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 · PY2025 · Entire year

$1,304.18

41 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

PY2025 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,304.18 41

By paying entity

PY2025 · entire year · sorted by reported total

Payment records · PY2025

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

General Payments · PY2025 · Physicians and non-physician practitioners · CMS publication 2026-06-30

41 matching records · $1,304.18 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 41 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 1–41 of 41.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
ABBVIE INC. $6.3912/30/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261204502009 CMS
ABBVIE INC. $113.7312/16/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261204502006 CMS
Mannkind Corporation $26.6912/14/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261250889259 CMS
KYOWA KIRIN, INC. $25.7911/12/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261222118303 CMS
Tandem Diabetes Care, Inc. $27.9610/31/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261241291223 CMS
Alexion Pharmaceuticals, Inc. $33.8610/20/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261202945026 CMS
Dexcom, Inc. $26.8010/09/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261250562911 CMS
Medtronic, Inc. $20.4409/24/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261219848159 CMS
ABBVIE INC. $1.4209/23/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261204501999 CMS
ABBVIE INC. $14.4409/23/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261204502002 CMS
BETA BIONICS, INC. $23.4009/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261246802740 CMS
BETA BIONICS, INC. $18.1009/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261246802748 CMS
BETA BIONICS, INC. $24.6809/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261246802752 CMS
BETA BIONICS, INC. $17.5709/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261246802756 CMS
TOLMAR, INC. $25.5509/11/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261237026142 CMS
ABBVIE INC. $10.7109/04/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261204501995 CMS
Sequel Med Tech, LLC $158.8408/28/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261243767125 CMS
ABBVIE INC. $2.1908/14/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261204501981 CMS
ABBVIE INC. $2.0508/14/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261204501986 CMS
ABBVIE INC. $15.2308/14/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261204501989 CMS
Novo Nordisk Inc $17.6208/05/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261188738500 CMS
ABBVIE INC. $3.8707/31/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261204501969 CMS
ABBVIE INC. $1.1007/31/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261204501973 CMS
ABBVIE INC. $16.9507/31/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261204501978 CMS
Tandem Diabetes Care, Inc. $27.7707/29/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261241291227 CMS
TOLMAR, INC. $23.2907/09/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261237026062 CMS
Abbott Laboratories $22.8807/03/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261240953300 CMS
Novo Nordisk Inc $23.6306/20/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261188367149 CMS
Amphastar Pharmaceuticals, Inc. $19.9406/10/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261223647199 CMS
ABBVIE INC. $2.3006/04/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261204501962 CMS
ABBVIE INC. $20.0506/04/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261204501966 CMS
SANOFI-AVENTIS U.S. LLC $20.3605/29/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261233216578 CMS
Abbott Laboratories $24.1405/22/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261240937355 CMS
Neurocrine BioSciences, Inc. $69.2005/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261242805061 CMS
Tandem Diabetes Care, Inc. $123.4605/01/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261241291219 CMS
Soleno Therapeutics, Inc. $28.5504/30/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261241820540 CMS
Novo Nordisk Inc $24.3804/02/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261188786012 CMS
BETA BIONICS, INC. $51.3203/11/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261246797455 CMS
Abbott Laboratories $144.3102/11/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261240903270 CMS
SANOFI-AVENTIS U.S. LLC $18.6902/07/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261233216534 CMS
Dexcom, Inc. $24.5301/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261250562909 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.