Healthcare provider profile · identity verified

Karla D Hostetler, APRN

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner · NEWTON, KS · NPI 1669436366

Profile state: payments and partd Open Payments: 2025 Medicare Part D: 2024 Last identity check: 2026-08-10 Page data build: 2026-08-12

Verified facts

What the public records show

CMS Open Payments records show Karla D Hostetler, APRN received $617.77 in general payments during 2025 across 28 reported records.

AstraZeneca Pharmaceuticals LP accounted for 25.5% of that reported general-payment amount.

The Open Payments records used for this analysis explicitly named 26 associated products.

A separate comparison found the same explicitly named product in public Medicare Part D data: Farxiga, Jardiance, Mounjaro, Ozempic, Qulipta.

ABBVIE INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported LINZESS as an associated drug or biological on 87954 records involving 21815 distinct recipient NPIs. Public Medicare Part D data also shows 40 claims for Linzess by this doctor in 2024.

ABBVIE INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported QULIPTA as an associated drug or biological on 298617 records involving 58957 distinct recipient NPIs. Public Medicare Part D data also shows 14 claims for Qulipta by this doctor in 2024.

ABBVIE INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported SYNTHROID as an associated drug or biological on 10655 records involving 4881 distinct recipient NPIs. Public Medicare Part D data also shows 21 claims for Synthroid by this doctor in 2024.

AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported FARXIGA as an associated drug or biological on 106133 records involving 42906 distinct recipient NPIs. Public Medicare Part D data also shows 54 claims for Farxiga by this doctor in 2024.

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 29 claims for Trelegy Ellipta by this doctor in 2024.

Lilly USA, 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 JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 44 claims for Jardiance by this doctor in 2024.

Lilly USA, 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 MOUNJARO as an associated drug or biological on 186719 records involving 66436 distinct recipient NPIs. Public Medicare Part D data also shows 46 claims for Mounjaro by this doctor in 2024.

Novo Nordisk Inc reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Ozempic as an associated drug or biological on 261625 records involving 77793 distinct recipient NPIs. Public Medicare Part D data also shows 66 claims for Ozempic by this doctor in 2024.

PFIZER INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported ELIQUIS as an associated drug or biological on 87112 records involving 36032 distinct recipient NPIs. Public Medicare Part D data also shows 228 claims for Eliquis by this doctor in 2024.

These records do not establish that a payment influenced prescribing or medical care.

Payment overview · 2025

General Payments

$617.77

28 reported records · 12 companies

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 companyCanonical companyAmountShareRecordsYear
AstraZeneca Pharmaceuticals LP Unresolved — no canonical attribution shown $157.7525.5%52025
Medtronic, Inc. Medtronic, Inc.
exact · evidence 2025-07-22
$96.1815.6%42025
PFIZER INC. Unresolved — no canonical attribution shown $71.2811.5%42025
Lilly USA, LLC Unresolved — no canonical attribution shown $63.0210.2%42025
ABBVIE INC. Unresolved — no canonical attribution shown $58.029.4%32025
Novo Nordisk Inc Unresolved — no canonical attribution shown $41.466.7%22025
Lundbeck LLC Unresolved — no canonical attribution shown $26.334.3%12025
Abbott Laboratories Unresolved — no canonical attribution shown $24.604.0%12025
Otsuka America Pharmaceutical, Inc. Unresolved — no canonical attribution shown $24.504.0%12025
Insulet Corporation Unresolved — no canonical attribution shown $21.573.5%12025
Amgen Inc. Unresolved — no canonical attribution shown $18.863.0%12025
GlaxoSmithKline, LLC. Unresolved — no canonical attribution shown $14.202.3%12025

What were the payments for?

