Payment overview · 2025
General Payments
$168.55
8 reported records · 6 companies
Healthcare provider profile · identity verified
Craig Karpman, MD
Allopathic & Osteopathic Physicians|Internal Medicine · SAINT LOUIS, MO · NPI 1780849190
Verified facts
What the public records show
CMS Open Payments records show Craig Karpman, MD received $168.55 in general payments during 2025 across 8 reported records.
ANI Pharmaceuticals, Inc. accounted for 35.2% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 11 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Nucala.
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 BEVESPI AEROSPHERE as an associated drug or biological on 763 records involving 473 distinct recipient NPIs. Public Medicare Part D data also shows 13 claims for Bevespi Aerosphere 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 SYMBICORT as an associated drug or biological on 71 records involving 51 distinct recipient NPIs. Public Medicare Part D data also shows 145 claims for Symbicort 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 AREXVY as an associated drug or biological on 47563 records involving 28786 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Arexvy 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 NUCALA as an associated drug or biological on 100127 records involving 16970 distinct recipient NPIs. Public Medicare Part D data also shows 15 claims for Nucala 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 567 claims for Trelegy Ellipta 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 76 claims for Eliquis 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 |
|---|---|---|---|---|---|
| ANI Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $59.37 | 35.2% | 2 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $32.88 | 19.5% | 2 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $23.53 | 14.0% | 1 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $21.79 | 12.9% | 1 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $16.75 | 9.9% | 1 | 2025 |
| Pulmonx Corporation | Unresolved — no canonical attribution shown | $14.23 | 8.4% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $168.55 | 8 |
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 |
|---|---|---|---|---|---|
| PURIFIED CORTROPHIN GEL Normalized: purified cortrophin gel |
Drug | ANI Pharmaceuticals, Inc. | $59.37 | 2 | 2025 |
Source payment records
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| OCTAGAM IMMUNE GLOBULIN (HUMAN) Normalized: octagam immune globulin human |
Drug | PFIZER INC. | $32.88 | 2 | 2025 |
Source payment records
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| FASENRA Normalized: fasenra |
Biological | AstraZeneca Pharmaceuticals LP | $23.53 | 1 | 2025 |
Source payment records
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| Adempas Normalized: adempas |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $21.79 | 1 | 2025 |
Source payment records
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| CUTAQUIG Normalized: cutaquig |
Biological | PFIZER INC. | $18.85 | 1 | 2025 |
Source payment records
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| NUCALA Normalized: nucala |
Biological | GlaxoSmithKline, LLC. | $16.75 | 1 | 2025 |
Source payment records
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| CHARTIS CATHETER Normalized: chartis catheter |
Device | Pulmonx Corporation | $14.23 | 1 | 2025 |
Source payment records
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| PULMONX CHARTIS TABLET CONSOLE Normalized: pulmonx chartis tablet console |
Device | Pulmonx Corporation | $14.23 | 1 | 2025 |
Source payment records
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| ZEPHYR DELIVERY CATHETER Normalized: zephyr delivery catheter |
Device | Pulmonx Corporation | $14.23 | 1 | 2025 |
Source payment records
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| ZEPHYR ENDOBRONCHIAL VALVE Normalized: zephyr endobronchial valve |
Device | Pulmonx Corporation | $14.23 | 1 | 2025 |
Source payment records
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| PANZYGA Normalized: panzyga |
Biological | PFIZER INC. | $14.03 | 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
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| NUCALA nucala |
2025 | Nucala | 2024 | 15 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 company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | BEVESPI AEROSPHERE open payments reported associated product |
CMS Open Payments — General Payments 763 supporting records · 473 recipient NPIs · example record 1206131384 |
Bevespi Aerosphere · 2024 Exact normalized brand match · 1 Part D row |
13 | suppressed by CMS |
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | SYMBICORT open payments reported associated product |
