Covered recipient · General Payments record

CARA N PALERMO

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI: 1740816438
CMS profile: 11105491
Location: CLEARWATER, FL

General Payments · PY2021–2023

$6,171.96

Reported across 335 records
CMS publication 2026-01-23

Latest program year · PY2023

$2,654.80

141 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

PY2023 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$2,640.91	140
Education	$13.89	1

By paying entity

PY2023 · sorted by reported total

Paying entity	Amount	Records
ABBVIE INC.	$371.43	22
Novo Nordisk AS	$359.61	20
Lilly USA, LLC	$305.67	16
PFIZER INC.	$207.55	10
Boehringer Ingelheim Pharmaceuticals, Inc.	$169.81	6
Acerta Pharma LLC	$166.43	9
Amgen Inc.	$140.02	8
Bayer HealthCare Pharmaceuticals Inc.	$109.87	5
GlaxoSmithKline, LLC.	$93.30	5
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$91.92	5
SCILEX PHARMACEUTICALS INC.	$83.59	4
DEXCOM, INC.	$78.42	3
NOVARTIS PHARMACEUTICALS CORPORATION	$72.26	4
SANOFI-AVENTIS U.S. LLC	$69.96	4
Merck Sharp & Dohme Corporation	$60.37	3
Exact Sciences Corporation	$54.97	3
IDORSIA PHARMACEUTICALS US INC	$50.57	3
Takeda Pharmaceuticals U.S.A., Inc.	$47.29	2
Sumitomo Pharma America, Inc.	$41.80	5
Neurocrine BioSciences, Inc.	$23.41	1
Amneal Pharmaceuticals LLC	$22.30	1
Teleflex LLC	$20.11	1
Bausch Health US, LLC	$14.14	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$659.30	37
PY2022	$2,857.86	157
PY2023	$2,654.80	141

Payment records · PY2023 (141)