Payment categories

CategoryAmountRecords
Food and Beverage$617.7728

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 productTypeReported companyRelated amount*RecordsYear
AIRSUPRA
Normalized: airsupra
Drug AstraZeneca Pharmaceuticals LP $109.77 2 2025
Source payment records
FARXIGA
Normalized: farxiga
Drug AstraZeneca Pharmaceuticals LP $97.73 1 2025
Source payment records
INTELLIS ADAPTIVESTIM
Normalized: intellis adaptivestim
Device Medtronic, Inc. $96.18 4 2025
Source payment records
ABRYSVO
Normalized: abrysvo
Biological PFIZER INC. $57.65 3 2025
Source payment records
COMIRNATY
Normalized: comirnaty
Biological PFIZER INC. $57.65 3 2025
Source payment records
PREVNAR 20
Normalized: prevnar 20
Biological PFIZER INC. $57.65 3 2025
Source payment records
REXULTI
Normalized: rexulti
Drug Lundbeck LLC, Otsuka America Pharmaceutical, Inc. $50.83 2 2025
Source payment records
BREZTRI
Normalized: breztri
Drug AstraZeneca Pharmaceuticals LP $47.98 3 2025
Source payment records
VRAYLAR
Normalized: vraylar
Drug ABBVIE INC. $44.55 2 2025
Source payment records
Ozempic
Normalized: ozempic
Drug Novo Nordisk Inc $41.46 2 2025
Source payment records
MOUNJARO
Normalized: mounjaro
Drug Lilly USA, LLC $31.06 2 2025
Source payment records
FREESTYLE LIBRE 3
Normalized: freestyle libre 3
Device Abbott Laboratories $24.60 1 2025
Source payment records
Rybelsus
Normalized: rybelsus
Drug Novo Nordisk Inc $22.60 1 2025
Source payment records
Omnipod
Normalized: omnipod
Device Insulet Corporation $21.57 1 2025
Source payment records
EVENITY
Normalized: evenity
Biological Amgen Inc. $18.86 1 2025
Source payment records
PROLIA
Normalized: prolia
Biological Amgen Inc. $18.86 1 2025
Source payment records
KISUNLA
Normalized: kisunla
Drug Lilly USA, LLC $17.02 1 2025
Source payment records
ZEPBOUND
Normalized: zepbound
Drug Lilly USA, LLC $15.25 1 2025
Source payment records
JARDIANCE
Normalized: jardiance
Drug Lilly USA, LLC $14.94 1 2025
Source payment records
AREXVY
Normalized: arexvy
Biological GlaxoSmithKline, LLC. $14.20 1 2025
Source payment records
BEXSERO
Normalized: bexsero
Biological GlaxoSmithKline, LLC. $14.20 1 2025
Source payment records
SHINGRIX
Normalized: shingrix
Biological GlaxoSmithKline, LLC. $14.20 1 2025
Source payment records
NURTEC ODT
Normalized: nurtec odt
Drug PFIZER INC. $13.63 1 2025
Source payment records
ZAVZPRET
Normalized: zavzpret
Drug PFIZER INC. $13.63 1 2025
Source payment records
QULIPTA
Normalized: qulipta
Drug ABBVIE INC. $13.47 1 2025
Source payment records
UBRELVY
Normalized: ubrelvy
Drug ABBVIE INC. $13.47 1 2025
Source payment records

* 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

Open Payments productPayment yearPart D brandPart D yearClaimsMatch methodSource
FARXIGA
farxiga
2025 Farxiga 2024 54
Beneficiary count suppressed
exact normalized Medicare Part D
JARDIANCE
jardiance
2025 Jardiance 2024 44 exact normalized Medicare Part D
MOUNJARO
mounjaro
2025 Mounjaro 2024 46
Beneficiary count suppressed
exact normalized Medicare Part D
Ozempic
ozempic
2025 Ozempic 2024 66 exact normalized Medicare Part D
QULIPTA
qulipta
2025 Qulipta 2024 14
Beneficiary count suppressed
exact normalized Medicare Part D

