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 · 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

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
06/30/20261056341603 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $26.5112/19/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026996742943 CMS
Supernus Pharmaceuticals, Inc. $8.7212/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261054560217 CMS
Lilly USA, LLC $21.4412/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261033148769 CMS
Radius Health, Inc. $9.4512/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261024729333 CMS
Lilly USA, LLC $22.5512/12/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261033003347 CMS
Alexion Pharmaceuticals, Inc. $26.0112/07/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261016980177 CMS
Horizon Therapeutics plc $26.9512/06/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026987104239 CMS
Radius Health, Inc. $5.2912/05/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261024729329 CMS
Radius Health, Inc. $16.2212/05/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261024729331 CMS
Supernus Pharmaceuticals, Inc. $30.0212/04/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261054560209 CMS
Lilly USA, LLC $27.8912/01/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261032963513 CMS
SANOFI-AVENTIS U.S. LLC $31.9311/30/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261050313907 CMS
MannKind Corporation $23.7811/22/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261056341595 CMS
Alexion Pharmaceuticals, Inc. $31.8611/20/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261017010321 CMS
Lilly USA, LLC $25.7611/15/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261033003335 CMS
Corcept Therapeutics $36.9011/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261050837561 CMS
Lilly USA, LLC $7.3011/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261033148781 CMS
Xeris Pharmaceuticals, Inc. $22.2911/10/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261056549037 CMS
MannKind Corporation $7.5611/09/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261056341583 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $22.0811/08/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026996742949 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $8.8811/08/2023 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026996743013 CMS
RGH Enterprises LLC $24.4711/07/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261044864249 CMS
RGH Enterprises LLC $24.4711/07/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261099612643 CMS
BETA BIONICS, INC. $21.0511/01/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261060385533 CMS
Lilly USA, LLC $26.8110/27/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261033003331 CMS
RECORDATI_RARE_DISEASES_INC. $22.9610/26/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261060357295 CMS
Radius Health, Inc. $4.6010/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261024729321 CMS
Radius Health, Inc. $28.1610/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261024729325 CMS
Corcept Therapeutics $23.2310/24/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261050837557 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $29.4910/23/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026996742953 CMS
Supernus Pharmaceuticals, Inc. $10.4110/23/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261054560199 CMS
MannKind Corporation $26.8310/19/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261056341577 CMS
Radius Health, Inc. $9.6610/17/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261024729323 CMS
Currax Pharmaceuticals LLC $12.7010/16/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026986449201 CMS
Horizon Therapeutics plc $13.2510/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026987104237 CMS
Lilly USA, LLC $27.2210/11/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261033115111 CMS
Lilly USA, LLC $9.4510/04/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261033052059 CMS
Abbott Laboratories $27.5510/03/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261019736685 CMS
Supernus Pharmaceuticals, Inc. $20.7010/02/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261054560191 CMS
Radius Health, Inc. $6.8009/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261024729327 CMS
Radius Health, Inc. $15.9809/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261024729355 CMS
Radius Health, Inc. $8.4209/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261024729365 CMS
Insulet Corporation $12.5609/20/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261016959919 CMS
Lilly USA, LLC $30.5809/15/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261033052063 CMS
MannKind Corporation $26.9209/15/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261056341565 CMS
Supernus Pharmaceuticals, Inc. $9.3009/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261054560181 CMS
Insulet Corporation $7.3009/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261016959917 CMS
Insulet Corporation $30.0509/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261016959921 CMS
Lilly USA, LLC $25.3709/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261033003343 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.