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

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.

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General Payments · PY2022 · Entire year

$1,314.42

105 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

PY2022 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,314.42 105

By paying entity

PY2022 · entire year · sorted by reported total

Page 1 of 3; records 1–50 of 105 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

ERNESTO JOAQUIN CARAMES

NPI 1528099603 · CMS profile ID 159626

Allopathic & Osteopathic Physicians / Internal Medicine

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.

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.

General Payments, PY2022; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 3; records 1–50 of 105 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1528099603?year=2022&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
ERNESTO JOAQUIN CARAMES, NPI 1528099603, CMS profile ID 159626. General Payments, PY2022; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 3; records 1–50 of 105 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1528099603?year=2022&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c.
APA 7
IndustryPayments. (2026). ERNESTO JOAQUIN CARAMES, NPI 1528099603, CMS profile ID 159626. General Payments, PY2022; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 3; records 1–50 of 105 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1528099603?year=2022&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c.
Bluebook
ERNESTO JOAQUIN CARAMES, NPI 1528099603, CMS profile ID 159626, IndustryPayments, General Payments, PY2022; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 3; records 1–50 of 105 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c. https://industrypayments.org/provider/npi-1528099603?year=2022&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2022

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

General Payments · PY2022 · Physicians and non-physician practitioners · CMS publication 2026-06-30

105 matching records · $1,314.42 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 105 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 105.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Novo Nordisk Inc $0.6012/16/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 899533833 CMS
Novo Nordisk Inc $4.7412/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 898867767 CMS
Lilly USA, LLC $15.2512/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 918044821 CMS
Novo Nordisk Inc $0.9212/02/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 898602697 CMS
Novo Nordisk Inc $3.1612/01/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 899348509 CMS
ABBVIE INC. $13.3111/29/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 890705799 CMS
GlaxoSmithKline, LLC. $19.1711/08/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 945138695 CMS
Ferring Pharmaceuticals Inc. $12.5011/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 875345189 CMS
Novo Nordisk Inc $0.9211/04/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 898827715 CMS
Novo Nordisk Inc $3.2511/03/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 898877695 CMS
Novo Nordisk Inc $1.1510/28/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 898778509 CMS
Novo Nordisk Inc $3.8810/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 898867745 CMS
Amgen Inc. $18.5110/26/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 939443321 CMS
Sunovion Pharmaceuticals Inc. $19.0210/25/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 920998015 CMS
Lilly USA, LLC $13.7910/24/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 917996769 CMS
Novo Nordisk Inc $1.2910/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 899348517 CMS
Novo Nordisk Inc $3.8710/20/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 898867735 CMS
Novo Nordisk Inc $1.1510/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 898540163 CMS
PFIZER INC. $18.7310/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 949375339 CMS
Novo Nordisk Inc $3.9510/06/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 898540165 CMS
Merck Sharp & Dohme LLC $17.8909/23/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 944225679 CMS
Novo Nordisk Inc $1.2909/16/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 898778517 CMS
Novo Nordisk Inc $4.0609/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 899348661 CMS
Daiichi Sankyo Inc. $15.5009/12/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930860059 CMS
SANOFI-AVENTIS U.S. LLC $18.1509/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 938833727 CMS
Novo Nordisk Inc $1.3509/02/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 898827723 CMS
Novo Nordisk Inc $3.9809/01/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 898867751 CMS
SANOFI-AVENTIS U.S. LLC $18.3008/30/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 938833723 CMS
Novo Nordisk Inc $1.2908/12/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 898602703 CMS
Astellas Pharma US Inc $13.1508/11/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 940246401 CMS
Novo Nordisk Inc $4.0008/11/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 898540167 CMS
Lilly USA, LLC $12.1508/10/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 918031675 CMS
Merck Sharp & Dohme LLC $17.4607/29/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 944196717 CMS
Novo Nordisk Inc $0.7507/22/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 898658615 CMS
Novo Nordisk Inc $3.7407/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 898926725 CMS
Lilly USA, LLC $12.6607/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 917976931 CMS
Novo Nordisk Inc $0.7507/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 899081700 CMS
Novo Nordisk Inc $6.0807/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 899348691 CMS
Merck Sharp & Dohme LLC $18.8807/12/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 944184417 CMS
Astellas Pharma US Inc $18.0507/08/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 940221735 CMS
Medtronic, Inc. $129.4907/05/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 933416691 CMS
Novo Nordisk Inc $0.8607/01/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 898540161 CMS
Novo Nordisk Inc $3.9306/30/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 898926733 CMS
PFIZER INC. $16.7706/24/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 949164313 CMS
Novo Nordisk Inc $0.9006/17/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 898926717 CMS
Novo Nordisk Inc $5.0406/16/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 899348685 CMS
Amgen Inc. $20.5706/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 939937975 CMS
Paratek Pharmaceuticals, Inc. $14.6606/07/2022 Food and Beverage No dispute reported Delay: No
Change: CHANGED
06/30/2026 881632517 CMS
Merck Sharp & Dohme LLC $21.5805/31/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 944150533 CMS
Novo Nordisk Inc $0.8905/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 898778501 CMS

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

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.