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 companyPayment yearDrug reported by same entityOpen Payments evidencePart DClaimsBeneficiaries
ABBVIE INC.
Exact reporting entity; no affiliate inference
2025 LINZESS
open payments reported associated product
CMS Open Payments — General Payments
87954 supporting records · 21815 recipient NPIs · example record 1201352608
Linzess · 2024
Exact normalized brand match · 1 Part D row
40 suppressed by CMS
ABBVIE INC.
Exact reporting entity; no affiliate inference
2025 QULIPTA
open payments reported associated product
CMS Open Payments — General Payments
298617 supporting records · 58957 recipient NPIs · example record 1201352530
Qulipta · 2024
Exact normalized brand match · 1 Part D row
14 suppressed by CMS
ABBVIE INC.
Exact reporting entity; no affiliate inference
2025 SYNTHROID
open payments reported associated product
CMS Open Payments — General Payments
10655 supporting records · 4881 recipient NPIs · example record 1201352636
Synthroid · 2024
Exact normalized brand match · 1 Part D row
21 suppressed by CMS
AstraZeneca Pharmaceuticals LP
Exact reporting entity; no affiliate inference
2025 FARXIGA
open payments reported associated product
CMS Open Payments — General Payments
106133 supporting records · 42906 recipient NPIs · example record 1206131362
Farxiga · 2024
Exact normalized brand match · 1 Part D row
54 suppressed by CMS
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
29 suppressed by CMS
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 JARDIANCE
open payments reported associated product
CMS Open Payments — General Payments
47708 supporting records · 23833 recipient NPIs · example record 1186464557
Jardiance · 2024
Exact normalized brand match · 1 Part D row
44 11
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 MOUNJARO
open payments reported associated product
CMS Open Payments — General Payments
186719 supporting records · 66436 recipient NPIs · example record 1186464455
Mounjaro · 2024
Exact normalized brand match · 1 Part D row
46 suppressed by CMS
Novo Nordisk Inc
Exact reporting entity; no affiliate inference
2025 Ozempic
open payments reported associated product
CMS Open Payments — General Payments
261625 supporting records · 77793 recipient NPIs · example record 1188130076
Ozempic · 2024
Exact normalized brand match · 1 Part D row
66 12
PFIZER INC.
Exact reporting entity; no affiliate inference
2025 ELIQUIS
open payments reported associated product
CMS Open Payments — General Payments
87112 supporting records · 36032 recipient NPIs · example record 1228794063
Eliquis · 2024
Exact normalized brand match · 1 Part D row
228 25

