Gary Karakashian, MD
Dermatology · West Long Branch, NJNPI 1649227174
Payments from drug & device makers
Across 52 payments — averaging $24.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$484
- Sun Pharmaceutical Industries Inc.$185
- Galderma Laboratories, L.p.$152
- LEO Pharma Inc.$131
- Biofrontera Inc.$39
- Pfizer$38
- plus $221 from 13 others
What the payments were for
- Food & beverage$1,250100%
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 |
|---|---|---|
| AbbVie(2 entities) | 9 | $484 |
| Sun Pharmaceutical Industries Inc. | 11 | $185 |
| Galderma Laboratories, L.p. | 3 | $152 |
| LEO Pharma Inc. | 10 | $131 |
| Biofrontera Inc. | 3 | $39 |
| Pfizer | 2 | $38 |
| Mayne Pharma Commercial LLC | 2 | $29 |
| Sanofi | 1 | $20 |
| Lilly USA, LLC | 1 | $19 |
| Regeneron Healthcare Solutions, Inc. | 1 | $18 |
| Convatec Inc. | 1 | $17 |
| Bioventus LLC | 1 | $17 |
| Johnson & Johnson | 1 | $17 |
| Paratek Pharmaceuticals, Inc. | 1 | $15 |
| Arcutis Biotherapeutics, Inc. | 1 | $15 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $15 |
| Merck | 1 | $14 |
| Strata Skin Sciences, Inc. | 1 | $13 |
| EPI Health, LLC | 1 | $12 |
How this compares
$1,250 in reported general payments places this provider in the 35th percentile of 394 dermatology providers in New Jersey.
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 |
|---|---|---|
| Clobetasol Propionate | 62 | $2,712 |
| Minoxidil | 143 | $929 |
| Spironolactone | 117 | $903 |
| Finasteride | 129 | $823 |
| Doxycycline Hyclate | 85 | $805 |
| Minocycline Hcl | 52 | $690 |
| ValacyclovirValacyclovir Hcl | 34 | $659 |
| Triamcinolone Acetonide | 77 | $650 |
| Fluticasone Propionate | 40 | $500 |
| Mupirocin | 33 | $305 |
| Hydrocortisone | 13 | $213 |
| Terbinafine Hcl | 21 | $128 |
Paid to pharmacies, not to this prescriber.
Other dermatology in West Long Branch
- Jerry BagelEast Windsor$15.4M
- Jonathan DosikGlen Rock$8.4M
- Omar NoorSomerset$4.6M
- Linda Cappiello-LindsleyHoboken$2.3M
- Winston MoyDenville$1.8M
- Brian KeeganEast Windsor$1.7M
- Jeanine DownieMontclair$1.2M
- Adolfo Fernandez ObregonHoboken$1.1M
- Mital Patel CohenFlorham Park$799K
- Ronald BernardinVoorhees$688K
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.