Medicare Enrolled

Dr. Ellen Karwacki, NPP

Psychiatric/Mental Health Nurse Practitioner · Utica, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
2209 GENESEE ST, Utica, NY 13501
3157343065
In practice since 2005 (20 years)
NPI: 1083604938 verify on NPPES ↗
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. Karwacki 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. Karwacki

Dr. Ellen Karwacki is a psychiatric/mental health nurse practitioner in Utica, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Karwacki performed 1,293 Medicare services across 342 unique beneficiaries.

Between the years covered by Open Payments, Dr. Karwacki received a total of $4,154 from 20 pharmaceutical and/or device companies across 196 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in psychiatric/mental health nurse practitioner. 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. Karwacki 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 in practice ▲ Top 4% volume in NY $4,154 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,293
Medicare services
Top 4% in NY for psychiatric/mental health nurse practitioner
342
Unique beneficiaries
$55
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~65 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
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
969 $50 $142
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.
77 $48 $125
Psychiatric diagnostic evaluation with medical services
A psychiatric assessment that includes medical services to evaluate mental health conditions.
74 $108 $289
Hospital discharge day management, 30 minutes or less
This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less.
52 $49 $80
Hospital discharge management, 30+ min
This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge.
46 $76 $191
Initial hospital admission, low complexity
Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter.
42 $50 $245
Psychiatric diagnostic evaluation
A clinical assessment conducted by a psychiatrist to evaluate a patient's mental health status and determine a diagnosis.
33 $102 $255
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 ↗
$4,154
Total received (2021-2024)
Avg $1,038/year across 4 years
Top 7% in NY for psychiatric/mental health nurse practitioner
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
20
Companies
196
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
$4,154 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$572
2023
$1,683
2022
$960
2021
$939

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Alkermes, Inc.
$132
E.R. Squibb & Sons, L.L.C.
$125
Janssen Pharmaceuticals, Inc
$95
ABBVIE INC.
$76
Otsuka America Pharmaceutical, Inc.
$58
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$44
Corium, LLC
$24
Neurocrine Biosciences, Inc.
$18
Top 3 companies account for 61.5% of 2024 payments
All-time payments by company (2021-2024) ›
Janssen Pharmaceuticals, Inc
$774
ABBVIE INC.
$580
Alkermes, Inc.
$473
Neurocrine Biosciences, Inc.
$369
ITI, Inc.
$268
AbbVie Inc.
$220
Sunovion Pharmaceuticals Inc.
$217
Otsuka America Pharmaceutical, Inc.
$196
Takeda Pharmaceuticals U.S.A., Inc.
$176
JAZZ PHARMACEUTICALS INC.
$173
Axsome Therapeutics, Inc.
$162
E.R. Squibb & Sons, L.L.C.
$125
Teva Pharmaceuticals USA, Inc.
$106
Indivior Inc.
$103
Bausch Health US, LLC
$78
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$44
Lundbeck LLC
$33
Corium, LLC
$24
IDORSIA PHARMACEUTICALS US INC
$18
Supernus Pharmaceuticals, Inc.
$15
Top 3 companies account for 44.0% of all-time payments
Associated products mentioned in payments ›
ABILIFY ASIMTUFII · ABILIFY MAINTENA · APLENZIN · ARISTADA · AUSTEDO · Austedo XR · Auvelity · Azstarys · CAPLYTA · COBENFY · INGREZZA · INVEGA SUSTENNA · INVEGA TRINZA · LATUDA · LYBALVI · PERSERIS · QELBREE · QUVIVIQ · REXULTI · SPRAVATO · SUNOSI · TRINTELLIX · UZEDY · VRAYLAR
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. Total industry engagement is in the top 7% for psychiatric/mental health nurse practitioner in NY.

Looking for a psychiatric/mental health nurse practitioner in Utica?
Compare psychiatric/mental health nurse practitioners in the Utica area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Psychiatric/mental health nurse practitioners within 10 mi
36
Per 100K population
15.7
County median income
$68,819
Nearest hospital
MOHAWK VALLEY PSYCHIATRIC CENTER
5.5 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. Karwacki is a clinical cardiology specialist, with above-average Medicare volume (top 4% in NY), with low-engagement industry engagement in the top 7% of NY peers, 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. Karwacki experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Karwacki performed 969 hospital follow-up visit, moderate complexity 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. Karwacki receive payments from pharmaceutical companies?
Yes. Dr. Karwacki received a total of $4,154 from 20 companies across 196 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. Karwacki's costs compare to other psychiatric/mental health nurse practitioners in Utica?
Dr. Karwacki's average Medicare payment per service is $55. 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. Karwacki) 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →