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

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. 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 ↗

Covered recipient · General Payments record

ERNESTO JOAQUIN CARAMES

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1528099603
CMS profile
159626
Location
ST AUGUSTINE, FL

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.

General Payments · PY2019–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$1,306.25

72 records · 0 disputed

“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.
  • Featured-page threshold (a presentation gate, not a judgment): (records>=3 OR total>=100) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,288.87 71
Education $17.38 1

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $1,264.04 144
PY2020 $1,123.37 127
PY2021 $1,415.45 126
PY2022 $1,314.42 105
PY2023 $1,462.78 117
PY2024 $1,504.88 72
PY2025 $1,306.25 72

Payment records · PY2025 (72)

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

Program year 2025 201920202021202220232024 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
Novo Nordisk Inc $6.29 12/19/2025 Food and Beverage No dispute reported 06/30/2026 1189038531 CMS
AstraZeneca Pharmaceuticals LP $21.32 12/16/2025 Food and Beverage No dispute reported 06/30/2026 1206774627 CMS
Chiesi USA, Inc. $21.58 12/15/2025 Food and Beverage No dispute reported 06/30/2026 1242157555 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.07 12/10/2025 Food and Beverage No dispute reported 06/30/2026 1222834690 CMS
Insmed, Inc. $24.56 11/24/2025 Food and Beverage No dispute reported 06/30/2026 1186298292 CMS
Exact Sciences Corporation $16.03 11/14/2025 Food and Beverage No dispute reported 06/30/2026 1235522805 CMS
Novo Nordisk Inc $14.45 11/07/2025 Food and Beverage No dispute reported 06/30/2026 1188514682 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $13.51 10/29/2025 Food and Beverage No dispute reported 06/30/2026 1222834688 CMS
C2N Diagnostics, LLC $30.09 10/28/2025 Food and Beverage No dispute reported 06/30/2026 1244140818 CMS
Novo Nordisk Inc $113.85 10/23/2025 Food and Beverage No dispute reported 06/30/2026 1188512132 CMS
Radius Health, Inc. $20.50 10/22/2025 Food and Beverage No dispute reported 06/30/2026 1249508720 CMS
Lilly USA, LLC $18.90 10/14/2025 Food and Beverage No dispute reported 06/30/2026 1186652945 CMS
AstraZeneca Pharmaceuticals LP $15.28 10/10/2025 Food and Beverage No dispute reported 06/30/2026 1206405560 CMS
AstraZeneca Pharmaceuticals LP $18.92 10/08/2025 Food and Beverage No dispute reported 06/30/2026 1206332818 CMS
Sumitomo Pharma America, Inc. $19.76 10/07/2025 Food and Beverage No dispute reported 06/30/2026 1176617128 CMS
Abbott Laboratories $15.95 10/06/2025 Food and Beverage No dispute reported 06/30/2026 1240980250 CMS
SANOFI-AVENTIS U.S. LLC $24.96 10/01/2025 Food and Beverage No dispute reported 06/30/2026 1233298408 CMS
Insmed, Inc. $17.38 09/29/2025 Education No dispute reported 06/30/2026 1186277008 CMS
Insmed, Inc. $25.27 09/29/2025 Food and Beverage No dispute reported 06/30/2026 1186318999 CMS
Novo Nordisk Inc $5.88 09/26/2025 Food and Beverage No dispute reported 06/30/2026 1188805484 CMS
SUN PHARMACEUTICAL INDUSTRIES INC. $13.49 09/22/2025 Food and Beverage No dispute reported 06/30/2026 1250996460 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.95 09/16/2025 Food and Beverage No dispute reported 06/30/2026 1222834686 CMS
GlaxoSmithKline, LLC. $18.61 08/25/2025 Food and Beverage No dispute reported 06/30/2026 1191543057 CMS
Insmed, Inc. $25.27 08/25/2025 Food and Beverage No dispute reported 06/30/2026 1186313605 CMS
Novo Nordisk Inc $4.24 08/22/2025 Food and Beverage No dispute reported 06/30/2026 1189059690 CMS
Lilly USA, LLC $19.85 08/19/2025 Food and Beverage No dispute reported 06/30/2026 1186626199 CMS
AstraZeneca Pharmaceuticals LP $17.34 08/05/2025 Food and Beverage No dispute reported 06/30/2026 1207032293 CMS
Novo Nordisk Inc $2.75 08/01/2025 Food and Beverage No dispute reported 06/30/2026 1188448309 CMS
Novo Nordisk Inc $3.96 08/01/2025 Food and Beverage No dispute reported 06/30/2026 1188789904 CMS
Novo Nordisk Inc $4.34 08/01/2025 Food and Beverage No dispute reported 06/30/2026 1189124319 CMS
Insmed, Inc. $25.72 07/28/2025 Food and Beverage No dispute reported 06/30/2026 1186268508 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.18 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1222834684 CMS
Lilly USA, LLC $18.84 07/18/2025 Food and Beverage No dispute reported 06/30/2026 1186581456 CMS
Exact Sciences Corporation $13.55 07/15/2025 Food and Beverage No dispute reported 06/30/2026 1235522800 CMS
Novo Nordisk Inc $4.14 07/11/2025 Food and Beverage No dispute reported 06/30/2026 1188721388 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $23.03 07/08/2025 Food and Beverage No dispute reported 06/30/2026 1222834710 CMS
Astellas Pharma US Inc $16.10 06/23/2025 Food and Beverage No dispute reported 06/30/2026 1238633059 CMS
GlaxoSmithKline, LLC. $18.50 06/11/2025 Food and Beverage No dispute reported 06/30/2026 1190458398 CMS
Merck Sharp & Dohme LLC $21.73 06/11/2025 Food and Beverage No dispute reported 06/30/2026 1238238638 CMS
Renalytix AI, Inc. $17.84 05/23/2025 Food and Beverage No dispute reported 06/30/2026 1234870534 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $18.57 05/20/2025 Food and Beverage No dispute reported 06/30/2026 1222834682 CMS
PFIZER INC. $21.12 05/14/2025 Food and Beverage No dispute reported 06/30/2026 1229135922 CMS
Pulmonx Corporation $14.78 05/13/2025 Food and Beverage No dispute reported 06/30/2026 1199537002 CMS
Novo Nordisk Inc $2.69 05/09/2025 Food and Beverage No dispute reported 06/30/2026 1188480608 CMS
Janssen Pharmaceuticals, Inc $18.55 05/07/2025 Food and Beverage No dispute reported 06/30/2026 1174366368 CMS
Sumitomo Pharma America, Inc. $17.84 05/06/2025 Food and Beverage No dispute reported 06/30/2026 1176617125 CMS
Lilly USA, LLC $30.19 04/29/2025 Food and Beverage No dispute reported 06/30/2026 1186581458 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $15.31 04/28/2025 Food and Beverage No dispute reported 06/30/2026 1231879465 CMS
Novo Nordisk Inc $2.99 04/25/2025 Food and Beverage No dispute reported 06/30/2026 1188321902 CMS
AngioDynamics, Inc. $21.56 04/22/2025 Food and Beverage No dispute reported 06/30/2026 1220847625 CMS
GlaxoSmithKline, LLC. $18.23 04/17/2025 Food and Beverage No dispute reported 06/30/2026 1191723963 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $20.34 04/11/2025 Food and Beverage No dispute reported 06/30/2026 1222834706 CMS
Novo Nordisk Inc $1.49 04/11/2025 Food and Beverage No dispute reported 06/30/2026 1189126556 CMS
AngioDynamics, Inc. $19.80 04/01/2025 Food and Beverage No dispute reported 06/30/2026 1220847623 CMS
Janssen Pharmaceuticals, Inc $22.67 03/25/2025 Food and Beverage No dispute reported 06/30/2026 1174366275 CMS
Novo Nordisk Inc $4.31 03/21/2025 Food and Beverage No dispute reported 06/30/2026 1188502122 CMS
Daiichi Sankyo Inc. $26.93 03/14/2025 Food and Beverage No dispute reported 06/30/2026 1197054689 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $20.24 03/12/2025 Food and Beverage No dispute reported 06/30/2026 1222834708 CMS
Exact Sciences Corporation $14.64 03/10/2025 Food and Beverage No dispute reported 06/30/2026 1235522796 CMS
AngioDynamics, Inc. $21.20 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1220847621 CMS
GlaxoSmithKline, LLC. $18.23 03/01/2025 Food and Beverage No dispute reported 06/30/2026 1190729446 CMS
AstraZeneca Pharmaceuticals LP $17.89 02/28/2025 Food and Beverage No dispute reported 06/30/2026 1206227468 CMS
Novo Nordisk Inc $4.49 02/28/2025 Food and Beverage No dispute reported 06/30/2026 1188288744 CMS
AngioDynamics, Inc. $25.96 02/26/2025 Food and Beverage No dispute reported 06/30/2026 1220847619 CMS
Amgen Inc. $15.12 02/17/2025 Food and Beverage No dispute reported 06/30/2026 1228375800 CMS
Novo Nordisk Inc $2.52 02/14/2025 Food and Beverage No dispute reported 06/30/2026 1188637654 CMS
Sumitomo Pharma America, Inc. $26.79 02/10/2025 Food and Beverage No dispute reported 06/30/2026 1176617121 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $18.55 02/05/2025 Food and Beverage No dispute reported 06/30/2026 1222834680 CMS
Eisai Inc. $32.60 02/04/2025 Food and Beverage No dispute reported 06/30/2026 1244478884 CMS
Eisai Inc. $26.49 01/07/2025 Food and Beverage No dispute reported 06/30/2026 1244478882 CMS
Inspire Medical Systems, Inc. $16.94 01/06/2025 Food and Beverage No dispute reported 06/30/2026 1251454496 CMS
Novo Nordisk Inc $3.24 01/02/2025 Food and Beverage No dispute reported 06/30/2026 1188308577 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
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2020 , 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.

Cite this record.

Plain
ERNESTO JOAQUIN CARAMES, NPI 1528099603. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1528099603.
APA 7
IndustryPayments. (2026). ERNESTO JOAQUIN CARAMES, NPI 1528099603 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1528099603
Bluebook
ERNESTO JOAQUIN CARAMES, NPI 1528099603, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1528099603.

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