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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General Payments · PY2022 · Entire year

$4,745.67

240 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 $4,741.45 239
Education $4.22 1

By paying entity

PY2022 · entire year · sorted by reported total

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

240 matching records · $4,745.67 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 240 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 240.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
AstraZeneca Pharmaceuticals LP $19.9412/22/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026915696571 CMS
Insulet Corporation $4.2112/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026933170529 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $19.9812/19/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026887616871 CMS
Insulet Corporation $28.5712/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026933170531 CMS
Insulet Corporation $4.4612/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026933170533 CMS
Novo Nordisk Inc $16.9712/12/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026899266791 CMS
Corcept Therapeutics $23.3312/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026948817407 CMS
AstraZeneca Pharmaceuticals LP $11.9412/08/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026914760947 CMS
Radius Health, Inc. $30.2312/08/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954969945 CMS
Radius Health, Inc. $4.3712/08/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954969951 CMS
Lilly USA, LLC $12.3912/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026918518457 CMS
Amgen Inc. $26.2912/06/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026939645725 CMS
AstraZeneca Pharmaceuticals LP $21.3012/05/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026915189757 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $28.9612/02/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026887616873 CMS
Amgen Inc. $34.3112/01/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026939645721 CMS
Corcept Therapeutics $20.6711/30/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026948817387 CMS
Insulet Corporation $20.8111/30/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026933170535 CMS
Bayer HealthCare Pharmaceuticals Inc. $15.6411/29/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026930572727 CMS
Bayer HealthCare Pharmaceuticals Inc. $8.6511/28/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026929913159 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $31.2411/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026887616869 CMS
Insulet Corporation $10.3311/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026933170537 CMS
AstraZeneca Pharmaceuticals LP $18.1711/18/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026914639133 CMS
Lilly USA, LLC $19.9311/16/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026918494359 CMS
Mannkind Corporation $25.1611/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026942773917 CMS
Novo Nordisk Inc $7.0011/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026898628509 CMS
Radius Health, Inc. $19.0011/10/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954969907 CMS
Radius Health, Inc. $2.7111/10/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954969913 CMS
Radius Health, Inc. $9.6511/10/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954969919 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $8.7811/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026887616875 CMS
Insulet Corporation $21.6111/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026933170539 CMS
Novo Nordisk Inc $22.5511/08/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026898591733 CMS
Bayer HealthCare Pharmaceuticals Inc. $21.8211/03/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026930390401 CMS
Lilly USA, LLC $25.8111/02/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026918554765 CMS
Novo Nordisk Inc $6.5711/02/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026899266771 CMS
Novo Nordisk Inc $21.8610/28/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026899108639 CMS
AstraZeneca Pharmaceuticals LP $15.3510/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026915607395 CMS
Novo Nordisk Inc $4.5810/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026899266765 CMS
AstraZeneca Pharmaceuticals LP $20.3810/26/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026914721855 CMS
Novo Nordisk Inc $8.5210/26/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026898628525 CMS
Biohaven Pharmaceutical Holding Company Ltd. $21.0010/24/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026923868055 CMS
Lilly USA, LLC $5.7310/24/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026918566541 CMS
Bayer HealthCare Pharmaceuticals Inc. $4.7910/20/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026929914731 CMS
Corcept Therapeutics $23.6110/20/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026948817363 CMS
Lilly USA, LLC $23.4810/19/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026918554029 CMS
Novo Nordisk Inc $3.9010/19/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026898628493 CMS
Lilly USA, LLC $8.2310/17/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026918514129 CMS
Mannkind Corporation $18.0810/17/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026942773915 CMS
Radius Health, Inc. $19.6110/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954969895 CMS
Amgen Inc. $5.1810/12/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026939645717 CMS
Lilly USA, LLC $25.6210/12/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026918578859 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.

Cite this record.

Plain
JOSEPH KARPEL, NPI 1861020190. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1861020190.
APA 7
IndustryPayments. (2026). JOSEPH KARPEL, NPI 1861020190 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1861020190
Bluebook
JOSEPH KARPEL, NPI 1861020190, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1861020190.

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