INC. $27.2306/25/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137274367 CMS
INTUITIVE SURGICAL, INC. $73.1206/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137249209 CMS
INTUITIVE SURGICAL, INC. $1,000.0006/05/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137093235 CMS
INTUITIVE SURGICAL, INC. $750.0005/22/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137275163 CMS
Medtronic, Inc. $14.3305/22/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261119348712 CMS
Lilly USA, LLC $117.4105/15/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261135105773 CMS
Davol Inc. $13.8204/23/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261127654672 CMS
GlaxoSmithKline, LLC. $120.5604/17/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261116623035 CMS
INTUITIVE SURGICAL, INC. $52.0804/09/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137247696 CMS
INTUITIVE SURGICAL, INC. $500.0004/03/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137254659 CMS
INTUITIVE SURGICAL, INC. $1,000.0003/27/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137161059 CMS
INTUITIVE SURGICAL, INC. $150.0003/06/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137128340 CMS
INTUITIVE SURGICAL, INC. $4,000.0003/06/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137148404 CMS
INTUITIVE SURGICAL, INC. $1,000.0002/28/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137215413 CMS
INTUITIVE SURGICAL, INC. $182.9502/14/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137135706 CMS
INTUITIVE SURGICAL, INC. $99.8202/13/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137108168 CMS
INTUITIVE SURGICAL, INC. $133.2502/13/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137269302 CMS
INTUITIVE SURGICAL, INC. $368.6001/26/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137183847 CMS
INTUITIVE SURGICAL, INC. $19.0001/26/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137251001 CMS
INTUITIVE SURGICAL, INC. $500.0001/24/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137200234 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $39,180.90 57
PY2020 $65,369.81 58
PY2021 $56,239.59 73
PY2022 $65,291.76 89
PY2023 $29,618.23 76
PY2024 $20,852.03 51
PY2025 $16,604.11 38

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 and profile matching
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
JOSEPH R KARAM, NPI 1497999718. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1497999718.
APA 7
IndustryPayments. (2026). JOSEPH R KARAM, NPI 1497999718 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1497999718
Bluebook
JOSEPH R KARAM, NPI 1497999718, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1497999718.

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