Payment overview · 2025
General Payments
$20.37
1 reported records · 1 companies
Healthcare provider profile · identity verified
Frederick Karoub, MD
Allopathic & Osteopathic Physicians|Internal Medicine · ROYAL OAK, MI · NPI 1679554562
Verified facts
What the public records show
CMS Open Payments records show Frederick Karoub, MD received $20.37 in general payments during 2025 across 1 reported records.
Novo Nordisk Inc accounted for 100.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 2 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Ozempic.
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 140 claims for Ozempic 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 Wegovy as an associated drug or biological on 183056 records involving 75256 distinct recipient NPIs. Public Medicare Part D data also shows 13 claims for Wegovy 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 |
|---|---|---|---|---|---|
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $20.37 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $20.37 | 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 |
|---|---|---|---|---|---|
| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $20.37 | 1 | 2025 |
Source payment records
|
|||||
| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $20.37 | 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 product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| Ozempic ozempic |
2025 | Ozempic | 2024 | 140 | 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 company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| 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 |
140 | 30 |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Wegovy open payments reported associated product |
CMS Open Payments — General Payments 183056 supporting records · 75256 recipient NPIs · example record 1188130070 |
Wegovy · 2024 Exact normalized brand match · 1 Part D row |
13 | 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 | 917 | 235 |
| Levothyroxine Sodium | Levothyroxine Sodium | 417 | 105 |
| Amlodipine Besylate | Amlodipine Besylate | 391 | 102 |
| Alprazolam | Alprazolam | 382 | 83 |
| Omeprazole | Omeprazole | 309 | 85 |
| Lisinopril | Lisinopril | 278 | 63 |
| Metoprolol Succinate | Metoprolol Succinate | 271 | 72 |
| Metoprolol Tartrate | Metoprolol Tartrate | 248 | 51 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 235 | 99 |
| Eliquis | Apixaban | 228 | 47 |
| Tamsulosin Hcl | Tamsulosin Hcl | 211 | 67 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 203 | 64 |
| Clopidogrel | Clopidogrel Bisulfate | 200 | 46 |
| Metformin Hcl | Metformin Hcl | 194 | 50 |
| Furosemide | Furosemide | 184 | 55 |
| Pregabalin | Pregabalin | 178 | 45 |
| Gabapentin | Gabapentin | 171 | 27 |
| Methylprednisolone | Methylprednisolone | 166 | 125 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 156 | 27 |
| Losartan Potassium | Losartan Potassium | 154 | 51 |
| Azithromycin | Azithromycin | 147 | 111 |
| Carvedilol | Carvedilol | 145 | 36 |
| Fluticasone Propionate | Fluticasone Propionate | 141 | 60 |
| Ozempic | Semaglutide | 140 | 30 |
| Potassium Chloride | Potassium Chloride | 140 | 44 |
| Meloxicam | Meloxicam | 138 | 54 |
| Pantoprazole Sodium | Pantoprazole Sodium | 126 | 41 |
| Mirtazapine | Mirtazapine | 123 | 28 |
| Hydralazine Hcl | Hydralazine Hcl | 119 | 31 |
| Tramadol Hcl-Acetaminophen | Tramadol Hcl/Acetaminophen | 114 | 39 |
| Montelukast Sodium | Montelukast Sodium | 108 | 31 |
| Methocarbamol | Methocarbamol | 107 | 20 |
| Duloxetine Hcl | Duloxetine Hcl | 100 | 25 |
| Trazodone Hcl | Trazodone Hcl | 98 | 20 |
| Quetiapine Fumarate | Quetiapine Fumarate | 96 | 16 |
| Paroxetine Hcl | Paroxetine Hcl | 94 | 21 |
| Bupropion Xl | Bupropion Hcl | 91 | 24 |
| Fluoxetine Hcl | Fluoxetine Hcl | 91 | 23 |
| Finasteride | Finasteride | 87 | 28 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 87 | 26 |
