KAREN F JOYCE

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family COOKEVILLE, TN NPI 1508929266

General Payments — all program years on this page

$1,711.74

  • Category: General Payments
  • Program years: PY2021–2024
  • Record count: 92
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $391.45 across 22 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. 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 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $391.4522

By paying entity

Latest program year (PY2024) · sorted by reported total.

Paying entityAmountRecords
Novo Nordisk AS $147.359
ABBVIE INC. $99.255
Acerta Pharma LLC $79.234
Phathom Pharmaceuticals, Inc. $50.893
Exact Sciences Corporation $14.731

By program year

Program yearAmountRecords
2021 $313.5219
2022 $388.7724
2023 $618.0027
2024 $391.4522

Records — PY2024 (22)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1100256550 Novo Nordisk Inc $12.63 02/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100261499 Novo Nordisk Inc $17.53 11/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100265626 Novo Nordisk Inc $23.70 09/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100340802 Novo Nordisk Inc $16.13 05/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100358054 Novo Nordisk Inc $19.85 06/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100371198 Novo Nordisk Inc $15.42 09/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100435499 Novo Nordisk Inc $21.03 12/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100574752 Novo Nordisk Inc $12.34 04/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100609866 Novo Nordisk Inc $8.72 03/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104402015 AstraZeneca Pharmaceuticals LP $25.43 11/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104652003 AstraZeneca Pharmaceuticals LP $18.56 04/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104700525 AstraZeneca Pharmaceuticals LP $18.56 10/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105630397 AstraZeneca Pharmaceuticals LP $16.68 09/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1107427989 ABBVIE INC. $14.21 01/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1107427991 ABBVIE INC. $20.95 03/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1107427993 ABBVIE INC. $25.27 04/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1107427995 ABBVIE INC. $14.67 07/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1107427997 ABBVIE INC. $24.15 07/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1114455314 Exact Sciences Corporation $14.73 11/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151178540 Phathom Pharmaceuticals, Inc. $17.22 02/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151178542 Phathom Pharmaceuticals, Inc. $15.01 05/31/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151178544 Phathom Pharmaceuticals, Inc. $18.66 07/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.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.