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

Program year 2023 2021 2022 Record-level detail is published for PY2023; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
ABBVIE INC.	$18.27	01/20/2023	Food and Beverage	Undisputed	01/23/2026	1009066381	CMS
ABBVIE INC.	$27.69	01/31/2023	Food and Beverage	Undisputed	01/23/2026	1009066392	CMS
ABBVIE INC.	$14.14	02/09/2023	Food and Beverage	Undisputed	01/23/2026	1009066398	CMS
ABBVIE INC.	$1.81	02/09/2023	Food and Beverage	Undisputed	01/23/2026	1009066409	CMS
ABBVIE INC.	$2.33	02/09/2023	Food and Beverage	Undisputed	01/23/2026	1009066415	CMS
ABBVIE INC.	$1.81	02/10/2023	Food and Beverage	Undisputed	01/23/2026	1009066425	CMS
ABBVIE INC.	$5.00	02/10/2023	Food and Beverage	Undisputed	01/23/2026	1009066431	CMS
ABBVIE INC.	$5.02	02/24/2023	Food and Beverage	Undisputed	01/23/2026	1009066439	CMS
ABBVIE INC.	$29.89	02/24/2023	Food and Beverage	Undisputed	01/23/2026	1009066447	CMS
ABBVIE INC.	$29.44	03/06/2023	Food and Beverage	Undisputed	01/23/2026	1009066455	CMS
ABBVIE INC.	$7.12	03/15/2023	Food and Beverage	Undisputed	01/23/2026	1009066463	CMS
ABBVIE INC.	$24.57	03/23/2023	Food and Beverage	Undisputed	01/23/2026	1009066469	CMS
ABBVIE INC.	$26.74	03/23/2023	Food and Beverage	Undisputed	01/23/2026	1009066479	CMS
ABBVIE INC.	$24.57	04/06/2023	Food and Beverage	Undisputed	01/23/2026	1009066485	CMS
ABBVIE INC.	$6.43	04/06/2023	Food and Beverage	Undisputed	01/23/2026	1009066495	CMS
ABBVIE INC.	$28.71	06/09/2023	Food and Beverage	Undisputed	01/23/2026	1009066501	CMS
ABBVIE INC.	$18.82	07/18/2023	Food and Beverage	Undisputed	01/23/2026	1009066511	CMS
ABBVIE INC.	$6.46	08/31/2023	Food and Beverage	Undisputed	01/23/2026	1009066519	CMS
ABBVIE INC.	$30.54	09/07/2023	Food and Beverage	Undisputed	01/23/2026	1009066528	CMS
ABBVIE INC.	$20.94	09/11/2023	Food and Beverage	Undisputed	01/23/2026	1009066537	CMS
ABBVIE INC.	$24.71	10/12/2023	Food and Beverage	Undisputed	01/23/2026	1009066544	CMS
ABBVIE INC.	$16.42	10/25/2023	Food and Beverage	Undisputed	01/23/2026	1009066553	CMS
Amgen Inc.	$17.46	01/25/2023	Food and Beverage	Undisputed	01/23/2026	1020261523	CMS
Amgen Inc.	$12.32	03/02/2023	Food and Beverage	Undisputed	01/23/2026	1020719131	CMS
Amgen Inc.	$16.56	04/26/2023	Food and Beverage	Undisputed	01/23/2026	1020261511	CMS
Amgen Inc.	$13.89	04/26/2023	Education	Undisputed	01/23/2026	1020822543	CMS
Amgen Inc.	$19.06	05/15/2023	Food and Beverage	Undisputed	01/23/2026	1020719133	CMS
Amgen Inc.	$23.01	06/08/2023	Food and Beverage	Undisputed	01/23/2026	1020261515	CMS
Amgen Inc.	$15.73	08/28/2023	Food and Beverage	Undisputed	01/23/2026	1020261519	CMS
Amgen Inc.	$21.99	10/04/2023	Food and Beverage	Undisputed	01/23/2026	1020719135	CMS
Amneal Pharmaceuticals LLC	$22.30	04/10/2023	Food and Beverage	Undisputed	01/23/2026	1053580589	CMS
AstraZeneca Pharmaceuticals LP	$16.85	01/19/2023	Food and Beverage	Undisputed	01/23/2026	1015954122	CMS
AstraZeneca Pharmaceuticals LP	$20.04	02/13/2023	Food and Beverage	Undisputed	01/23/2026	1015826391	CMS
AstraZeneca Pharmaceuticals LP	$17.12	02/28/2023	Food and Beverage	Undisputed	01/23/2026	1011992361	CMS
AstraZeneca Pharmaceuticals LP	$15.61	03/28/2023	Food and Beverage	Undisputed	01/23/2026	1014454205	CMS
AstraZeneca Pharmaceuticals LP	$18.67	04/16/2023	Food and Beverage	Undisputed	01/23/2026	1011796477	CMS
AstraZeneca Pharmaceuticals LP	$17.65	06/11/2023	Food and Beverage	Undisputed	01/23/2026	1012106763	CMS
