Payment overview · 2025
General Payments
$21.75
1 reported records · 1 companies
Healthcare provider profile · identity verified
Doris Karam, M.D.
Allopathic & Osteopathic Physicians|Internal Medicine · MODESTO, CA · NPI 1326069246
Verified facts
What the public records show
CMS Open Payments records show Doris Karam, M.D. received $21.75 in general payments during 2025 across 1 reported records.
GlaxoSmithKline, LLC. accounted for 100.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 1 associated product.
GlaxoSmithKline, LLC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported TRELEGY ELLIPTA as an associated drug or biological on 131532 records involving 37148 distinct recipient NPIs. Public Medicare Part D data also shows 20 claims for Trelegy Ellipta by this doctor in 2024.
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 |
|---|---|---|---|---|---|
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $21.75 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $21.75 | 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 |
|---|---|---|---|---|---|
| NUCALA Normalized: nucala |
Biological | GlaxoSmithKline, LLC. | $21.75 | 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.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| GlaxoSmithKline, LLC. Exact reporting entity; no affiliate inference |
2025 | TRELEGY ELLIPTA open payments reported associated product |
CMS Open Payments — General Payments 131532 supporting records · 37148 recipient NPIs · example record 1190332369 |
Trelegy Ellipta · 2024 Exact normalized brand match · 1 Part D row |
20 | suppressed by CMS |
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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 638 | 240 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 597 | 128 |
| Levothyroxine Sodium | Levothyroxine Sodium | 447 | 157 |
| Losartan Potassium | Losartan Potassium | 425 | 157 |
| Amlodipine Besylate | Amlodipine Besylate | 407 | 152 |
| Gabapentin | Gabapentin | 366 | 94 |
| Lisinopril | Lisinopril | 326 | 119 |
| Omeprazole | Omeprazole | 266 | 83 |
| Alprazolam | Alprazolam | 260 | 71 |
| Metoprolol Succinate | Metoprolol Succinate | 206 | 75 |
| Pantoprazole Sodium | Pantoprazole Sodium | 198 | 77 |
| Metformin Hcl | Metformin Hcl | 179 | 69 |
| Tamsulosin Hcl | Tamsulosin Hcl | 172 | 53 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 170 | 61 |
| Tramadol Hcl | Tramadol Hcl | 165 | 37 |
| Hydrochlorothiazide | Hydrochlorothiazide | 162 | 59 |
| Escitalopram Oxalate | Escitalopram Oxalate | 155 | 49 |
| Metoprolol Tartrate | Metoprolol Tartrate | 154 | 49 |
| Furosemide | Furosemide | 153 | 58 |
| Potassium Chloride | Potassium Chloride | 146 | 50 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 146 | 49 |
| Trazodone Hcl | Trazodone Hcl | 137 | 46 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 126 | 25 |
| Alendronate Sodium | Alendronate Sodium | 117 | 48 |
| Zolpidem Tartrate | Zolpidem Tartrate | 115 | 22 |
| Cephalexin | Cephalexin | 114 | 83 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 108 | 34 |
| Lorazepam | Lorazepam | 105 | 33 |
| Buspirone Hcl | Buspirone Hcl | 100 | 23 |
| Famotidine | Famotidine | 100 | 35 |
| Meloxicam | Meloxicam | 95 | 25 |
| Tizanidine Hcl | Tizanidine Hcl | 94 | 20 |
| Simvastatin | Simvastatin | 90 | 34 |
| Eliquis | Apixaban | 89 | 32 |
| Ibuprofen | Ibuprofen | 89 | 26 |
| Promethazine Hcl | Promethazine Hcl | 87 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 85 | 38 |
| Carvedilol | Carvedilol | 84 | 33 |
| Montelukast Sodium | Montelukast Sodium | 83 | 32 |
| Pregabalin | Pregabalin | 83 | 19 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 78 | 21 |
| Sertraline Hcl | Sertraline Hcl | 77 | 27 |
| Morphine Sulfate Er | Morphine Sulfate | 76 | suppressed |
| Estradiol | Estradiol | 75 | 27 |
| Nystatin | Nystatin | 75 | 27 |
| Duloxetine Hcl | Duloxetine Hcl | 72 | 27 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 69 | 26 |
| Ezetimibe | Ezetimibe | 65 | 21 |
| Atenolol | Atenolol | 64 | 22 |
| Citalopram Hbr | Citalopram Hydrobromide | 60 | 24 |
| Clonazepam | Clonazepam | 57 | 14 |
| Baclofen | Baclofen | 56 | 25 |
| Benazepril Hcl | Benazepril Hcl | 56 | 19 |
| Ondansetron Hcl | Ondansetron Hcl | 56 | 24 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 55 | 15 |
| Acyclovir | Acyclovir | 54 | 25 |
| Allopurinol | Allopurinol | 54 | 18 |
| Finasteride | Finasteride | 54 | 19 |
| Metformin Hcl Er | Metformin Hcl | 53 | 20 |
| Fluoxetine Hcl | Fluoxetine Hcl | 52 | 22 |
| Clopidogrel | Clopidogrel Bisulfate | 51 | 21 |
| Hydralazine Hcl | Hydralazine Hcl | 51 | 19 |
| Bupropion Xl | Bupropion Hcl | 50 | 18 |
| Lovastatin | Lovastatin | 48 | 17 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 47 | 14 |
| Azithromycin | Azithromycin | 45 | 36 |
| Oxycodone Hcl | Oxycodone Hcl | 45 | 12 |
| Valsartan | Valsartan | 45 | 16 |
| Amitriptyline Hcl | Amitriptyline Hcl | 42 | 13 |
| Glipizide Er | Glipizide | 42 | 11 |
| Glipizide | Glipizide | 41 | 17 |
| Januvia | Sitagliptin Phosphate | 40 | 14 |
| Ampicillin-Sulbactam | Ampicillin Sod/Sulbactam Sod | 39 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 39 | 15 |
| Glimepiride | Glimepiride | 38 | 17 |
| Prednisone | Prednisone | 38 | 19 |