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

BrandGenericClaimsBeneficiaries
Levothyroxine SodiumLevothyroxine Sodium51775
FamotidineFamotidine50257
Potassium ChloridePotassium Chloride44758
Atorvastatin CalciumAtorvastatin Calcium44379
Losartan PotassiumLosartan Potassium42364
OmeprazoleOmeprazole41276
Amlodipine BesylateAmlodipine Besylate38563
Sertraline HclSertraline Hcl37041
FurosemideFurosemide36049
Metoprolol SuccinateMetoprolol Succinate31444
LisinoprilLisinopril30255
Rosuvastatin CalciumRosuvastatin Calcium28258
Donepezil HclDonepezil Hcl25521
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen25534
Pantoprazole SodiumPantoprazole Sodium24927
GabapentinGabapentin23939
EliquisApixaban22825
Metoprolol TartrateMetoprolol Tartrate21833
Escitalopram OxalateEscitalopram Oxalate19626
Metformin HclMetformin Hcl17735
Trazodone HclTrazodone Hcl17031
SimvastatinSimvastatin16424
Bupropion XlBupropion Hcl14517
ClopidogrelClopidogrel Bisulfate14415
CephalexinCephalexin14253
MirtazapineMirtazapine14016
Tramadol HclTramadol Hcl14028
Tamsulosin HclTamsulosin Hcl13730
CarvedilolCarvedilol13021
HydrochlorothiazideHydrochlorothiazide12825
Duloxetine HclDuloxetine Hcl12416
FentanylFentanyl121suppressed
PrednisonePrednisone12048
LorazepamLorazepam11118
GemtesaVibegron97suppressed
Ropinirole HclRopinirole Hcl9614
Propranolol HclPropranolol Hcl93suppressed
CelecoxibCelecoxib88suppressed
Desvenlafaxine Succinate ErDesvenlafaxine Succinate86suppressed
Fluticasone PropionateFluticasone Propionate8528
Memantine HclMemantine Hcl82suppressed
Warfarin SodiumWarfarin Sodium81suppressed
MyrbetriqMirabegron78suppressed
Quetiapine FumarateQuetiapine Fumarate7712
Pravastatin SodiumPravastatin Sodium7618
Albuterol Sulfate HfaAlbuterol Sulfate7432
Citalopram HbrCitalopram Hydrobromide7311
BumetanideBumetanide71suppressed
Venlafaxine Hcl ErVenlafaxine Hcl7011
Amiodarone HclAmiodarone Hcl68suppressed
MeloxicamMeloxicam6820
Alendronate SodiumAlendronate Sodium6723
TorsemideTorsemide67suppressed
Divalproex SodiumDivalproex Sodium66suppressed
OzempicSemaglutide6612
DutasterideDutasteride65suppressed
Montelukast SodiumMontelukast Sodium6515
LevetiracetamLevetiracetam63suppressed
Pramipexole DihydrochloridePramipexole Di-Hcl62suppressed
Carbidopa-LevodopaCarbidopa/Levodopa61suppressed
AtenololAtenolol60suppressed
Ipratropium-AlbuterolIpratropium/Albuterol Sulfate58suppressed
PregabalinPregabalin58suppressed
Diltiazem 24hr Er (Cd)Diltiazem Hcl56suppressed
Buspirone HclBuspirone Hcl55suppressed
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide55suppressed
FarxigaDapagliflozin Propanediol54suppressed
Dicyclomine HclDicyclomine Hcl53suppressed
Enalapril MaleateEnalapril Maleate53suppressed
Metformin Hcl ErMetformin Hcl5312
XareltoRivaroxaban52suppressed
TopiramateTopiramate50suppressed
AlprazolamAlprazolam4911
Amitriptyline HclAmitriptyline Hcl49suppressed
AmoxicillinAmoxicillin4831
MounjaroTirzepatide46suppressed
PrimidonePrimidone46suppressed
Breo ElliptaFluticasone/Vilanterol45suppressed
JardianceEmpagliflozin4411
Zolpidem TartrateZolpidem Tartrate44suppressed
Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid42suppressed
Doxazosin MesylateDoxazosin Mesylate41suppressed
LinzessLinaclotide40suppressed
Methenamine HippurateMethenamine Hippurate40suppressed
SpironolactoneSpironolactone40suppressed
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav3833
AllopurinolAllopurinol37suppressed
LoperamideLoperamide Hcl37suppressed
Tizanidine HclTizanidine Hcl3711
AripiprazoleAripiprazole36suppressed
NystatinNystatin3318
TelmisartanTelmisartan33suppressed
EstradiolEstradiol3215
Triamcinolone AcetonideTriamcinolone Acetonide3212
ClonazepamClonazepam31suppressed
Colestipol HclColestipol Hcl31suppressed
Oxybutynin Chloride ErOxybutynin Chloride31suppressed
Betamethasone ValerateBetamethasone Valerate30suppressed
Tolterodine Tartrate ErTolterodine Tartrate29suppressed
