Medicare Enrolled
Dr. Debra Karnasiewicz, MD
Internal Medicine · Kingston, NY
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Karnasiewicz 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 →
Are you Dr. Karnasiewicz?
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What this data tells you about Dr. Karnasiewicz
Dr. Debra Karnasiewicz is an internal medicine specialist in Kingston, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Karnasiewicz performed 969 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Karnasiewicz received a total of $5,232 from 55 pharmaceutical and/or device companies across 287 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Karnasiewicz 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.
✓ 20 years of NPI registration
▲ Top 33% volume in NY
$5,232 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗969
Medicare services
Top 33% in NY for internal medicine
Not available
Unique patients (not deduplicated)
$44
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| 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. |
402 | $48 | $201 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
92 | $19 | $136 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
81 | $3 | $4 |
| 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. |
53 | $45 | $150 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
51 | $10 | $20 |
| Pelvic and clinical breast exam for cancer screening A physical examination of the pelvis and breasts to screen for cervical or vaginal cancer. This procedure involves a clinical assessment performed by a healthcare provider. |
45 | $44 | $45 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
37 | $29 | $30 |
| 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 |
| Pap smear screening test A screening test to collect and prepare a cervical or vaginal sample for laboratory analysis. |
31 | $48 | $53 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
29 | $12 | $27 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
26 | $282 | $350 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
26 | $29 | $30 |
| COVID-19 amplified DNA/RNA probe detection A laboratory test that uses amplified DNA or RNA probes to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) antigen. |
22 | $48 | $65 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
15 | $10 | $15 |
| 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. |
15 | $72 | $200 |
| Annual alcohol misuse screening, 5 to 15 minutes | 11 | $20 | $30 |
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. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$5,232
Total received (2018-2024)
Avg $747/year across 7 years
Top 15% in NY for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
55
Companies
287
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$427
2023
$522
2022
$583
2021
$612
2020
$365
2019
$1,715
2018
$1,008
Payments by company (2024)
ABBVIE INC.
$96
Amgen Inc.
$95
Merck Sharp & Dohme LLC
$66
Otsuka America Pharmaceutical, Inc.
$42
Novartis Pharmaceuticals Corporation
$42
Kyowa Kirin, Inc.
$26
Inspire Medical Systems, Inc.
$23
ViiV Healthcare Company
$19
Lilly USA, LLC
$17
Top 3 companies account for 60.3% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$728
Novo Nordisk Inc
$616
GlaxoSmithKline, LLC.
$600
Janssen Pharmaceuticals, Inc
$353
Novartis Pharmaceuticals Corporation
$277
Merck Sharp & Dohme Corporation
$248
PFIZER INC.
$225
Janssen Biotech, Inc.
$164
Merck Sharp & Dohme LLC
$152
AbbVie Inc.
$151
Lilly USA, LLC
$151
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$140
ViiV Healthcare Company
$125
ABBVIE INC.
$111
Horizon Therapeutics plc
$111
Gilead Sciences, Inc.
$80
AstraZeneca Pharmaceuticals LP
$59
Otsuka America Pharmaceutical, Inc.
$57
Grifols USA, LLC
$57
Regeneron Healthcare Solutions, Inc.
$53
Allergan Inc.
$49
Paratek Pharmaceuticals, Inc.
$41
Endo Pharmaceuticals Inc.
$39
Bayer Healthcare Pharmaceuticals Inc.
$36
Sobi, Inc
$36
Takeda Pharmaceuticals U.S.A., Inc.
$36
Bayer HealthCare Pharmaceuticals Inc.
$32
Antares Pharma, Inc.
$31
Esperion Therapeutics, Inc.
$28
Kyowa Kirin, Inc.
$26
UCB, Inc.
$23
Inspire Medical Systems, Inc.
$23
Sandoz Inc.
$23
Neurocrine Biosciences, Inc.
$21
Harmony Biosciences LLC
$20
Kiniksa Pharmaceuticals, Ltd.
$20
Mylan Specialty L.P.
$20
Fresenius Kabi USA, LLC
$18
Astellas Pharma US Inc
$18
Seqirus USA Inc
$18
Boehringer Ingelheim Pharmaceuticals, Inc.
$17
TETRAPHASE PHARMACEUTICALS, INC.
$17
E.R. Squibb & Sons, L.L.C.
$17
Vyera Pharmaceuticals, LLC
$17
Amarin Pharma Inc.
$17
Edwards Lifesciences Corporation
$16
Melinta Therapeutics, Inc.
$16
Baxter Healthcare
$15
Theratechnologies Inc.
$15
Philips Electronics North America Corporation
$14
Medtronic, Inc.
$14
Hologic, LLC
$12
ARBOR PHARMACEUTICALS, INC.
$12
Abbott Laboratories
$12
Exsomed Holding Company LLC
$9
Top 3 companies account for 37.2% of all-time payments
Associated products mentioned in payments ›
ABILIFY MYCITE · ANORO · AVYCAZ · Age Based Codes · Arcalyst · BELSOMRA · BENLYSTA · BEXSERO · BREO · CHANTIX · COLOGUARD DNA CAPTURE REAGENTS · COSENTYX · CUVITRU · Cimzia · Crysvita · DALVANCE · DIFICID · DOVATO · Daraprim Tablet 25mg · EGRIFTA · ELIQUIS · ENTRESTO · EVENITY · EVKEEZA · Edwards SAPIEN 3 Transcatheter Heart Valve · FARXIGA · FORTEO · Fluad · FreeStyle Libre · Gamunex-C · HYRIMOZ · Hillrom - Carnation Ambulatory Monitor · Horizant · INGREZZA · INSPIRE · INTERSTIM · INate · ISENTRESS · JARDIANCE · JULUCA · KEVZARA · KEVZARA SARILUMAB INJECTION · KRYSTEXXA · Kerendia · Kineret · LEQVIO · NEXLETOL · NOCDURNA · NUCALA · NUZYRA · Orbactiv · Ozempic · PANZYGA · PIFELTRO · PNEUMOVAX 23 · PREVNAR 20 · PREZCOBIX · Prolastin-C Liquid · Prolia · RENFLEXIS · REXULTI · RUKOBIA · Rybelsus · SHINGRIX · SIMPONI · SIMPONI ARIA · SPIRIVA RESPIMAT · STELARA · Symtuza · TALTZ · TRELEGY ELLIPTA · TRULANCE · TRULICITY · Tresiba · Trilogy 100 · VRAYLAR · Vascepa · Veozah · WAKIX · XARELTO · XIAFLEX · XIFAXAN · XYOSTED · Xerava · Yupelri
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Internal medicine physicians in nearby ZIP areas
169
County median income
$81,804
Nearest hospital to ZIP centroid (approximate)
HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | 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. Karnasiewicz is a clinical cardiology specialist, with moderate Medicare volume, with 20 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. Karnasiewicz experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Karnasiewicz performed 402 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Karnasiewicz receive payments from pharmaceutical companies?
Yes. Dr. Karnasiewicz received a total of $5,232 from 55 companies across 287 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Karnasiewicz's costs compare to other internal medicine physicians in Kingston?
Dr. Karnasiewicz's average Medicare payment per service is $44. 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. Karnasiewicz) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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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