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.

Saved items

Saved only in this browser. No account or alerts.

Filter and download payment records

General Payments · PY2024 · Entire year

$2,530.74

125 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

PY2024 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,530.74 125

By paying entity

PY2024 · entire year · sorted by reported total

Payment records · PY2024

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

General Payments · PY2024 · Physicians and non-physician practitioners · CMS publication 2026-06-30

125 matching records · $2,530.74 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 125 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 125.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Novo Nordisk Inc $25.0009/06/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261100290042 CMS
Xeris Pharmaceuticals, Inc. $20.0509/06/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261144629693 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.7109/04/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261086341517 CMS
Radius Health, Inc. $10.0709/04/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261090023630 CMS
Antares Pharma, Inc. $24.7809/03/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261146510702 CMS
Amgen Inc. $12.1408/30/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261117292908 CMS
Lilly USA, LLC $26.2408/30/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261135646805 CMS
Lilly USA, LLC $9.3608/29/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261135718114 CMS
Amgen Inc. $28.9008/28/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261117292890 CMS
Lilly USA, LLC $27.0508/26/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261135660339 CMS
Lilly USA, LLC $6.8608/22/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261135726863 CMS
Radius Health, Inc. $20.1408/21/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261090023628 CMS
Amgen Inc. $10.7508/20/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261117292888 CMS
Bayer Healthcare Pharmaceuticals Inc. $20.2608/16/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261086341495 CMS
Lilly USA, LLC $28.1608/15/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261135698856 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $24.4808/13/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261118190375 CMS
Antares Pharma, Inc. $14.4108/12/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261146510697 CMS
SANOFI-AVENTIS U.S. LLC $31.7908/08/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261139902248 CMS
Lilly USA, LLC $10.5608/07/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261135698860 CMS
Lilly USA, LLC $25.6508/06/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261135726861 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $19.4508/05/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261118190371 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $6.4908/01/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261118190355 CMS
Lilly USA, LLC $26.6507/31/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261135729541 CMS
Novo Nordisk Inc $11.5007/25/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261100224130 CMS
Amgen Inc. $13.9007/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261117292904 CMS
Novo Nordisk Inc $14.2307/17/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261100635015 CMS
VIVUS LLC $22.8006/27/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261129420197 CMS
Lilly USA, LLC $24.5806/25/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261135646803 CMS
Radius Health, Inc. $21.3306/25/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261090023625 CMS
Novo Nordisk Inc $6.9706/22/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261100383281 CMS
Lilly USA, LLC $26.9206/19/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261135646807 CMS
Antares Pharma, Inc. $11.6906/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261146510693 CMS
Amgen Inc. $8.2506/13/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261117292886 CMS
Antares Pharma, Inc. $23.9906/13/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261146510689 CMS
Radius Health, Inc. $34.9006/11/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261090023611 CMS
Novo Nordisk Inc $7.7106/07/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261100278090 CMS
Amgen Inc. $2.5606/06/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261117292900 CMS
Amgen Inc. $3.9606/06/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261117292902 CMS
Amgen Inc. $5.0806/06/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261117292906 CMS
Xeris Pharmaceuticals, Inc. $23.2106/06/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261144629687 CMS
Lilly USA, LLC $7.1706/05/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261135646811 CMS
Alexion Pharmaceuticals, Inc. $32.5106/03/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261093947279 CMS
Antares Pharma, Inc. $3.3905/29/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261146510685 CMS
Lilly USA, LLC $9.6105/29/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261135716072 CMS
Antares Pharma, Inc. $22.7005/28/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261146510681 CMS
Astellas Pharma US Inc $26.3005/23/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261139514677 CMS
Radius Health, Inc. $8.8005/23/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261090023598 CMS
SANOFI-AVENTIS U.S. LLC $16.1005/23/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261139902232 CMS
Lilly USA, LLC $28.7705/22/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261135660333 CMS
Amgen Inc. $16.7405/20/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261117292884 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.