| Zolpidem Tartrate | Zolpidem Tartrate | 87 | 16 |
| Citalopram Hbr | Citalopram Hydrobromide | 86 | 23 |
| Ibuprofen | Ibuprofen | 81 | 22 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 81 | 25 |
| Mounjaro | Tirzepatide | 81 | 13 |
| Allopurinol | Allopurinol | 80 | 17 |
| Pravastatin Sodium | Pravastatin Sodium | 77 | 21 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 75 | 25 |
| Escitalopram Oxalate | Escitalopram Oxalate | 74 | 13 |
| Repaglinide | Repaglinide | 74 | 18 |
| Famotidine | Famotidine | 70 | 27 |
| Lorazepam | Lorazepam | 69 | 13 |
| Simvastatin | Simvastatin | 68 | 19 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 67 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 67 | 22 |
| Donepezil Hcl | Donepezil Hcl | 63 | 15 |
| Breo Ellipta | Fluticasone/Vilanterol | 62 | 14 |
| Diclofenac Sodium | Diclofenac Sodium | 58 | 12 |
| Prednisone | Prednisone | 57 | 41 |
| Sertraline Hcl | Sertraline Hcl | 57 | 15 |
| Buspirone Hcl | Buspirone Hcl | 56 | 22 |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 55 | 13 |
| Buprenorphine-Naloxone | Buprenorphine Hcl/Naloxone Hcl | 55 | suppressed |
| Clonazepam | Clonazepam | 55 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 55 | 18 |
| Diazepam | Diazepam | 53 | 11 |
| Meclizine Hcl | Meclizine Hcl | 53 | 23 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 52 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 51 | 13 |
| Tramadol Hcl | Tramadol Hcl | 51 | 11 |
| Doxepin Hcl | Doxepin Hcl | 49 | 19 |
| Atenolol | Atenolol | 45 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 44 | suppressed |
| Ezetimibe | Ezetimibe | 42 | 13 |
| Alendronate Sodium | Alendronate Sodium | 40 | 12 |
| Autoshield Duo Pen Needle | Pen Needle,dual Safety,diabetc | 40 | suppressed |
| Cephalexin | Cephalexin | 40 | 33 |
| Memantine Hcl | Memantine Hcl | 40 | 12 |
| Oxycodone Hcl | Oxycodone Hcl | 40 | suppressed |
| Valsartan | Valsartan | 39 | 11 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 38 | 14 |
| Amitriptyline Hcl | Amitriptyline Hcl | 37 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 37 | suppressed |
| Glimepiride | Glimepiride | 37 | suppressed |
| Janumet | Sitagliptin Phos/Metformin Hcl | 36 | suppressed |
| Jardiance | Empagliflozin | 36 | 11 |
| Lidocaine | Lidocaine | 36 | suppressed |
| Methylphenidate Hcl | Methylphenidate Hcl | 36 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 36 | 22 |
| Warfarin Sodium | Warfarin Sodium | 36 | suppressed |
| Fenofibrate | Fenofibrate | 35 | suppressed |
| Digoxin | Digoxin | 34 | suppressed |
| Solifenacin Succinate | Solifenacin Succinate | 34 | suppressed |
| Ondansetron Odt | Ondansetron | 33 | 14 |
| Telmisartan | Telmisartan | 33 | 12 |
| Levetiracetam | Levetiracetam | 32 | suppressed |
| Naproxen | Naproxen | 32 | 11 |
| Xarelto | Rivaroxaban | 32 | 11 |
| Telmisartan-Hydrochlorothiazid | Telmisartan/Hydrochlorothiazid | 31 | 14 |
| Fenofibrate | Fenofibrate,micronized | 29 | suppressed |
| Spironolactone | Spironolactone | 29 | suppressed |
| Entresto | Sacubitril/Valsartan | 28 | suppressed |
| Januvia | Sitagliptin Phosphate | 28 | suppressed |
| Topiramate | Topiramate | 28 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 28 | suppressed |
| Ranolazine Er | Ranolazine | 27 | suppressed |
| Hydrocortisone | Hydrocortisone | 26 | suppressed |
| Nitroglycerin | Nitroglycerin | 26 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 26 | 14 |
| Estradiol | Estradiol | 25 | suppressed |
| Zubsolv | Buprenorphine Hcl/Naloxone Hcl | 25 | suppressed |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 24 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 24 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 24 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 24 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 23 | suppressed |
