Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

ALEXANDER KARAMALEGOS

Allopathic & Osteopathic Physicians Family Medicine

NPI
1942610159
CMS profile
3588262
Location
GRAHAM, NC

General Payments · PY2018–2024

$3,560.90

  • Reported across 244 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$607.61

34 records · 0 disputed

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

How these totals are 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

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $607.61 34

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $293.78 19
PY2019 $400.25 26
PY2020 $482.98 36
PY2021 $590.35 45
PY2022 $570.36 42
PY2023 $615.57 42
PY2024 $607.61 34

Payment records · PY2024 (34)

Sorted by paying entity, then date · as published by CMS

Program year 2024 201820192020202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $16.67 01/09/2024 Food and Beverage Undisputed 01/23/2026 1104032305 CMS
ABBVIE INC. $19.74 02/29/2024 Food and Beverage Undisputed 01/23/2026 1104032307 CMS
ABBVIE INC. $17.73 05/21/2024 Food and Beverage Undisputed 01/23/2026 1104032309 CMS
AIMMUNE THERAPEUTICS, INC. $20.29 07/11/2024 Food and Beverage Undisputed 01/23/2026 1146961882 CMS
Amgen Inc. $14.60 06/20/2024 Food and Beverage Undisputed 01/23/2026 1117292682 CMS
Amgen Inc. $14.48 09/17/2024 Food and Beverage Undisputed 01/23/2026 1117292684 CMS
AstraZeneca Pharmaceuticals LP $13.37 01/23/2024 Food and Beverage Undisputed 01/23/2026 1104681929 CMS
AstraZeneca Pharmaceuticals LP $17.17 02/01/2024 Food and Beverage Undisputed 01/23/2026 1104536271 CMS
AstraZeneca Pharmaceuticals LP $14.16 06/11/2024 Food and Beverage Undisputed 01/23/2026 1104619046 CMS
AstraZeneca Pharmaceuticals LP $19.36 07/18/2024 Food and Beverage Undisputed 01/23/2026 1105229441 CMS
AstraZeneca Pharmaceuticals LP $19.79 08/20/2024 Food and Beverage Undisputed 01/23/2026 1104286850 CMS
Exact Sciences Corporation $16.08 04/09/2024 Food and Beverage Undisputed 01/23/2026 1114727250 CMS
Exact Sciences Corporation $18.11 08/15/2024 Food and Beverage Undisputed 01/23/2026 1114727256 CMS
Exact Sciences Corporation $14.63 10/24/2024 Food and Beverage Undisputed 01/23/2026 1114727262 CMS
Janssen Pharmaceuticals, Inc $15.61 03/05/2024 Food and Beverage Undisputed 01/23/2026 1078075820 CMS
Lilly USA, LLC $14.05 01/04/2024 Food and Beverage Undisputed 01/23/2026 1136021062 CMS
Lilly USA, LLC $20.29 02/20/2024 Food and Beverage Undisputed 01/23/2026 1136019972 CMS
Lilly USA, LLC $19.55 03/05/2024 Food and Beverage Undisputed 01/23/2026 1135996432 CMS
Lilly USA, LLC $20.91 03/28/2024 Food and Beverage Undisputed 01/23/2026 1136017523 CMS
Lilly USA, LLC $19.87 05/01/2024 Food and Beverage Undisputed 01/23/2026 1136021064 CMS
Lilly USA, LLC $14.01 05/14/2024 Food and Beverage Undisputed 01/23/2026 1135996434 CMS
Lilly USA, LLC $17.15 06/25/2024 Food and Beverage Undisputed 01/23/2026 1136017525 CMS
Lilly USA, LLC $18.79 09/05/2024 Food and Beverage Undisputed 01/23/2026 1136022604 CMS
Mylan Specialty L.P. $18.68 03/14/2024 Food and Beverage Undisputed 01/23/2026 1147345578 CMS
Novo Nordisk Inc $18.05 02/08/2024 Food and Beverage Undisputed 01/23/2026 1097370332 CMS
Novo Nordisk Inc $14.30 03/19/2024 Food and Beverage Undisputed 01/23/2026 1097534373 CMS
Novo Nordisk Inc $13.64 05/08/2024 Food and Beverage Undisputed 01/23/2026 1097725459 CMS
Novo Nordisk Inc $24.16 07/02/2024 Food and Beverage Undisputed 01/23/2026 1096891729 CMS
Novo Nordisk Inc $16.84 10/03/2024 Food and Beverage Undisputed 01/23/2026 1096944453 CMS
Novo Nordisk Inc $21.69 10/15/2024 Food and Beverage Undisputed 01/23/2026 1096725869 CMS
Otsuka America Pharmaceutical, Inc. $28.43 05/28/2024 Food and Beverage Undisputed 01/23/2026 1118918864 CMS
PFIZER INC. $23.29 01/18/2024 Food and Beverage Undisputed 01/23/2026 1130985251 CMS
PFIZER INC. $14.93 12/19/2024 Food and Beverage Undisputed 01/23/2026 1131179111 CMS
Xeris Pharmaceuticals, Inc. $17.19 04/04/2024 Food and Beverage Undisputed 01/23/2026 1144585532 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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