Payment overview · 2025
General Payments
$365.21
2 reported records · 2 companies
Healthcare provider profile · identity verified
Dean Karras, MD
Allopathic & Osteopathic Physicians|Internal Medicine · WILMINGTON, NC · NPI 1265472278
Verified facts
What the public records show
CMS Open Payments records show Dean Karras, MD received $365.21 in general payments during 2025 across 2 reported records.
Alphatec Spine, Inc accounted for 95.3% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 2 associated products.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Alphatec Spine, Inc | Unresolved — no canonical attribution shown | $348.00 | 95.3% | 1 | 2025 |
| Celltrion USA Inc. | Unresolved — no canonical attribution shown | $17.21 | 4.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Travel and Lodging | $348.00 | 1 |
| Food and Beverage | $17.21 | 1 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| Other - Miscellaneous Normalized: other miscellaneous |
Device | Alphatec Spine, Inc | $348.00 | 1 | 2025 |
Source payment records
|
|||||
| VEGZELMA Normalized: vegzelma |
Biological | Celltrion USA Inc. | $17.21 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 1011 | 243 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 722 | 197 |
| Amlodipine Besylate | Amlodipine Besylate | 557 | 151 |
| Atorvastatin Calcium | Atorvastatin Calcium | 529 | 134 |
| Pantoprazole Sodium | Pantoprazole Sodium | 524 | 152 |
| Losartan Potassium | Losartan Potassium | 478 | 119 |
| Metoprolol Succinate | Metoprolol Succinate | 438 | 108 |
| Alprazolam | Alprazolam | 417 | 85 |
| Ezetimibe | Ezetimibe | 407 | 111 |
| Gabapentin | Gabapentin | 339 | 85 |
| Hydrochlorothiazide | Hydrochlorothiazide | 299 | 78 |
| Omeprazole | Omeprazole | 289 | 81 |
| Metformin Hcl Er | Metformin Hcl | 282 | 76 |
| Tamsulosin Hcl | Tamsulosin Hcl | 276 | 84 |
| Pravastatin Sodium | Pravastatin Sodium | 257 | 65 |
| Tramadol Hcl | Tramadol Hcl | 249 | 54 |
| Temazepam | Temazepam | 239 | 46 |
| Zolpidem Tartrate | Zolpidem Tartrate | 236 | 66 |
| Furosemide | Furosemide | 209 | 66 |
| Potassium Chloride | Potassium Chloride | 207 | 56 |
| Valsartan | Valsartan | 197 | 58 |
| Allopurinol | Allopurinol | 192 | 53 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 185 | 36 |
| Finasteride | Finasteride | 177 | 46 |
| Sertraline Hcl | Sertraline Hcl | 174 | 41 |
| Synthroid | Levothyroxine Sodium | 172 | 43 |
| Duloxetine Hcl | Duloxetine Hcl | 161 | 47 |
| Lisinopril | Lisinopril | 153 | 41 |
| Ozempic | Semaglutide | 150 | 25 |
| Meloxicam | Meloxicam | 147 | 52 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 147 | 22 |
| Eliquis | Apixaban | 146 | 37 |
| Clopidogrel | Clopidogrel Bisulfate | 135 | 36 |
| Trazodone Hcl | Trazodone Hcl | 114 | 32 |
| Bupropion Xl | Bupropion Hcl | 111 | 31 |
| Metformin Hcl | Metformin Hcl | 110 | 34 |
| Celecoxib | Celecoxib | 105 | 34 |
| Escitalopram Oxalate | Escitalopram Oxalate | 105 | 27 |
| Prednisone | Prednisone | 103 | 70 |
| Mirtazapine | Mirtazapine | 102 | 31 |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 99 | 30 |
| Repatha Sureclick | Evolocumab | 99 | 21 |
| Montelukast Sodium | Montelukast Sodium | 98 | 27 |
| Fluticasone Propionate | Fluticasone Propionate | 96 | 34 |
| Simvastatin | Simvastatin | 96 | 26 |
| Januvia | Sitagliptin Phosphate | 95 | 22 |
| Lorazepam | Lorazepam | 93 | 22 |
| Famotidine | Famotidine | 89 | 27 |
| Amitriptyline Hcl | Amitriptyline Hcl | 86 | 27 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 86 | 25 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 80 | 37 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 80 | 22 |
| Metoprolol Tartrate | Metoprolol Tartrate | 80 | 25 |
| Pregabalin | Pregabalin | 80 | 16 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 78 | 20 |
| Methocarbamol | Methocarbamol | 75 | 29 |
| Spironolactone | Spironolactone | 75 | 21 |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 72 | 18 |
| Cefdinir | Cefdinir | 70 | 59 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 68 | 55 |
| Jardiance | Empagliflozin | 67 | 17 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 66 | 18 |
| Donepezil Hcl | Donepezil Hcl | 65 | 15 |
| Telmisartan | Telmisartan | 64 | 19 |
| Ondansetron Hcl | Ondansetron Hcl | 62 | 28 |
| Carvedilol | Carvedilol | 61 | 17 |
| Citalopram Hbr | Citalopram Hydrobromide | 58 | 17 |
| Clonazepam | Clonazepam | 58 | 14 |
| Hydralazine Hcl | Hydralazine Hcl | 58 | 17 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 56 | 14 |
| Irbesartan | Irbesartan | 56 | 13 |
| Oxycodone Hcl | Oxycodone Hcl | 56 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 55 | 14 |
| Ipratropium Bromide | Ipratropium Bromide | 53 | 14 |
| Benazepril Hcl | Benazepril Hcl | 47 | 12 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 47 | 13 |
| Alendronate Sodium | Alendronate Sodium | 45 | 11 |
| Chlorthalidone | Chlorthalidone | 44 | 15 |
| Fluoxetine Hcl | Fluoxetine Hcl | 44 | 11 |
| Myrbetriq | Mirabegron | 43 | suppressed |
| Topiramate | Topiramate | 42 | 12 |
