KAREN ANN NESCI

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Adult Health UTICA, NY NPI 1881247799

General Payments — all program years on this page

$5,433.65

Category: General Payments
Program years: PY2021–2024
Record count: 281
As of (CMS publication): 2026-01-23

Latest program year (PY2024): $2,316.84 across 107 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is calculated

The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. 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.
Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

Latest program year (PY2024) · sorted by reported total.

Nature of payment	Amount	Records
Food and Beverage	$2,181.47	104
Education	$135.37	3

By paying entity

Latest program year (PY2024) · sorted by reported total.

Paying entity	Amount	Records
ABBVIE INC.	$454.46	20
Janssen Biotech, Inc.	$308.91	16
Celgene Corporation	$249.26	17
Takeda Pharmaceuticals U.S.A., Inc.	$188.97	10
QOL Medical, LLC	$180.83	6
Regeneron Healthcare Solutions, Inc.	$164.02	6
Madrigal Pharmaceuticals	$100.36	1
Ferring Pharmaceuticals Inc.	$88.79	4
IRONWOOD PHARMACEUTICALS, INC	$85.99	4
Ardelyx, Inc.	$80.72	3
Gilead Sciences, Inc.	$71.99	4
Lilly USA, LLC	$69.39	3
AIMMUNE THERAPEUTICS, INC.	$65.41	2
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$53.58	3
INTERCEPT PHARMACEUTICALS, INC.	$44.03	2
Fresenius Kabi USA, LLC	$34.93	2
PFIZER INC.	$34.86	2
Celltrion USA Inc.	$20.44	1
ORPHALAN INC	$19.90	1

By program year

Program year	Amount	Records
2021	$399.70	22
2022	$903.52	45
2023	$1,813.59	107
2024	$2,316.84	107

Records — PY2024 (107)