AstraZeneca Pharmaceuticals LP	$17.74	08/09/2023	Food and Beverage	Undisputed	01/23/2026	1011478973	CMS
AstraZeneca Pharmaceuticals LP	$21.46	09/11/2023	Food and Beverage	Undisputed	01/23/2026	1012075709	CMS
AstraZeneca Pharmaceuticals LP	$21.29	09/29/2023	Food and Beverage	Undisputed	01/23/2026	1011539587	CMS
Bausch Health US, LLC	$14.14	05/23/2023	Food and Beverage	Undisputed	01/23/2026	1046977817	CMS
Bayer Healthcare Pharmaceuticals Inc.	$27.72	05/22/2023	Food and Beverage	Undisputed	01/23/2026	1005607423	CMS
Bayer Healthcare Pharmaceuticals Inc.	$17.65	07/06/2023	Food and Beverage	Undisputed	01/23/2026	1005556941	CMS
Bayer Healthcare Pharmaceuticals Inc.	$22.27	08/02/2023	Food and Beverage	Undisputed	01/23/2026	1005590977	CMS
Bayer Healthcare Pharmaceuticals Inc.	$23.07	09/13/2023	Food and Beverage	Undisputed	01/23/2026	1005594757	CMS
Bayer Healthcare Pharmaceuticals Inc.	$19.16	09/27/2023	Food and Beverage	Undisputed	01/23/2026	1005570123	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$26.74	01/26/2023	Food and Beverage	Undisputed	01/23/2026	996659549	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$22.66	03/20/2023	Food and Beverage	Undisputed	01/23/2026	996659543	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$25.18	03/24/2023	Food and Beverage	Undisputed	01/23/2026	996659535	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$30.17	05/18/2023	Food and Beverage	Undisputed	01/23/2026	997058063	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$34.69	08/25/2023	Food and Beverage	Undisputed	01/23/2026	996659529	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$30.37	10/26/2023	Food and Beverage	Undisputed	01/23/2026	996659523	CMS
Dexcom, Inc.	$30.38	02/02/2023	Food and Beverage	Undisputed	01/23/2026	1054620971	CMS
Dexcom, Inc.	$22.43	06/01/2023	Food and Beverage	Undisputed	01/23/2026	1054620979	CMS
Dexcom, Inc.	$25.61	08/09/2023	Food and Beverage	Undisputed	01/23/2026	1054620987	CMS
Exact Sciences Corporation	$15.31	02/01/2023	Food and Beverage	Undisputed	01/23/2026	1027520267	CMS
Exact Sciences Corporation	$18.30	04/05/2023	Food and Beverage	Undisputed	01/23/2026	1027520273	CMS
Exact Sciences Corporation	$21.36	09/08/2023	Food and Beverage	Undisputed	01/23/2026	1027520281	CMS
GlaxoSmithKline, LLC.	$17.37	03/01/2023	Food and Beverage	Undisputed	01/23/2026	1004382051	CMS
GlaxoSmithKline, LLC.	$17.89	06/07/2023	Food and Beverage	Undisputed	01/23/2026	1004382043	CMS
GlaxoSmithKline, LLC.	$17.49	07/26/2023	Food and Beverage	Undisputed	01/23/2026	1004382055	CMS
GlaxoSmithKline, LLC.	$21.81	08/31/2023	Food and Beverage	Undisputed	01/23/2026	1004382047	CMS
GlaxoSmithKline, LLC.	$18.74	10/11/2023	Food and Beverage	Undisputed	01/23/2026	1004382059	CMS
IDORSIA PHARMACEUTICALS US INC	$18.81	01/17/2023	Food and Beverage	Undisputed	01/23/2026	1034544107	CMS
IDORSIA PHARMACEUTICALS US INC	$18.21	05/03/2023	Food and Beverage	Undisputed	01/23/2026	1034544113	CMS
IDORSIA PHARMACEUTICALS US INC	$13.55	06/29/2023	Food and Beverage	Undisputed	01/23/2026	1034544119	CMS
Lilly USA, LLC	$19.34	01/11/2023	Food and Beverage	Undisputed	01/23/2026	1032711621	CMS
Lilly USA, LLC	$19.00	02/06/2023	Food and Beverage	Undisputed	01/23/2026	1032612289	CMS
Lilly USA, LLC	$17.07	02/13/2023	Food and Beverage	Undisputed	01/23/2026	1032728301	CMS
Lilly USA, LLC	$18.98	02/23/2023	Food and Beverage	Undisputed	01/23/2026	1032597541	CMS
Lilly USA, LLC	$19.56	03/07/2023	Food and Beverage	Undisputed	01/23/2026	1032643427	CMS