| Propranolol Hcl | Propranolol Hcl | 39 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 38 | 12 |
| Morphine Sulfate Er | Morphine Sulfate | 38 | suppressed |
| Nitroglycerin | Nitroglycerin | 37 | 30 |
| Mometasone Furoate | Mometasone Furoate | 36 | 16 |
| Atenolol | Atenolol | 35 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 35 | 19 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 35 | suppressed |
| Ramipril | Ramipril | 34 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 34 | suppressed |
| Diazepam | Diazepam | 33 | suppressed |
| Memantine Hcl | Memantine Hcl | 32 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 32 | 32 |
| Carisoprodol | Carisoprodol | 31 | suppressed |
| Estradiol | Estradiol | 30 | suppressed |
| Mupirocin | Mupirocin | 29 | 21 |
| Azithromycin | Azithromycin | 28 | 26 |
| Candesartan Cilexetil | Candesartan Cilexetil | 28 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 28 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 28 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 28 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 27 | suppressed |
| Nystatin | Nystatin | 27 | 14 |
| Solifenacin Succinate | Solifenacin Succinate | 27 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 26 | 13 |
| Armour Thyroid | Thyroid,pork | 25 | suppressed |
| Felodipine Er | Felodipine | 25 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 25 | suppressed |
| Raloxifene Hcl | Raloxifene Hcl | 25 | suppressed |
| Colchicine | Colchicine | 24 | 13 |
| Doxycycline Hyclate | Doxycycline Hyclate | 24 | 16 |
| Hydroxychloroquine Sulfate | Hydroxychloroquine Sulfate | 24 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 24 | suppressed |
| Sotalol | Sotalol Hcl | 24 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 23 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 22 | suppressed |
| Tramadol Hcl Er | Tramadol Hcl | 22 | suppressed |
| Dextroamphetamine-Amphet Er | Dextroamphetamine/Amphetamine | 21 | suppressed |
| Ketoconazole | Ketoconazole | 21 | 12 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 21 | 18 |
| Pitavastatin Calcium | Pitavastatin Calcium | 21 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 21 | suppressed |
| Glimepiride | Glimepiride | 20 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 20 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 20 | suppressed |
| Diphenoxylate-Atropine | Diphenoxylate Hcl/Atropine | 19 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 19 | suppressed |
| Gemtesa | Vibegron | 19 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 19 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 17 | suppressed |
| Klor-Con M20 | Potassium Chloride | 17 | suppressed |
| Methadone Hcl | Methadone Hcl | 17 | suppressed |
| Ondansetron Odt | Ondansetron | 17 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 16 | 15 |
| Edarbi | Azilsartan Medoxomil | 16 | suppressed |
| Livalo | Pitavastatin Calcium | 16 | suppressed |
| Methimazole | Methimazole | 16 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 16 | suppressed |
| Rybelsus | Semaglutide | 16 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 16 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 15 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 15 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 15 | suppressed |
| Cephalexin | Cephalexin | 15 | 12 |
| Cilostazol | Cilostazol | 15 | suppressed |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 15 | 13 |
| Dropsafe Prep Pads | Alcohol Antiseptic Pads | 15 | suppressed |
| Fluconazole | Fluconazole | 15 | 12 |
| Baclofen | Baclofen | 14 | suppressed |
| Cefuroxime | Cefuroxime Axetil | 14 | 14 |
| Lithium Carbonate | Lithium Carbonate | 14 | suppressed |
| Acyclovir | Acyclovir | 13 | suppressed |
| Amoxicillin | Amoxicillin | 13 | 12 |
| Azelastine Hcl | Azelastine Hcl | 13 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 13 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 13 | suppressed |
| Levetiracetam | Levetiracetam | 13 | suppressed |
| Liothyronine Sodium | Liothyronine Sodium | 13 | suppressed |
| Morphine Sulfate | Morphine Sulfate | 13 | suppressed |
| Olmesartan-Hydrochlorothiazide | Olmesartan/Hydrochlorothiazide | 13 | suppressed |
| Torsemide | Torsemide | 13 | suppressed |
| Verapamil Er | Verapamil Hcl | 13 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 13 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 12 | suppressed |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 12 | suppressed |
| Lactulose | Lactulose | 12 | suppressed |
| Oxycontin | Oxycodone Hcl | 12 | suppressed |
| Clonidine | Clonidine | 11 | suppressed |
| Combipatch | Estradiol/Norethindrone Acet | 11 | suppressed |
| Desipramine Hcl | Desipramine Hcl | 11 | suppressed |
| Fludrocortisone Acetate | Fludrocortisone Acetate | 11 | suppressed |
| Glipizide | Glipizide | 11 | suppressed |
| Permethrin | Permethrin | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $365.21 · 2 records | Alphatec Spine, Inc | Other - Miscellaneous, VEGZELMA | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error