Record ID	Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Source
1075865579	Celltrion USA Inc.	$20.44	05/12/2024	Education	Undisputed	01/23/2026	View at CMS
1078474665	Janssen Biotech, Inc.	$21.71	01/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1078474724	Janssen Biotech, Inc.	$17.61	10/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1078474749	Janssen Biotech, Inc.	$8.26	09/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1078474766	Janssen Biotech, Inc.	$12.38	06/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1078474967	Janssen Biotech, Inc.	$19.17	07/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1078475002	Janssen Biotech, Inc.	$1.00	06/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1078475022	Janssen Biotech, Inc.	$17.40	05/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1078475095	Janssen Biotech, Inc.	$16.77	07/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1078475138	Janssen Biotech, Inc.	$99.00	07/24/2024	Education	Undisputed	01/23/2026	View at CMS
1078475301	Janssen Biotech, Inc.	$1.26	07/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1078475363	Janssen Biotech, Inc.	$15.99	06/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1078475575	Janssen Biotech, Inc.	$15.23	11/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1078475699	Janssen Biotech, Inc.	$25.84	09/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1078475707	Janssen Biotech, Inc.	$3.77	06/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1078475985	Janssen Biotech, Inc.	$17.78	11/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1078476030	Janssen Biotech, Inc.	$15.74	10/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1101155752	Celgene Corporation	$1.78	01/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1101155754	Celgene Corporation	$10.94	01/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1101155760	Celgene Corporation	$17.30	01/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1101155762	Celgene Corporation	$3.53	01/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1101155764	Celgene Corporation	$3.11	02/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1101155766	Celgene Corporation	$15.61	02/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1101155768	Celgene Corporation	$15.61	03/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1101155770	Celgene Corporation	$19.03	04/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1101155776	Celgene Corporation	$20.10	05/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1101155778	Celgene Corporation	$21.03	04/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1101155780	Celgene Corporation	$20.62	05/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1101155782	Celgene Corporation	$4.28	05/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1101155784	Celgene Corporation	$3.67	06/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1101155808	Celgene Corporation	$18.06	06/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1101155810	Celgene Corporation	$21.16	07/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1101155814	Celgene Corporation	$28.14	09/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1101155818	Celgene Corporation	$25.29	10/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107728874	ABBVIE INC.	$15.46	01/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107728876	ABBVIE INC.	$17.13	01/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107728878	ABBVIE INC.	$17.24	02/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107728880	ABBVIE INC.	$19.50	03/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107728882	ABBVIE INC.	$15.79	03/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107728884	ABBVIE INC.	$26.54	03/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107728886	ABBVIE INC.	$14.93	03/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107728888	ABBVIE INC.	$29.20	04/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107728890	ABBVIE INC.	$29.87	05/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107728892	ABBVIE INC.	$33.87	06/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107728894	ABBVIE INC.	$29.95	07/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107728896	ABBVIE INC.	$21.41	07/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107728898	ABBVIE INC.	$14.89	08/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107728900	ABBVIE INC.	$28.26	09/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107728902	ABBVIE INC.	$26.42	10/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107728904	ABBVIE INC.	$12.23	10/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107728906	ABBVIE INC.	$31.57	12/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107728908	ABBVIE INC.	$28.76	12/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107728910	ABBVIE INC.	$18.38	12/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107728912	ABBVIE INC.	$23.06	12/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1113650429	Intercept Pharmaceuticals, Inc.	$19.72	02/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1113650431	Intercept Pharmaceuticals, Inc.	$24.31	03/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114348633	Regeneron Healthcare Solutions, Inc.	$0.30	01/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114348635	Regeneron Healthcare Solutions, Inc.	$31.21	01/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114348637	Regeneron Healthcare Solutions, Inc.	$35.20	02/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114348639	Regeneron Healthcare Solutions, Inc.	$27.61	05/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114348641	Regeneron Healthcare Solutions, Inc.	$34.17	12/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114348643	Regeneron Healthcare Solutions, Inc.	$35.53	12/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131199324	PFIZER INC.	$19.03	11/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131480561	PFIZER INC.	$15.83	12/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133660654	Gilead Sciences, Inc.	$19.78	02/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133660656	Gilead Sciences, Inc.	$18.25	03/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133660658	Gilead Sciences, Inc.	$18.79	04/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133660660	Gilead Sciences, Inc.	$15.17	09/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1135665177	Lilly USA, LLC	$18.06	10/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1135724581	Lilly USA, LLC	$23.22	06/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1135724583	Lilly USA, LLC	$28.11	07/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137538875	Ferring Pharmaceuticals Inc.	$19.16	01/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137538880	Ferring Pharmaceuticals Inc.	$20.54	05/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137538884	Ferring Pharmaceuticals Inc.	$26.47	09/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137538888	Ferring Pharmaceuticals Inc.	$22.62	11/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137799604	Takeda Pharmaceuticals U.S.A., Inc.	$23.83	01/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137799606	Takeda Pharmaceuticals U.S.A., Inc.	$28.78	05/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137799608	Takeda Pharmaceuticals U.S.A., Inc.	$18.72	07/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137799610	Takeda Pharmaceuticals U.S.A., Inc.	$8.70	08/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137799612	Takeda Pharmaceuticals U.S.A., Inc.	$1.60	10/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137799614	Takeda Pharmaceuticals U.S.A., Inc.	$27.46	10/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137799616	Takeda Pharmaceuticals U.S.A., Inc.	$29.97	11/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137799618	Takeda Pharmaceuticals U.S.A., Inc.	$13.09	11/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137799620	Takeda Pharmaceuticals U.S.A., Inc.	$15.93	11/08/2024	Education	Undisputed	01/23/2026	View at CMS
1137799622	Takeda Pharmaceuticals U.S.A., Inc.	$20.89	12/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1144196291	Madrigal Pharmaceuticals	$100.36	11/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146739196	Ardelyx, Inc.	$29.04	03/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146739198	Ardelyx, Inc.	$27.65	07/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146739200	Ardelyx, Inc.	$24.03	08/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146946733	Fresenius Kabi USA, LLC	$17.46	09/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146946735	Fresenius Kabi USA, LLC	$17.47	06/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146968259	AIMMUNE THERAPEUTICS, INC.	$32.13	07/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146989247	AIMMUNE THERAPEUTICS, INC.	$33.28	10/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147740593	QOL Medical, LLC	$23.78	02/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147740595	QOL Medical, LLC	$20.12	03/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147740597	QOL Medical, LLC	$37.10	03/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147740599	QOL Medical, LLC	$43.34	04/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147740601	QOL Medical, LLC	$28.92	07/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147740603	QOL Medical, LLC	$27.57	08/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153412123	Salix Pharmaceuticals, a division of Bausch Health US, LLC	$21.49	11/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153516416	Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.96	01/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153621371	Salix Pharmaceuticals, a division of Bausch Health US, LLC	$16.13	04/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153728532	IRONWOOD PHARMACEUTICALS, INC	$18.61	03/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153728536	IRONWOOD PHARMACEUTICALS, INC	$21.72	09/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153746391	IRONWOOD PHARMACEUTICALS, INC	$24.81	10/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153755324	IRONWOOD PHARMACEUTICALS, INC	$20.85	05/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1154763939	ORPHALAN INC	$19.90	09/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS

Provenance & corrections

Dataset: CMS Open Payments — General Payments
Source: CMS Open Payments dataset (bulk file)
Publisher of source data: Centers for Medicare & Medicaid Services
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.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.