Deborah Kark, NP
Gerontology · Crown Point, INNPI 1477659605
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 11 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 9 manufacturers, the largest accounting for just 21.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2024 at $570 and has fallen 56.8% since, to $246 in 2025.
Across 11 payments — averaging $103.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka America Pharmaceutical, Inc.$250
- E.r. Squibb & Sons, L.L.C.$184
- Optinose US, Inc.$135
- Exact Sciences$125
- Madrigal Pharmaceuticals$121
- Lexicon Pharmaceuticals, Inc.$121
- plus $207 from 3 others
What the payments were for
- Food & beverage$1,144100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | 2 | $250 |
| E.r. Squibb & Sons, L.L.C. | 2 | $184 |
| Optinose US, Inc. | 1 | $135 |
| Exact Sciences | 1 | $125 |
| Madrigal Pharmaceuticals | 1 | $121 |
| Lexicon Pharmaceuticals, Inc. | 1 | $121 |
| Kyowa Kirin, Inc. | 1 | $95 |
| Inari Medical, Inc. | 1 | $94 |
| Abbott | 1 | $18 |
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
$1,144 in reported general payments places this provider in the 75th percentile of 230 gerontology providers in Indiana.
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 |
|---|---|---|
| XareltoRivaroxaban | 15 | $8,674 |
| MyrbetriqMirabegron | 11 | $5,021 |
| Rivastigmine | 12 | $3,145 |
| Fluoxetine Hcl | 24 | $949 |
| Labetalol Hcl | 14 | $856 |
| Methenamine Hippurate | 13 | $573 |
| Gabapentin | 14 | $557 |
| Famotidine | 12 | $480 |
| Olanzapine | 12 | $467 |
| Metoprolol Tartrate | 50 | $439 |
| Theophylline ErTheophylline Anhydrous | 12 | $433 |
| Rosuvastatin Calcium | 25 | $390 |
| Atorvastatin Calcium | 31 | $302 |
| Prazosin Hcl | 12 | $297 |
| Phenytoin Sodium Extended | 13 | $274 |
Paid to pharmacies, not to this prescriber.
Other gerontology in Crown Point
- Angela PattiMunster$44K
- Jessica KiszkaMunster$42K
- Sandra GarofaloIndianapolis$24K
- Megan MonnierBloomington$23K
- Diane BrackinFishers$13K
- Karie BeasleyEvansville$13K
- Mary ParkerFort Wayne$13K
- Morgan SlawsonMunster$9K
- Marena ArnoldFort Wayne$8K
- Beau SemlerDanville$7K
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.