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 · PY2025 · Entire year

$16,604.11

38 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

By paying entity

PY2025 · entire year · sorted by reported total

Paying entityAmountRecords
INTUITIVE SURGICAL, INC. $14,447.37 24
TELA Bio, Inc. $1,165.42 4
Stryker Corporation $146.20 2
Davol Inc. $143.17 1
Globus Medical, Inc. $132.82 1
ABBVIE INC. $124.99 1
Phathom Pharmaceuticals, Inc. $124.99 1
Dexcom, Inc. $121.78 1
GlaxoSmithKline, LLC. $107.82 1
Becton, Dickinson and Company $58.48 1
Medtronic, Inc. $31.07 1

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

38 matching records · $16,604.11 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 38 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 1–38 of 38.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
INTUITIVE SURGICAL, INC. $34.2312/23/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261236665177 CMS
INTUITIVE SURGICAL, INC. $1,000.0012/19/2025 Education No dispute reported Delay: No
Change: NEW
06/30/20261236665244 CMS
Stryker Corporation $10.0010/16/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261227648237 CMS
Stryker Corporation $136.2010/16/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261227648241 CMS
INTUITIVE SURGICAL, INC. $500.0010/10/2025 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: NEW
06/30/20261236665206 CMS
INTUITIVE SURGICAL, INC. $1,000.0009/17/2025 Education No dispute reported Delay: No
Change: NEW
06/30/20261236665240 CMS
Dexcom, Inc. $121.7808/21/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261250496982 CMS
INTUITIVE SURGICAL, INC. $3,000.0008/06/2025 Education No dispute reported Delay: No
Change: NEW
06/30/20261236665202 CMS
INTUITIVE SURGICAL, INC. $300.0008/06/2025 Education No dispute reported Delay: No
Change: NEW
06/30/20261236665230 CMS
INTUITIVE SURGICAL, INC. $36.3808/04/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261236665226 CMS
INTUITIVE SURGICAL, INC. $36.8307/15/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261236665209 CMS
Medtronic, Inc. $31.0707/15/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261218911889 CMS
INTUITIVE SURGICAL, INC. $19.0007/04/2025 Travel and Lodging No dispute reported Delay: No
Change: NEW
06/30/20261236665259 CMS
INTUITIVE SURGICAL, INC. $502.3607/04/2025 Travel and Lodging No dispute reported Delay: No
Change: NEW
06/30/20261236665267 CMS
GlaxoSmithKline, LLC. $107.8206/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261191356532 CMS
INTUITIVE SURGICAL, INC. $500.0005/16/2025 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: NEW
06/30/20261236665248 CMS
Phathom Pharmaceuticals, Inc. $124.9904/15/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261219345140 CMS
Davol Inc. $143.1704/11/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261232228736 CMS
INTUITIVE SURGICAL, INC. $52.4603/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261236665184 CMS
INTUITIVE SURGICAL, INC. $29.7403/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261236665194 CMS
INTUITIVE SURGICAL, INC. $150.0003/14/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261236665188 CMS
INTUITIVE SURGICAL, INC. $2,000.0003/14/2025 Education No dispute reported Delay: No
Change: NEW
06/30/20261236665263 CMS
INTUITIVE SURGICAL, INC. $500.0003/12/2025 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: NEW
06/30/20261236665216 CMS
INTUITIVE SURGICAL, INC. $500.0003/12/2025 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: NEW
06/30/20261236665251 CMS
INTUITIVE SURGICAL, INC. $2,000.0003/05/2025 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: NEW
06/30/20261236665198 CMS
INTUITIVE SURGICAL, INC. $1,000.0003/05/2025 Education No dispute reported Delay: No
Change: NEW
06/30/20261236665213 CMS
TELA Bio, Inc. $7.9302/27/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261253102274 CMS
TELA Bio, Inc. $30.2902/27/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261253102276 CMS
TELA Bio, Inc. $680.2002/26/2025 Travel and Lodging No dispute reported Delay: No
Change: NEW
06/30/20261253102282 CMS
TELA Bio, Inc. $447.0002/25/2025 Travel and Lodging No dispute reported Delay: No
Change: NEW
06/30/20261253102280 CMS
Globus Medical, Inc. $132.8202/19/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261250122240 CMS
Becton, Dickinson and Company $58.4802/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261232265444 CMS
INTUITIVE SURGICAL, INC. $120.9802/04/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261236665254 CMS
INTUITIVE SURGICAL, INC. $99.3001/28/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261236665181 CMS
INTUITIVE SURGICAL, INC. $18.6701/28/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261236665270 CMS
ABBVIE INC. $124.9901/14/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261202159974 CMS
INTUITIVE SURGICAL, INC. $1,000.0001/08/2025 Education No dispute reported Delay: No
Change: NEW
06/30/20261236665220 CMS
INTUITIVE SURGICAL, INC. $47.4201/07/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261236665233 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.