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

JOSEPH KARPEL

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1861020190
CMS profile
11286067
Location
SACRAMENTO, CA

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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Filter and download payment records

General Payments · PY2023 · Entire year

$4,867.53

261 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

PY2023 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $4,844.13 259
Education $23.40 2

By paying entity

PY2023 · entire year · sorted by reported total

Page 1 of 6; records 1–50 of 261 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

JOSEPH KARPEL

NPI 1861020190 · CMS profile ID 11286067

Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant

SACRAMENTO, CA

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, PY2023; 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 6; records 1–50 of 261 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1861020190?year=2023&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9

Cite these filtered records

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

Plain
JOSEPH KARPEL, NPI 1861020190, CMS profile ID 11286067. General Payments, PY2023; 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 6; records 1–50 of 261 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1861020190?year=2023&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9.
APA 7
IndustryPayments. (2026). JOSEPH KARPEL, NPI 1861020190, CMS profile ID 11286067. General Payments, PY2023; 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 6; records 1–50 of 261 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1861020190?year=2023&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9.
Bluebook
JOSEPH KARPEL, NPI 1861020190, CMS profile ID 11286067, IndustryPayments, General Payments, PY2023; 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 6; records 1–50 of 261 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9. https://industrypayments.org/provider/npi-1861020190?year=2023&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 · PY2023

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

General Payments · PY2023 · Physicians and non-physician practitioners · CMS publication 2026-06-30

261 matching records · $4,867.53 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 261 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 261.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
MannKind Corporation $23.0212/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1056341603 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $26.5112/19/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 996742943 CMS
Supernus Pharmaceuticals, Inc. $8.7212/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1054560217 CMS
Lilly USA, LLC $21.4412/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1033148769 CMS
Radius Health, Inc. $9.4512/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1024729333 CMS
Lilly USA, LLC $22.5512/12/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1033003347 CMS
Alexion Pharmaceuticals, Inc. $26.0112/07/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1016980177 CMS
Horizon Therapeutics plc $26.9512/06/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 987104239 CMS
Radius Health, Inc. $5.2912/05/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1024729329 CMS
Radius Health, Inc. $16.2212/05/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1024729331 CMS
Supernus Pharmaceuticals, Inc. $30.0212/04/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1054560209 CMS
Lilly USA, LLC $27.8912/01/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1032963513 CMS
SANOFI-AVENTIS U.S. LLC $31.9311/30/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1050313907 CMS
MannKind Corporation $23.7811/22/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1056341595 CMS
Alexion Pharmaceuticals, Inc. $31.8611/20/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1017010321 CMS
Lilly USA, LLC $25.7611/15/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1033003335 CMS
Corcept Therapeutics $36.9011/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1050837561 CMS
Lilly USA, LLC $7.3011/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1033148781 CMS
Xeris Pharmaceuticals, Inc. $22.2911/10/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1056549037 CMS
MannKind Corporation $7.5611/09/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1056341583 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $22.0811/08/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 996742949 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $8.8811/08/2023 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 996743013 CMS
RGH Enterprises LLC $24.4711/07/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1044864249 CMS
RGH Enterprises LLC $24.4711/07/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1099612643 CMS
BETA BIONICS, INC. $21.0511/01/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1060385533 CMS
Lilly USA, LLC $26.8110/27/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1033003331 CMS
RECORDATI_RARE_DISEASES_INC. $22.9610/26/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1060357295 CMS
Radius Health, Inc. $4.6010/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1024729321 CMS
Radius Health, Inc. $28.1610/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1024729325 CMS
Corcept Therapeutics $23.2310/24/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1050837557 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $29.4910/23/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 996742953 CMS
Supernus Pharmaceuticals, Inc. $10.4110/23/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1054560199 CMS
MannKind Corporation $26.8310/19/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1056341577 CMS
Radius Health, Inc. $9.6610/17/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1024729323 CMS
Currax Pharmaceuticals LLC $12.7010/16/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 986449201 CMS
Horizon Therapeutics plc $13.2510/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 987104237 CMS
Lilly USA, LLC $27.2210/11/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1033115111 CMS
Lilly USA, LLC $9.4510/04/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1033052059 CMS
Abbott Laboratories $27.5510/03/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1019736685 CMS
Supernus Pharmaceuticals, Inc. $20.7010/02/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1054560191 CMS
Radius Health, Inc. $6.8009/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1024729327 CMS
Radius Health, Inc. $15.9809/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1024729355 CMS
Radius Health, Inc. $8.4209/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1024729365 CMS
Insulet Corporation $12.5609/20/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1016959919 CMS
Lilly USA, LLC $30.5809/15/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1033052063 CMS
MannKind Corporation $26.9209/15/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1056341565 CMS
Supernus Pharmaceuticals, Inc. $9.3009/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1054560181 CMS
Insulet Corporation $7.3009/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1016959917 CMS
Insulet Corporation $30.0509/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1016959921 CMS
Lilly USA, LLC $25.3709/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1033003343 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $335.91 15
PY2022 $4,745.67 240
PY2023 $4,867.53 261
PY2024 $2,530.74 125
PY2025 $1,304.18 41

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
2021, 2022, 2023, 2024, 2025
Source files and profile matching
Source files
Dataset page · Bulk file · 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.