Medicare Enrolled
Dr. Md Karim, M.D.
Internal Medicine · Erwin, NC
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Karim from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Karim
Dr. Md Karim is an internal medicine specialist in Erwin, NC, with 16 years of NPI registration. Based on federal Medicare data, Dr. Karim performed 5,860 Medicare services across 1,919 unique beneficiaries.
Between the years covered by Open Payments, Dr. Karim received a total of $1,880 from 19 pharmaceutical and/or device companies across 86 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Karim is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 16 years in practice
▲ Top 6% volume in NC
$1,880 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,860
Medicare services
Top 6% in NC for internal medicine
1,919
Unique beneficiaries
$45
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~366 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
2,013 | $44 | $80 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
1,201 | $36 | $150 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
605 | $35 | $69 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
532 | $83 | $185 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
208 | $25 | $46 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
207 | $58 | $125 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
140 | $76 | $110 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
117 | $122 | $229 |
| Annual depression screening | 116 | $18 | $29 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
82 | $14 | $25 |
| Annual alcohol misuse screening, 5 to 15 minutes | 80 | $18 | $32 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
68 | $35 | $60 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
62 | $16 | $30 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
60 | $14 | $29 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
51 | $3 | $28 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
44 | $59 | $90 |
| COVID-19 immunoassay detection test A laboratory test that uses an immunoassay method to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) through direct visual observation. |
41 | $40 | $70 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
38 | $24 | $25 |
| COVID-19 vaccine administration Administration of a single dose of the coronavirus vaccine. |
34 | $38 | $75 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
33 | $72 | $80 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
30 | $71 | $125 |
| COVID-19 vaccine (Pfizer bivalent) Administration of a 30 mcg dose of the SARS-CoV-2 vaccine via intramuscular injection. |
29 | $0 | $0 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
16 | $33 | $87 |
| Blood glucose test using hand-held instrument A test that measures the level of sugar in the blood using a portable device. The result helps monitor blood glucose levels. |
15 | $3 | $22 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
15 | $60 | $251 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
12 | $16 | $30 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
11 | $144 | $201 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$1,880
Total received (2018-2024)
Avg $269/year across 7 years
Top 30% in NC for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
19
Companies
86
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,880 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$521
2023
$174
2022
$183
2021
$234
2020
$29
2019
$234
2018
$505
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$248
Lilly USA, LLC
$66
GlaxoSmithKline, LLC.
$59
ABBVIE INC.
$58
Exact Sciences Corporation
$49
PFIZER INC.
$24
Merck Sharp & Dohme LLC
$17
Top 3 companies account for 71.5% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$829
Amgen Inc.
$138
ABBVIE INC.
$137
GlaxoSmithKline, LLC.
$100
Novartis Pharmaceuticals Corporation
$97
PFIZER INC.
$94
Boehringer Ingelheim Pharmaceuticals, Inc.
$91
Lilly USA, LLC
$78
Exact Sciences Corporation
$49
Abbott Laboratories
$46
SANOFI-AVENTIS U.S. LLC
$45
Synergy Pharmaceuticals Inc
$42
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$26
Pernix Therapeutics Holdings, Inc.
$24
AstraZeneca Pharmaceuticals LP
$23
Merck Sharp & Dohme LLC
$17
AbbVie Inc.
$16
Janssen Pharmaceuticals, Inc
$14
Eisai Inc.
$12
Top 3 companies account for 58.8% of all-time payments
Associated products mentioned in payments ›
ANORO · ANORO ELLIPTA · Aimovig · CHANTIX · Cologuard Collection Kit · Dayvigo · ENTRESTO · FARXIGA · FREESTYLE LIBRE 2 · GARDASIL · JARDIANCE · MOUNJARO · Ozempic · PREVNAR 20 · Prolia · QULIPTA · RYBELSUS · Rybelsus · SILENOR · SOLIQUA · STIOLTO RESPIMAT · Saxenda · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · Tresiba · Trulance · VRAYLAR · Victoza · Wegovy · XARELTO · XIFAXAN
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Internal medicine physicians within 10 mi
229
Per 100K population
167.8
County median income
$69,012
Nearest hospital
GOOD HOPE HOSPITAL, INC
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Karim is a clinical cardiology specialist, with above-average Medicare volume (top 6% in NC), with low-engagement industry engagement, with 16 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Karim experienced with chronic care management, first 20 min/month?
Based on Medicare claims data, Dr. Karim performed 2,013 chronic care management, first 20 min/month services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Karim receive payments from pharmaceutical companies?
Yes. Dr. Karim received a total of $1,880 from 19 companies across 86 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Karim's costs compare to other internal medicine physicians in Erwin?
Dr. Karim's average Medicare payment per service is $45. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Karim) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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