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

JAKE MICHAEL KARELS

Allopathic & Osteopathic Physicians Family Medicine

NPI
1548686447
CMS profile
2776904
Location
RALEIGH, NC

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 · PY2022–2024

  • CMS publication 2026-06-30

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.”

— 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

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)

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

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
Novo Nordisk Inc $4.18 11/26/2024 Food and Beverage No dispute reported 06/30/2026 1096618792 CMS
Otsuka America Pharmaceutical, Inc. $22.36 11/19/2024 Food and Beverage No dispute reported 06/30/2026 1118918900 CMS
Novo Nordisk Inc $17.12 11/18/2024 Food and Beverage No dispute reported 06/30/2026 1097563978 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $15.98 11/05/2024 Food and Beverage No dispute reported 06/30/2026 1143254225 CMS
AstraZeneca Pharmaceuticals LP $15.00 11/04/2024 Food and Beverage No dispute reported 06/30/2026 1105277349 CMS
ABBVIE INC. $18.96 10/30/2024 Food and Beverage No dispute reported 06/30/2026 1104033005 CMS
Axsome Therapeutics, Inc. $22.36 10/24/2024 Food and Beverage No dispute reported 06/30/2026 1148286600 CMS
Amgen Inc. $14.25 10/15/2024 Food and Beverage No dispute reported 06/30/2026 1117292784 CMS
ABBVIE INC. $13.61 10/10/2024 Food and Beverage No dispute reported 06/30/2026 1104033003 CMS
Exact Sciences Corporation $20.00 10/09/2024 Food and Beverage No dispute reported 06/30/2026 1114532168 CMS
GlaxoSmithKline, LLC. $14.83 10/07/2024 Food and Beverage No dispute reported 06/30/2026 1116411107 CMS
Otsuka America Pharmaceutical, Inc. $19.76 09/30/2024 Food and Beverage No dispute reported 06/30/2026 1118918898 CMS
AstraZeneca Pharmaceuticals LP $12.41 09/17/2024 Food and Beverage No dispute reported 06/30/2026 1105733015 CMS
Novo Nordisk Inc $23.61 09/12/2024 Food and Beverage No dispute reported 06/30/2026 1097414940 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.35 09/09/2024 Food and Beverage No dispute reported 06/30/2026 1118054769 CMS
Merck Sharp & Dohme LLC $19.90 09/05/2024 Food and Beverage No dispute reported 06/30/2026 1141913229 CMS
Novo Nordisk Inc $19.85 07/17/2024 Food and Beverage No dispute reported 06/30/2026 1096955798 CMS
AstraZeneca Pharmaceuticals LP $32.40 07/10/2024 Food and Beverage No dispute reported 06/30/2026 1105234696 CMS
Novo Nordisk Inc $19.95 07/09/2024 Food and Beverage No dispute reported 06/30/2026 1097283868 CMS
AstraZeneca Pharmaceuticals LP $13.89 06/24/2024 Food and Beverage No dispute reported 06/30/2026 1104225749 CMS
AstraZeneca Pharmaceuticals LP $15.78 06/17/2024 Food and Beverage No dispute reported 06/30/2026 1105354302 CMS
Lilly USA, LLC $13.77 06/06/2024 Food and Beverage No dispute reported 06/30/2026 1135035738 CMS
Axsome Therapeutics, Inc. $22.87 06/03/2024 Food and Beverage No dispute reported 06/30/2026 1148286598 CMS
Novo Nordisk Inc $23.08 05/13/2024 Food and Beverage No dispute reported 06/30/2026 1096804794 CMS
AstraZeneca Pharmaceuticals LP $21.14 05/11/2024 Food and Beverage No dispute reported 06/30/2026 1105722730 CMS
ABBVIE INC. $26.52 05/09/2024 Food and Beverage No dispute reported 06/30/2026 1104033001 CMS
Merck Sharp & Dohme LLC $16.39 04/29/2024 Food and Beverage No dispute reported 06/30/2026 1141575807 CMS
PFIZER INC. $21.08 04/01/2024 Food and Beverage No dispute reported 06/30/2026 1131370493 CMS
Lilly USA, LLC $21.51 03/15/2024 Food and Beverage No dispute reported 06/30/2026 1135040507 CMS
AstraZeneca Pharmaceuticals LP $15.11 03/05/2024 Food and Beverage No dispute reported 06/30/2026 1104328772 CMS
Novo Nordisk Inc $21.79 02/19/2024 Food and Beverage No dispute reported 06/30/2026 1096887522 CMS
Novo Nordisk Inc $19.80 02/08/2024 Food and Beverage No dispute reported 06/30/2026 1096595960 CMS
Novo Nordisk Inc $20.55 02/05/2024 Food and Beverage No dispute reported 06/30/2026 1097052491 CMS
ABBVIE INC. $19.47 02/01/2024 Food and Beverage No dispute reported 06/30/2026 1104032999 CMS
AstraZeneca Pharmaceuticals LP $17.32 01/29/2024 Food and Beverage No dispute reported 06/30/2026 1104636673 CMS
GlaxoSmithKline, LLC. $19.40 01/23/2024 Food and Beverage No dispute reported 06/30/2026 1116362791 CMS
ABBVIE INC. $22.06 01/18/2024 Food and Beverage No dispute reported 06/30/2026 1104032997 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
2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P06302026_06032026.csv

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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
JAKE MICHAEL KARELS, NPI 1548686447. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1548686447.
APA 7
IndustryPayments. (2026). JAKE MICHAEL KARELS, NPI 1548686447 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1548686447
Bluebook
JAKE MICHAEL KARELS, NPI 1548686447, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1548686447.

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