Dean Karras, MD
Internal Medicine · Wilmington, NCNPI 1265472278
Payments from drug & device makers
Across 3 payments — averaging $127.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alphatec Spine, Inc$348
- Celltrion USA Inc.$17
- Abbott$17
What the payments were for
- Travel & lodging$34891%
- Food & beverage$349%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Alphatec Spine, Inc | 1 | $348 |
| Celltrion USA Inc. | 1 | $17 |
| Abbott | 1 | $17 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$382 in reported general payments places this provider in the 60th percentile of 3,302 internal medicine providers in North Carolina.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| OzempicSemaglutide | 150 | $174,055 |
| EliquisApixaban | 146 | $158,822 |
| Repatha SureclickEvolocumab | 99 | $107,281 |
| JanuviaSitagliptin Phosphate | 95 | $104,967 |
| JardianceEmpagliflozin | 67 | $78,651 |
| MyrbetriqMirabegron | 43 | $29,191 |
| RybelsusSemaglutide | 16 | $26,467 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 19 | $25,611 |
| Breo ElliptaFluticasone/Vilanterol | 38 | $24,776 |
| GemtesaVibegron | 19 | $18,008 |
| SynthroidLevothyroxine Sodium | 172 | $13,029 |
| LivaloPitavastatin Calcium | 16 | $11,485 |
| Rosuvastatin Calcium | 722 | $10,075 |
| Levothyroxine Sodium | 1,011 | $9,548 |
| Ezetimibe | 407 | $9,381 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Wilmington
- Brian WebsterWilmington$3.7M
- Hector SanchezWilmington$770K
- Manesh PatelDurham$27.2M
- Saad UsmaniCharlotte$16.2M
- Christina KennellyCharlotte$15.4M
- John RubinoRaleigh$13M
- Adam DevoreDurham$11.8M
- Krishnakumar UdayakumarDurham$11M
- Sylvia ShoffnerCary$7.1M
- Wayne HarperRaleigh$6.7M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.