Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

KAREN M GROSS

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health

NPI
1518170596
CMS profile
11102203
Location
WASHINGTON, MO

General Payments · PY2021–2025

$9,029.24

  • Reported across 514 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$1,442.98

81 records · 0 disputed

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

How these totals are 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,395.38 78
Education $47.60 3

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,718.67 102
PY2022 $1,449.53 96
PY2023 $2,484.02 133
PY2024 $1,934.04 102
PY2025 $1,442.98 81

Payment records · PY2025 (81)

Sorted by paying entity, then date · as published by CMS

Program year 2025 2021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Abbott Laboratories $15.53 02/11/2025 Food and Beverage Undisputed 06/30/2026 1240903532 CMS
Abbott Laboratories $14.93 05/16/2025 Food and Beverage Undisputed 06/30/2026 1240935546 CMS
Abbott Laboratories $18.92 07/31/2025 Food and Beverage Undisputed 06/30/2026 1240961765 CMS
Abbott Laboratories $17.30 08/08/2025 Food and Beverage Undisputed 06/30/2026 1240963933 CMS
Abbott Laboratories $20.88 10/05/2025 Food and Beverage Undisputed 06/30/2026 1240980010 CMS
Abbott Laboratories $14.88 11/11/2025 Food and Beverage Undisputed 06/30/2026 1240992051 CMS
ABBVIE INC. $14.71 01/29/2025 Food and Beverage Undisputed 06/30/2026 1204082446 CMS
ABBVIE INC. $9.60 03/07/2025 Food and Beverage Undisputed 06/30/2026 1204082452 CMS
ABBVIE INC. $14.88 04/22/2025 Food and Beverage Undisputed 06/30/2026 1204082459 CMS
ABBVIE INC. $5.39 05/22/2025 Food and Beverage Undisputed 06/30/2026 1204082463 CMS
ABBVIE INC. $26.51 08/12/2025 Food and Beverage Undisputed 06/30/2026 1204082469 CMS
ABBVIE INC. $9.61 09/26/2025 Food and Beverage Undisputed 06/30/2026 1204082475 CMS
ABBVIE INC. $25.21 09/29/2025 Food and Beverage Undisputed 06/30/2026 1204082479 CMS
ABBVIE INC. $20.72 10/28/2025 Food and Beverage Undisputed 06/30/2026 1204082487 CMS
ABBVIE INC. $11.21 11/05/2025 Food and Beverage Undisputed 06/30/2026 1204082492 CMS
ABBVIE INC. $18.15 12/12/2025 Food and Beverage Undisputed 06/30/2026 1204082498 CMS
ABBVIE INC. $11.74 12/18/2025 Food and Beverage Undisputed 06/30/2026 1204082504 CMS
ABIOMED $22.24 02/06/2025 Food and Beverage Undisputed 06/30/2026 1174721092 CMS
Amgen Inc. $14.86 01/10/2025 Food and Beverage Undisputed 06/30/2026 1229263196 CMS
Amphastar Pharmaceuticals, Inc. $17.41 06/09/2025 Food and Beverage Undisputed 06/30/2026 1223647157 CMS
Amphastar Pharmaceuticals, Inc. $17.37 08/06/2025 Food and Beverage Undisputed 06/30/2026 1223647151 CMS
AstraZeneca Pharmaceuticals LP $142.24 01/08/2025 Food and Beverage Undisputed 06/30/2026 1206805723 CMS
AstraZeneca Pharmaceuticals LP $14.08 01/28/2025 Food and Beverage Undisputed 06/30/2026 1206724055 CMS
AstraZeneca Pharmaceuticals LP $13.88 03/17/2025 Food and Beverage Undisputed 06/30/2026 1206462951 CMS
AstraZeneca Pharmaceuticals LP $16.90 06/16/2025 Food and Beverage Undisputed 06/30/2026 1206652622 CMS
AstraZeneca Pharmaceuticals LP $16.96 07/12/2025 Food and Beverage Undisputed 06/30/2026 1206999692 CMS
AstraZeneca Pharmaceuticals LP $16.17 07/22/2025 Food and Beverage Undisputed 06/30/2026 1206608342 CMS
AstraZeneca Pharmaceuticals LP $14.14 10/13/2025 Food and Beverage Undisputed 06/30/2026 1207304702 CMS
Axsome Therapeutics, Inc. $15.36 04/15/2025 Food and Beverage Undisputed 06/30/2026 1235694587 CMS
Axsome Therapeutics, Inc. $14.84 06/10/2025 Food and Beverage Undisputed 06/30/2026 1235300266 CMS
Axsome Therapeutics, Inc. $19.24 07/14/2025 Food and Beverage Undisputed 06/30/2026 1235413862 CMS
Axsome Therapeutics, Inc. $15.58 10/21/2025 Food and Beverage Undisputed 06/30/2026 1235547353 CMS
Axsome Therapeutics, Inc. $14.51 11/10/2025 Food and Beverage Undisputed 06/30/2026 1235600311 CMS
Axsome Therapeutics, Inc. $20.31 12/05/2025 Food and Beverage Undisputed 06/30/2026 1235656616 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.24 03/11/2025 Food and Beverage Undisputed 06/30/2026 1222950499 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.80 06/11/2025 Food and Beverage Undisputed 06/30/2026 1222950501 CMS