| Novofine Autocover | Pen Needle, Diabetic, Safety | 23 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 23 | 13 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 22 | 21 |
| Lansoprazole | Lansoprazole | 22 | suppressed |
| Myrbetriq | Mirabegron | 22 | suppressed |
| Celecoxib | Celecoxib | 21 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 21 | suppressed |
| Novolog Flexpen | Insulin Aspart | 21 | suppressed |
| Folic Acid | Folic Acid | 20 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 20 | suppressed |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 20 | suppressed |
| Dextroamphetamine-Amphet Er | Dextroamphetamine/Amphetamine | 19 | suppressed |
| Hydroxychloroquine Sulfate | Hydroxychloroquine Sulfate | 19 | suppressed |
| Repatha Sureclick | Evolocumab | 19 | suppressed |
| Acyclovir | Acyclovir | 17 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 17 | suppressed |
| Cyanocobalamin Injection | Cyanocobalamin (Vitamin B-12) | 17 | suppressed |
| Nystatin | Nystatin | 17 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 17 | 17 |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 16 | suppressed |
| Humalog Kwikpen U-100 | Insulin Lispro | 16 | suppressed |
| Nifedipine Er | Nifedipine | 16 | suppressed |
| Nystop | Nystatin | 16 | suppressed |
| Olanzapine | Olanzapine | 16 | suppressed |
| Armour Thyroid | Thyroid,pork | 15 | suppressed |
| Candesartan-Hydrochlorothiazid | Candesartan/Hydrochlorothiazid | 15 | suppressed |
| Cilostazol | Cilostazol | 15 | suppressed |
| Comfort Ez Pen Needle | Pen Needle, Diabetic | 15 | suppressed |
| Fluconazole | Fluconazole | 15 | suppressed |
| Methenamine Hippurate | Methenamine Hippurate | 15 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 15 | suppressed |
| Vilazodone Hcl | Vilazodone Hcl | 15 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 14 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 14 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 14 | suppressed |
| Levofloxacin | Levofloxacin | 14 | 11 |
| Primidone | Primidone | 14 | suppressed |
| Testosterone | Testosterone | 14 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 14 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 13 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 13 | suppressed |
| Cyproheptadine Hcl | Cyproheptadine Hcl | 13 | suppressed |
| Flecainide Acetate | Flecainide Acetate | 13 | suppressed |
| Icosapent Ethyl | Icosapent Ethyl | 13 | suppressed |
| Klor-Con M10 | Potassium Chloride | 13 | suppressed |
| Latanoprost | Latanoprost | 13 | suppressed |
| Lithium Carbonate Er | Lithium Carbonate | 13 | suppressed |
| Lovastatin | Lovastatin | 13 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 13 | suppressed |
| Nitroglycerin Patch | Nitroglycerin | 13 | suppressed |
| Wegovy | Semaglutide | 13 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 12 | suppressed |
| Azathioprine | Azathioprine | 12 | suppressed |
| Buprenorphine Hcl | Buprenorphine Hcl | 12 | suppressed |
| Pyridostigmine Bromide | Pyridostigmine Bromide | 12 | suppressed |
| Raloxifene Hcl | Raloxifene Hcl | 12 | suppressed |
| Suboxone | Buprenorphine Hcl/Naloxone Hcl | 12 | suppressed |
| Carbamazepine | Carbamazepine | 11 | suppressed |
| Lamotrigine | Lamotrigine | 11 | suppressed |
| Minoxidil | Minoxidil | 11 | suppressed |
| Qvar Redihaler | Beclomethasone Dipropionate | 11 | suppressed |
| Ultra-Fine Nano Pen Needle | Pen Needle, Diabetic | 11 | suppressed |
| Verapamil Er | Verapamil Hcl | 11 | suppressed |
| Vyvanse | Lisdexamfetamine Dimesylate | 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 | $20.37 · 1 records | Novo Nordisk Inc | Ozempic, Rybelsus | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Ozempic play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Novo Nordisk Inc?
- 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