CMS Open Payments — General Payments 71 supporting records · 51 recipient NPIs · example record 1206132610 |
Symbicort · 2024 Exact normalized brand match · 1 Part D row |
145 | 42 |
| GlaxoSmithKline, LLC. Exact reporting entity; no affiliate inference |
2025 | AREXVY open payments reported associated product |
CMS Open Payments — General Payments 47563 supporting records · 28786 recipient NPIs · example record 1190332445 |
Arexvy · 2024 Exact normalized brand match · 1 Part D row |
11 | 11 |
| GlaxoSmithKline, LLC. Exact reporting entity; no affiliate inference |
2025 | NUCALA open payments reported associated product |
CMS Open Payments — General Payments 100127 supporting records · 16970 recipient NPIs · example record 1190332378 |
Nucala · 2024 Exact normalized brand match · 1 Part D row |
15 | 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 |
567 | 105 |
| 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 |
76 | 16 |
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 |
|---|---|---|---|
| Albuterol Sulfate Hfa | Albuterol Sulfate | 589 | 220 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 567 | 105 |
| Montelukast Sodium | Montelukast Sodium | 543 | 163 |
| Prednisone | Prednisone | 317 | 152 |
| Breo Ellipta | Fluticasone/Vilanterol | 230 | 43 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 173 | 51 |
| Azithromycin | Azithromycin | 160 | 76 |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 152 | 30 |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 147 | 34 |
| Symbicort | Budesonide/Formoterol Fumarate | 145 | 42 |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 132 | 37 |
| Azelastine Hcl | Azelastine Hcl | 111 | 36 |
| Advair Hfa | Fluticasone Propion/Salmeterol | 106 | 22 |
| Famotidine | Famotidine | 99 | 30 |
| Spiriva Respimat | Tiotropium Bromide | 98 | 26 |
| Fluticasone Propionate | Fluticasone Propionate | 88 | 36 |
| Eliquis | Apixaban | 76 | 16 |
| Roflumilast | Roflumilast | 72 | 22 |
| Ipratropium Bromide | Ipratropium Bromide | 70 | 22 |
| Doxycycline Hyclate | Doxycycline Hyclate | 69 | 48 |
| Furosemide | Furosemide | 69 | 27 |
| Dulera | Mometasone/Formoterol | 68 | 15 |
| Ventolin Hfa | Albuterol Sulfate | 67 | 25 |
| Incruse Ellipta | Umeclidinium Bromide | 63 | 14 |
| Stiolto Respimat | Tiotropium Br/Olodaterol Hcl | 63 | suppressed |
| Spiriva Handihaler | Tiotropium Bromide | 59 | 17 |
| Dupixent Pen | Dupilumab | 57 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 55 | 20 |
| Methylprednisolone | Methylprednisolone | 55 | 32 |
| Combivent Respimat | Ipratropium/Albuterol Sulfate | 48 | 11 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 48 | 16 |
| Uptravi | Selexipag | 48 | suppressed |
| Gabapentin | Gabapentin | 47 | suppressed |
| Arnuity Ellipta | Fluticasone Furoate | 46 | 12 |
| Breyna | Budesonide/Formoterol Fumarate | 46 | 13 |
| Mycophenolate Mofetil | Mycophenolate Mofetil | 43 | 14 |
| Omeprazole | Omeprazole | 43 | 15 |
| Pirfenidone | Pirfenidone | 35 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 31 | 27 |
| Ambrisentan | Ambrisentan | 30 | suppressed |
| Ofev | Nintedanib Esylate | 30 | suppressed |
| Tadalafil | Tadalafil | 29 | suppressed |
| Theophylline Er | Theophylline Anhydrous | 25 | suppressed |
| Levalbuterol Tartrate Hfa | Levalbuterol Tartrate | 24 | suppressed |
| Opsumit | Macitentan | 23 | suppressed |
| Tiotropium Bromide | Tiotropium Bromide | 22 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 19 | suppressed |
| Methotrexate | Methotrexate Sodium | 19 | suppressed |
| Epinephrine | Epinephrine | 16 | suppressed |
| Nucala | Mepolizumab | 15 | suppressed |
| Advair Diskus | Fluticasone Propion/Salmeterol | 14 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 14 | 12 |
| Qvar Redihaler | Beclomethasone Dipropionate | 14 | suppressed |
| Varenicline Tartrate | Varenicline Tartrate | 14 | suppressed |
| Xarelto | Rivaroxaban | 14 | suppressed |
| Azathioprine | Azathioprine | 13 | suppressed |
| Bevespi Aerosphere | Glycopyrrolate/Formoterol Fum | 13 | suppressed |
| Fluticasone Propionate Hfa | Fluticasone Propionate | 13 | suppressed |
| Dupixent Syringe | Dupilumab | 12 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 11 | suppressed |
| Arexvy | Rsvpref3 Antigen/As01e/Pf | 11 | 11 |
| Nystatin | Nystatin | 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 | $168.55 · 8 records | ANI Pharmaceuticals, Inc. | Adempas, CHARTIS CATHETER, CUTAQUIG, FASENRA, NUCALA, OCTAGAM IMMUNE GLOBULIN (HUMAN), PANZYGA, PULMONX CHARTIS TABLET CONSOLE, PURIFIED CORTROPHIN GEL, ZEPHYR DELIVERY CATHETER, ZEPHYR ENDOBRONCHIAL VALVE | 6 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Nucala play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with AstraZeneca Pharmaceuticals LP?
- 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