| Synthroid | Levothyroxine Sodium | 38 | 13 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 37 | 34 |
| Celecoxib | Celecoxib | 37 | suppressed |
| Ondansetron Odt | Ondansetron | 37 | 15 |
| Clonidine Hcl | Clonidine Hcl | 34 | 11 |
| Carisoprodol | Carisoprodol | 33 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 33 | 13 |
| Quetiapine Fumarate | Quetiapine Fumarate | 33 | suppressed |
| Spironolactone | Spironolactone | 32 | 13 |
| Amiodarone Hcl | Amiodarone Hcl | 31 | 12 |
| Rybelsus | Semaglutide | 31 | suppressed |
| Hydrocortisone | Hydrocortisone | 30 | 13 |
| Mirtazapine | Mirtazapine | 30 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 29 | 14 |
| Ventolin Hfa | Albuterol Sulfate | 29 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 28 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 28 | 13 |
| Naproxen | Naproxen | 28 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 28 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 27 | 12 |
| Sumatriptan Succinate | Sumatriptan Succinate | 27 | suppressed |
| Temazepam | Temazepam | 27 | 11 |
| Xarelto | Rivaroxaban | 27 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 26 | 18 |
| Jardiance | Empagliflozin | 26 | suppressed |
| Ozempic | Semaglutide | 25 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 25 | 19 |
| Amoxicillin | Amoxicillin | 24 | 18 |
| Diazepam | Diazepam | 24 | 11 |
| Farxiga | Dapagliflozin Propanediol | 24 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 24 | suppressed |
| Levetiracetam | Levetiracetam | 23 | suppressed |
| Fluconazole | Fluconazole | 22 | 13 |
| Nortriptyline Hcl | Nortriptyline Hcl | 22 | suppressed |
| Nystop | Nystatin | 22 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 21 | suppressed |
| Topiramate | Topiramate | 21 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 21 | 11 |
| Fluticasone Propionate Hfa | Fluticasone Propionate | 20 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 20 | 12 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 20 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 20 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 20 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 20 | suppressed |
| Creon | Lipase/Protease/Amylase | 19 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 19 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 18 | suppressed |
| Linzess | Linaclotide | 18 | suppressed |
| Mounjaro | Tirzepatide | 18 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 18 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 18 | suppressed |
| Clotrimazole | Clotrimazole | 17 | 13 |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 17 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 17 | suppressed |
| Chlorhexidine Gluconate | Chlorhexidine Gluconate | 16 | suppressed |
| Ketoconazole | Ketoconazole | 16 | suppressed |
| Mupirocin | Mupirocin | 16 | suppressed |
| Nitroglycerin | Nitroglycerin | 16 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 16 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 16 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 15 | suppressed |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 15 | 12 |
| Fenofibrate | Fenofibrate Nanocrystallized | 15 | suppressed |
| Fentanyl | Fentanyl | 15 | suppressed |
| Liothyronine Sodium | Liothyronine Sodium | 15 | suppressed |
| Spiriva Handihaler | Tiotropium Bromide | 15 | suppressed |
| Estradiol (Once Weekly) | Estradiol | 14 | suppressed |
| Folic Acid | Folic Acid | 14 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 14 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 13 | suppressed |
| Breyna | Budesonide/Formoterol Fumarate | 13 | suppressed |
| Clobetasol Propionate | Clobetasol Propionate | 13 | suppressed |
| Epinephrine | Epinephrine | 13 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 13 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 13 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 13 | suppressed |
| Butalb-Acetaminoph-Caff-Codein | Butalbit/Acetamin/Caff/Codeine | 12 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 12 | suppressed |
| Fenofibrate | Fenofibrate | 12 | suppressed |
| Fludrocortisone Acetate | Fludrocortisone Acetate | 12 | suppressed |
| Gentamicin Sulfate | Gentamicin Sulfate | 12 | suppressed |
| Levofloxacin | Levofloxacin | 12 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 12 | suppressed |
| Oxcarbazepine | Oxcarbazepine | 12 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 12 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 12 | 12 |
| Primidone | Primidone | 12 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 12 | suppressed |
| Anastrozole | Anastrozole | 11 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 11 | suppressed |
| Nifedipine Er | Nifedipine | 11 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 11 | suppressed |
| Ofloxacin | Ofloxacin | 11 | suppressed |
| Tirosint | Levothyroxine Sodium | 11 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 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 | $21.75 · 1 records | GlaxoSmithKline, LLC. | NUCALA | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with GlaxoSmithKline, LLC.?
- 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