Trelegy ElliptaFluticasone/Umeclidin/Vilanter29suppressed
Isosorbide DinitrateIsosorbide Dinitrate28suppressed
Tresiba Flextouch U-200Insulin Degludec28suppressed
Benazepril HclBenazepril Hcl27suppressed
Ondansetron HclOndansetron Hcl2712
TemazepamTemazepam27suppressed
Carbidopa-Levodopa ErCarbidopa/Levodopa26suppressed
Cyclobenzaprine HclCyclobenzaprine Hcl2612
EntrestoSacubitril/Valsartan26suppressed
GlimepirideGlimepiride26suppressed
LamotrigineLamotrigine26suppressed
NystopNystatin26suppressed
Oxtellar XrOxcarbazepine26suppressed
Azelastine HclAzelastine Hcl25suppressed
BaclofenBaclofen25suppressed
FinasterideFinasteride25suppressed
Paroxetine HclParoxetine Hcl25suppressed
RisperidoneRisperidone24suppressed
CefuroximeCefuroxime Axetil2321
AzithromycinAzithromycin2219
DigoxinDigoxin22suppressed
Fluvoxamine MaleateFluvoxamine Maleate22suppressed
LovastatinLovastatin21suppressed
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim2118
SynthroidLevothyroxine Sodium21suppressed
AmantadineAmantadine Hcl20suppressed
Glipizide ErGlipizide20suppressed
Novolog FlexpenInsulin Aspart19suppressed
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide18suppressed
Mesalamine DrMesalamine18suppressed
SotalolSotalol Hcl18suppressed
Toujeo SolostarInsulin Glargine,hum.Rec.Anlog18suppressed
ClotrimazoleClotrimazole17suppressed
Doxepin HclDoxepin Hcl17suppressed
Fluoxetine HclFluoxetine Hcl17suppressed
Prazosin HclPrazosin Hcl17suppressed
Autoshield Duo Pen NeedlePen Needle,dual Safety,diabetc16suppressed
Neomycin-Polymyxin-DexamethNeomycin/Polymyxin B/Dexametha1613
ValacyclovirValacyclovir Hcl16suppressed
Divalproex Sodium ErDivalproex Sodium15suppressed
EzetimibeEzetimibe15suppressed
LatanoprostLatanoprost15suppressed
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst1513
AcyclovirAcyclovir14suppressed
Doxycycline HyclateDoxycycline Hyclate1414
FluconazoleFluconazole1414
Fluticasone-SalmeterolFluticasone Propion/Salmeterol14suppressed
QuliptaAtogepant14suppressed
Verapamil ErVerapamil Hcl14suppressed
Ciprofloxacin HclCiprofloxacin Hcl13suppressed
DiazepamDiazepam13suppressed
Emgality PenGalcanezumab-Gnlm12suppressed
Imipramine HclImipramine Hcl12suppressed
Labetalol HclLabetalol Hcl12suppressed
Nifedipine ErNifedipine12suppressed
Oxybutynin ChlorideOxybutynin Chloride12suppressed
Pyridostigmine BromidePyridostigmine Bromide12suppressed
Solifenacin SuccinateSolifenacin Succinate12suppressed
Bupropion Hcl SrBupropion Hcl11suppressed
CholestyramineCholestyramine (With Sugar)11suppressed
Econazole NitrateEconazole Nitrate11suppressed
Fluticasone Propionate HfaFluticasone Propionate11suppressed
Klor-Con M20Potassium Chloride11suppressed
Liothyronine SodiumLiothyronine Sodium11suppressed
MethimazoleMethimazole11suppressed
MethocarbamolMethocarbamol11suppressed
MethylprednisoloneMethylprednisolone1111

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.

YearGeneral PaymentsMain payerExplicit productsCompany overlapsPart D coverage
2025 $617.77 · 28 records AstraZeneca Pharmaceuticals LP ABRYSVO, AIRSUPRA, AREXVY, BEXSERO, BREZTRI, COMIRNATY, EVENITY, FARXIGA, FREESTYLE LIBRE 3, INTELLIS ADAPTIVESTIM, JARDIANCE, KISUNLA, MOUNJARO, NURTEC ODT, Omnipod, Ozempic, PREVNAR 20, PROLIA, QULIPTA, REXULTI, Rybelsus, SHINGRIX, UBRELVY, VRAYLAR, ZAVZPRET, ZEPBOUND 9
2024 Complete

Questions to ask

Questions you could discuss with your doctor

These are general questions generated from reviewed templates. They are not personalized medical advice.

Sources and limitations

How to read this page

Loaded source releases

DatasetYearPublicationSource
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

Methodology version: 2.1

Editorial template version: 2.4

Product contract version: 2.0

Schema version: 0.7.0

Page data build: 2026-08-12T23:34:59.370714+00:00

Publication policy: eligible for indexing after public-launch controls are enabled

Full methodology · Questions & answers · Report a possible error