Lilly USA, LLC	$18.56	03/13/2023	Food and Beverage	Undisputed	01/23/2026	1032554229	CMS
Lilly USA, LLC	$18.94	04/12/2023	Food and Beverage	Undisputed	01/23/2026	1032756269	CMS
Lilly USA, LLC	$13.50	05/03/2023	Food and Beverage	Undisputed	01/23/2026	1032597547	CMS
Lilly USA, LLC	$26.75	05/23/2023	Food and Beverage	Undisputed	01/23/2026	1032597533	CMS
Lilly USA, LLC	$20.70	06/06/2023	Food and Beverage	Undisputed	01/23/2026	1032756273	CMS
Lilly USA, LLC	$22.40	06/15/2023	Food and Beverage	Undisputed	01/23/2026	1032711613	CMS
Lilly USA, LLC	$2.83	06/15/2023	Food and Beverage	Undisputed	01/23/2026	1032756261	CMS
Lilly USA, LLC	$14.13	07/12/2023	Food and Beverage	Undisputed	01/23/2026	1032466325	CMS
Lilly USA, LLC	$19.87	08/02/2023	Food and Beverage	Undisputed	01/23/2026	1032612283	CMS
Lilly USA, LLC	$22.76	08/17/2023	Food and Beverage	Undisputed	01/23/2026	1032756265	CMS
Lilly USA, LLC	$31.28	09/05/2023	Food and Beverage	Undisputed	01/23/2026	1032728305	CMS
Merck Sharp & Dohme LLC	$20.94	03/15/2023	Food and Beverage	Undisputed	01/23/2026	1048265665	CMS
Merck Sharp & Dohme LLC	$20.67	05/12/2023	Food and Beverage	Undisputed	01/23/2026	1048265663	CMS
Merck Sharp & Dohme LLC	$18.76	09/21/2023	Food and Beverage	Undisputed	01/23/2026	1048265617	CMS
Neurocrine Biosciences, Inc.	$23.41	05/11/2023	Food and Beverage	Undisputed	01/23/2026	1052120267	CMS
Novartis Pharmaceuticals Corporation	$19.26	01/18/2023	Food and Beverage	Undisputed	01/23/2026	992835409	CMS
Novartis Pharmaceuticals Corporation	$18.18	04/13/2023	Food and Beverage	Undisputed	01/23/2026	992835413	CMS
Novartis Pharmaceuticals Corporation	$21.02	06/01/2023	Food and Beverage	Undisputed	01/23/2026	992835415	CMS
Novartis Pharmaceuticals Corporation	$13.80	08/11/2023	Food and Beverage	Undisputed	01/23/2026	992835417	CMS
Novo Nordisk Inc	$22.74	01/04/2023	Food and Beverage	Undisputed	01/23/2026	1002138357	CMS
Novo Nordisk Inc	$20.78	01/24/2023	Food and Beverage	Undisputed	01/23/2026	1002138283	CMS
Novo Nordisk Inc	$11.19	02/06/2023	Food and Beverage	Undisputed	01/23/2026	1002138233	CMS
Novo Nordisk Inc	$20.99	02/07/2023	Food and Beverage	Undisputed	01/23/2026	1002138295	CMS
Novo Nordisk Inc	$22.19	02/23/2023	Food and Beverage	Undisputed	01/23/2026	1002138331	CMS
Novo Nordisk Inc	$6.60	03/02/2023	Food and Beverage	Undisputed	01/23/2026	1002138221	CMS
Novo Nordisk Inc	$18.51	03/22/2023	Food and Beverage	Undisputed	01/23/2026	1002138271	CMS
Novo Nordisk Inc	$22.99	04/07/2023	Food and Beverage	Undisputed	01/23/2026	1002138369	CMS
Novo Nordisk Inc	$18.28	04/18/2023	Food and Beverage	Undisputed	01/23/2026	1002138257	CMS
Novo Nordisk Inc	$4.08	05/12/2023	Food and Beverage	Undisputed	01/23/2026	1002147095	CMS
Novo Nordisk Inc	$3.50	05/24/2023	Food and Beverage	Undisputed	01/23/2026	1002147083	CMS
Novo Nordisk Inc	$22.10	05/25/2023	Food and Beverage	Undisputed	01/23/2026	1002138321	CMS
Novo Nordisk Inc	$5.84	06/15/2023	Food and Beverage	Undisputed	01/23/2026	1002138207	CMS
Novo Nordisk Inc	$22.64	06/16/2023	Food and Beverage	Undisputed	01/23/2026	1002138343	CMS
Novo Nordisk Inc	$24.77	06/20/2023	Food and Beverage	Undisputed	01/23/2026	1002138407	CMS
Novo Nordisk Inc	$23.57	08/03/2023	Food and Beverage	Undisputed	01/23/2026	1002138383	CMS
Novo Nordisk Inc	$17.98	08/08/2023	Food and Beverage	Undisputed	01/23/2026	1002138245	CMS
Novo Nordisk Inc	$24.97	09/14/2023	Food and Beverage	Undisputed	01/23/2026	1002138419	CMS
Novo Nordisk Inc	$24.07	09/20/2023	Food and Beverage	Undisputed	01/23/2026	1002138395	CMS
