Payment overview · 2025
General Payments
$250.58
14 reported records · 11 companies
Healthcare provider profile · identity verified
Debra Karnasiewicz, MD
Allopathic & Osteopathic Physicians|Internal Medicine · KINGSTON, NY · NPI 1962445254
Verified facts
What the public records show
CMS Open Payments records show Debra Karnasiewicz, MD received $250.58 in general payments during 2025 across 14 reported records.
ViiV Healthcare Company accounted for 20.6% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 14 associated products.
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 13 claims for Synthroid 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 13 claims for Ozempic 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 |
|---|---|---|---|---|---|
| ViiV Healthcare Company | Unresolved — no canonical attribution shown | $51.71 | 20.6% | 2 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $45.64 | 18.2% | 3 | 2025 |
| Gilead Sciences, Inc. | Unresolved — no canonical attribution shown | $25.72 | 10.3% | 1 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $18.74 | 7.5% | 1 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $17.76 | 7.1% | 1 | 2025 |
| Esperion Therapeutics, Inc. | Unresolved — no canonical attribution shown | $16.79 | 6.7% | 1 | 2025 |
| Hologic Sales and Service, LLC | Unresolved — no canonical attribution shown | $15.84 | 6.3% | 1 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $15.31 | 6.1% | 1 | 2025 |
| Inspire Medical Systems, Inc. | Unresolved — no canonical attribution shown | $14.76 | 5.9% | 1 | 2025 |
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $14.33 | 5.7% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $13.98 | 5.6% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $250.58 | 14 |
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 |
|---|---|---|---|---|---|
| EVENITY Normalized: evenity |
Biological | Amgen Inc. | $45.64 | 3 | 2025 |
Source payment records
|
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| APRETUDE Normalized: apretude |
Drug | ViiV Healthcare Company | $31.25 | 1 | 2025 |
Source payment records
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| RUKOBIA Normalized: rukobia |
Drug | ViiV Healthcare Company | $20.46 | 1 | 2025 |
Source payment records
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| PIFELTRO Normalized: pifeltro |
Drug | Merck Sharp & Dohme LLC | $18.74 | 1 | 2025 |
Source payment records
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| HYQVIA Normalized: hyqvia |
Biological | Takeda Pharmaceuticals U.S.A., Inc. | $17.76 | 1 | 2025 |
Source payment records
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| NEXLETOL Normalized: nexletol |
Drug | Esperion Therapeutics, Inc. | $16.79 | 1 | 2025 |
Source payment records
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| APTIMA Normalized: aptima |
Device | Hologic Sales and Service, LLC | $15.84 | 1 | 2025 |
Source payment records
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| AVYCAZ Normalized: avycaz |
Drug | ABBVIE INC. | $15.31 | 1 | 2025 |
Source payment records
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| DALVANCE Normalized: dalvance |
Drug | ABBVIE INC. | $15.31 | 1 | 2025 |
Source payment records
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| EMBLAVEO Normalized: emblaveo |
Drug | ABBVIE INC. | $15.31 | 1 | 2025 |
Source payment records
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| TEFLARO Normalized: teflaro |
Drug | ABBVIE INC. | $15.31 | 1 | 2025 |
Source payment records
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| INSPIRE Normalized: inspire |
Device | Inspire Medical Systems, Inc. | $14.76 | 1 | 2025 |
Source payment records
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| Veozah Normalized: veozah |
Drug | Astellas Pharma US Inc | $14.33 | 1 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $13.98 | 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 |
|---|---|---|---|---|---|---|
| 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 |
13 | 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 |
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 | 159 | 51 |
| Levothyroxine Sodium | Levothyroxine Sodium | 131 | 34 |
| Hydrochlorothiazide | Hydrochlorothiazide | 94 | 30 |
| Amlodipine Besylate | Amlodipine Besylate | 75 | 23 |
| Montelukast Sodium | Montelukast Sodium | 75 | 22 |
| Sertraline Hcl | Sertraline Hcl | 47 | suppressed |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 45 | 12 |
| Metoprolol Succinate | Metoprolol Succinate | 43 | 12 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 31 | suppressed |
| Omeprazole | Omeprazole | 31 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 30 | suppressed |
| Lisinopril | Lisinopril | 28 | suppressed |
| Metformin Hcl | Metformin Hcl | 27 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 25 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 24 | suppressed |
| Risedronate Sodium | Risedronate Sodium | 24 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 22 | suppressed |
| Simvastatin | Simvastatin | 21 | suppressed |
| Bisoprolol Fumarate | Bisoprolol Fumarate | 20 | suppressed |
| Valsartan | Valsartan | 19 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 18 | suppressed |
| Losartan Potassium | Losartan Potassium | 18 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 18 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 17 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 14 | suppressed |
| Azithromycin | Azithromycin | 13 | 12 |
| Clonazepam | Clonazepam | 13 | suppressed |
| Ozempic | Semaglutide | 13 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 13 | suppressed |
| Synthroid | Levothyroxine Sodium | 13 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 13 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 13 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 12 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 12 | suppressed |
| Celecoxib | Celecoxib | 11 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 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 | $250.58 · 14 records | ViiV Healthcare Company | APRETUDE, APTIMA, AVYCAZ, DALVANCE, EMBLAVEO, EVENITY, HYQVIA, INSPIRE, NEXLETOL, PIFELTRO, RUKOBIA, TEFLARO, Veozah, Wegovy | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with ABBVIE 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