Exact Sciences Corporation $18.74 02/12/2025 Food and Beverage Undisputed 06/30/2026 1235441441 CMS
Exact Sciences Corporation $16.05 11/25/2025 Food and Beverage Undisputed 06/30/2026 1235441445 CMS
GlaxoSmithKline, LLC. $16.82 06/18/2025 Food and Beverage Undisputed 06/30/2026 1190687115 CMS
GlaxoSmithKline, LLC. $16.82 09/24/2025 Food and Beverage Undisputed 06/30/2026 1191460605 CMS
Lilly USA, LLC $15.27 01/01/2025 Food and Beverage Undisputed 06/30/2026 1187197766 CMS
Lundbeck LLC $24.85 02/01/2025 Food and Beverage Undisputed 06/30/2026 1251907135 CMS
Lundbeck LLC $13.28 02/11/2025 Food and Beverage Undisputed 06/30/2026 1251907137 CMS
Lundbeck LLC $19.91 03/21/2025 Food and Beverage Undisputed 06/30/2026 1251907139 CMS
Lundbeck LLC $15.87 06/23/2025 Food and Beverage Undisputed 06/30/2026 1251907141 CMS
Lundbeck LLC $21.78 07/15/2025 Food and Beverage Undisputed 06/30/2026 1251907143 CMS
Lundbeck LLC $4.53 11/19/2025 Education Undisputed 06/30/2026 1251907145 CMS
Lundbeck LLC $38.54 12/05/2025 Education Undisputed 06/30/2026 1251907147 CMS
Lundbeck LLC $4.53 12/05/2025 Education Undisputed 06/30/2026 1251907149 CMS
Merck Sharp & Dohme LLC $18.09 12/16/2025 Food and Beverage Undisputed 06/30/2026 1238043349 CMS
Novo Nordisk Inc $22.81 03/24/2025 Food and Beverage Undisputed 06/30/2026 1188517981 CMS
Novo Nordisk Inc $16.01 05/12/2025 Food and Beverage Undisputed 06/30/2026 1188302749 CMS
Novo Nordisk Inc $14.75 07/07/2025 Food and Beverage Undisputed 06/30/2026 1188314053 CMS
Novo Nordisk Inc $18.77 07/09/2025 Food and Beverage Undisputed 06/30/2026 1188757316 CMS
Novo Nordisk Inc $17.11 09/22/2025 Food and Beverage Undisputed 06/30/2026 1188824272 CMS
Otsuka America Pharmaceutical, Inc. $16.12 01/28/2025 Food and Beverage Undisputed 06/30/2026 1227728330 CMS
Otsuka America Pharmaceutical, Inc. $14.99 03/18/2025 Food and Beverage Undisputed 06/30/2026 1227728334 CMS
Otsuka America Pharmaceutical, Inc. $16.73 03/25/2025 Food and Beverage Undisputed 06/30/2026 1227728338 CMS
Otsuka America Pharmaceutical, Inc. $15.66 05/07/2025 Food and Beverage Undisputed 06/30/2026 1227728342 CMS
Otsuka America Pharmaceutical, Inc. $16.31 07/29/2025 Food and Beverage Undisputed 06/30/2026 1227728346 CMS
Otsuka America Pharmaceutical, Inc. $17.06 09/16/2025 Food and Beverage Undisputed 06/30/2026 1227728349 CMS
Otsuka America Pharmaceutical, Inc. $15.52 10/20/2025 Food and Beverage Undisputed 06/30/2026 1227728352 CMS
Otsuka America Pharmaceutical, Inc. $19.34 10/22/2025 Food and Beverage Undisputed 06/30/2026 1227728355 CMS
Otsuka America Pharmaceutical, Inc. $16.12 11/04/2025 Food and Beverage Undisputed 06/30/2026 1227728359 CMS
Otsuka America Pharmaceutical, Inc. $18.82 12/16/2025 Food and Beverage Undisputed 06/30/2026 1227728363 CMS
PFIZER INC. $17.87 01/13/2025 Food and Beverage Undisputed 06/30/2026 1228855382 CMS
PFIZER INC. $20.77 02/21/2025 Food and Beverage Undisputed 06/30/2026 1229910900 CMS
PFIZER INC. $14.17 03/05/2025 Food and Beverage Undisputed 06/30/2026 1228909432 CMS
PFIZER INC. $10.15 04/18/2025 Food and Beverage Undisputed 06/30/2026 1230487452 CMS
PFIZER INC. $12.89 05/06/2025 Food and Beverage Undisputed 06/30/2026 1230487365 CMS
PFIZER INC. $15.68 07/08/2025 Food and Beverage Undisputed 06/30/2026 1229426165 CMS
PFIZER INC. $11.41 08/08/2025 Food and Beverage Undisputed 06/30/2026 1230546091 CMS
PFIZER INC. $7.17 08/15/2025 Food and Beverage Undisputed 06/30/2026 1230538489 CMS
PFIZER INC. $12.89 09/23/2025 Food and Beverage Undisputed 06/30/2026 1230576727 CMS
PFIZER INC. $13.19 10/23/2025 Food and Beverage Undisputed 06/30/2026 1230782966 CMS
PFIZER INC. $11.21 12/18/2025 Food and Beverage Undisputed 06/30/2026 1229935507 CMS
SANOFI-AVENTIS U.S. LLC $17.06 02/04/2025 Food and Beverage Undisputed 06/30/2026 1233340672 CMS
SANOFI-AVENTIS U.S. LLC $20.72 08/12/2025 Food and Beverage Undisputed 06/30/2026 1233340780 CMS
SANOFI-AVENTIS U.S. LLC $18.82 11/21/2025 Food and Beverage Undisputed 06/30/2026 1233340810 CMS
Sumitomo Pharma America, Inc. $13.61 02/26/2025 Food and Beverage Undisputed 06/30/2026 1176766205 CMS
Verona Pharma, Inc. $16.87 03/03/2025 Food and Beverage Undisputed 06/30/2026 1233809082 CMS

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
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.