Novo Nordisk Inc	$21.82	10/17/2023	Food and Beverage	Undisputed	01/23/2026	1002138307	CMS
PFIZER INC.	$21.09	01/07/2023	Food and Beverage	Undisputed	01/23/2026	1049089839	CMS
PFIZER INC.	$21.33	01/24/2023	Food and Beverage	Undisputed	01/23/2026	1049560607	CMS
PFIZER INC.	$20.99	02/21/2023	Food and Beverage	Undisputed	01/23/2026	1050258187	CMS
PFIZER INC.	$17.81	02/27/2023	Food and Beverage	Undisputed	01/23/2026	1049420535	CMS
PFIZER INC.	$21.10	03/23/2023	Food and Beverage	Undisputed	01/23/2026	1049513721	CMS
PFIZER INC.	$16.19	04/25/2023	Food and Beverage	Undisputed	01/23/2026	1049188429	CMS
PFIZER INC.	$21.58	04/27/2023	Food and Beverage	Undisputed	01/23/2026	1049169568	CMS
PFIZER INC.	$24.29	05/30/2023	Food and Beverage	Undisputed	01/23/2026	1049239297	CMS
PFIZER INC.	$25.12	06/27/2023	Food and Beverage	Undisputed	01/23/2026	1049937780	CMS
PFIZER INC.	$18.05	09/20/2023	Food and Beverage	Undisputed	01/23/2026	1049632609	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.27	03/01/2023	Food and Beverage	Undisputed	01/23/2026	1057402019	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$20.67	04/04/2023	Food and Beverage	Undisputed	01/23/2026	1057424425	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$20.85	06/08/2023	Food and Beverage	Undisputed	01/23/2026	1057113369	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$16.75	07/13/2023	Food and Beverage	Undisputed	01/23/2026	1057411085	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$18.38	09/26/2023	Food and Beverage	Undisputed	01/23/2026	1057215637	CMS
SANOFI-AVENTIS U.S. LLC	$17.37	01/27/2023	Food and Beverage	Undisputed	01/23/2026	1050384095	CMS
SANOFI-AVENTIS U.S. LLC	$19.37	03/03/2023	Food and Beverage	Undisputed	01/23/2026	1050384115	CMS
SANOFI-AVENTIS U.S. LLC	$14.93	03/30/2023	Food and Beverage	Undisputed	01/23/2026	1050384141	CMS
SANOFI-AVENTIS U.S. LLC	$18.29	05/05/2023	Food and Beverage	Undisputed	01/23/2026	1050384165	CMS
Scilex Pharmaceuticals Inc.	$19.41	04/04/2023	Food and Beverage	Undisputed	01/23/2026	1045457393	CMS
Scilex Pharmaceuticals Inc.	$20.34	06/05/2023	Food and Beverage	Undisputed	01/23/2026	1045472643	CMS
Scilex Pharmaceuticals Inc.	$22.37	08/04/2023	Food and Beverage	Undisputed	01/23/2026	1045484909	CMS
Scilex Pharmaceuticals Inc.	$21.47	10/06/2023	Food and Beverage	Undisputed	01/23/2026	1045495343	CMS
Sumitomo Pharma America, Inc.	$7.07	02/03/2023	Food and Beverage	Undisputed	01/23/2026	1031083417	CMS
Sumitomo Pharma America, Inc.	$8.63	03/23/2023	Food and Beverage	Undisputed	01/23/2026	1031083409	CMS
Sumitomo Pharma America, Inc.	$8.39	04/20/2023	Food and Beverage	Undisputed	01/23/2026	1031083413	CMS
Sumitomo Pharma America, Inc.	$6.20	05/26/2023	Food and Beverage	Undisputed	01/23/2026	1031083421	CMS
Sumitomo Pharma America, Inc.	$11.51	10/19/2023	Food and Beverage	Undisputed	01/23/2026	1031083399	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$24.88	01/31/2023	Food and Beverage	Undisputed	01/23/2026	1055985161	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$22.41	06/14/2023	Food and Beverage	Undisputed	01/23/2026	1055985165	CMS
Teleflex LLC	$20.11	03/31/2023	Food and Beverage	Undisputed	01/23/2026	1027412985	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: 2021, 2022, 2023
Source files: Dataset page · Bulk file · PY2021 , PY2022 , PY2023
Generated from: OP_DTL_GNRL_PGYR2023_P01232026_01102026.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.