Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

JAKE MICHAEL KARELS

Allopathic & Osteopathic Physicians Family Medicine

NPI
1548686447
CMS profile
2776904
Location
RALEIGH, NC

General Payments · PY2022–2024

$1,145.57

  • Reported across 59 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$695.41

37 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

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $695.41 37

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $87.96 5
PY2023 $362.20 17
PY2024 $695.41 37

Payment records · PY2024 (37)

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

Program year 2024 20222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $22.06 01/18/2024 Food and Beverage Undisputed 01/23/2026 1104032997 CMS
ABBVIE INC. $19.47 02/01/2024 Food and Beverage Undisputed 01/23/2026 1104032999 CMS
ABBVIE INC. $26.52 05/09/2024 Food and Beverage Undisputed 01/23/2026 1104033001 CMS
ABBVIE INC. $13.61 10/10/2024 Food and Beverage Undisputed 01/23/2026 1104033003 CMS
ABBVIE INC. $18.96 10/30/2024 Food and Beverage Undisputed 01/23/2026 1104033005 CMS
Amgen Inc. $14.25 10/15/2024 Food and Beverage Undisputed 01/23/2026 1117292784 CMS
AstraZeneca Pharmaceuticals LP $17.32 01/29/2024 Food and Beverage Undisputed 01/23/2026 1104636673 CMS
AstraZeneca Pharmaceuticals LP $15.11 03/05/2024 Food and Beverage Undisputed 01/23/2026 1104328772 CMS
AstraZeneca Pharmaceuticals LP $21.14 05/11/2024 Food and Beverage Undisputed 01/23/2026 1105722730 CMS
AstraZeneca Pharmaceuticals LP $15.78 06/17/2024 Food and Beverage Undisputed 01/23/2026 1105354302 CMS
AstraZeneca Pharmaceuticals LP $13.89 06/24/2024 Food and Beverage Undisputed 01/23/2026 1104225749 CMS
AstraZeneca Pharmaceuticals LP $32.40 07/10/2024 Food and Beverage Undisputed 01/23/2026 1105234696 CMS
AstraZeneca Pharmaceuticals LP $12.41 09/17/2024 Food and Beverage Undisputed 01/23/2026 1105733015 CMS
AstraZeneca Pharmaceuticals LP $15.00 11/04/2024 Food and Beverage Undisputed 01/23/2026 1105277349 CMS
Axsome Therapeutics, Inc. $22.87 06/03/2024 Food and Beverage Undisputed 01/23/2026 1148286598 CMS
Axsome Therapeutics, Inc. $22.36 10/24/2024 Food and Beverage Undisputed 01/23/2026 1148286600 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.35 09/09/2024 Food and Beverage Undisputed 01/23/2026 1118054769 CMS
Exact Sciences Corporation $20.00 10/09/2024 Food and Beverage Undisputed 01/23/2026 1114532168 CMS
GlaxoSmithKline, LLC. $19.40 01/23/2024 Food and Beverage Undisputed 01/23/2026 1116362791 CMS
GlaxoSmithKline, LLC. $14.83 10/07/2024 Food and Beverage Undisputed 01/23/2026 1116411107 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $15.98 11/05/2024 Food and Beverage Undisputed 01/23/2026 1143254225 CMS
Lilly USA, LLC $21.51 03/15/2024 Food and Beverage Undisputed 01/23/2026 1135040507 CMS
Lilly USA, LLC $13.77 06/06/2024 Food and Beverage Undisputed 01/23/2026 1135035738 CMS
Merck Sharp & Dohme LLC $16.39 04/29/2024 Food and Beverage Undisputed 01/23/2026 1141575807 CMS
Merck Sharp & Dohme LLC $19.90 09/05/2024 Food and Beverage Undisputed 01/23/2026 1141913229 CMS
Novo Nordisk Inc $20.55 02/05/2024 Food and Beverage Undisputed 01/23/2026 1097052491 CMS
Novo Nordisk Inc $19.80 02/08/2024 Food and Beverage Undisputed 01/23/2026 1096595960 CMS
Novo Nordisk Inc $21.79 02/19/2024 Food and Beverage Undisputed 01/23/2026 1096887522 CMS
Novo Nordisk Inc $23.08 05/13/2024 Food and Beverage Undisputed 01/23/2026 1096804794 CMS
Novo Nordisk Inc $19.95 07/09/2024 Food and Beverage Undisputed 01/23/2026 1097283868 CMS
Novo Nordisk Inc $19.85 07/17/2024 Food and Beverage Undisputed 01/23/2026 1096955798 CMS
Novo Nordisk Inc $23.61 09/12/2024 Food and Beverage Undisputed 01/23/2026 1097414940 CMS
Novo Nordisk Inc $17.12 11/18/2024 Food and Beverage Undisputed 01/23/2026 1097563978 CMS
Novo Nordisk Inc $4.18 11/26/2024 Food and Beverage Undisputed 01/23/2026 1096618792 CMS
Otsuka America Pharmaceutical, Inc. $19.76 09/30/2024 Food and Beverage Undisputed 01/23/2026 1118918898 CMS
Otsuka America Pharmaceutical, Inc. $22.36 11/19/2024 Food and Beverage Undisputed 01/23/2026 1118918900 CMS
PFIZER INC. $21.08 04/01/2024 Food and Beverage Undisputed 01/23/2026 1131370493 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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