Janet Ciarkowski
Family Medicine · Frederick, MDNPI 1366426371
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 88 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 19 manufacturers, the largest accounting for just 22.6% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $607 and has fallen 95.4% since, to $28 in 2022.
Across 88 payments — averaging $16.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$333
- Novo Nordisk$237
- Sanofi-aventis U.S. LLC$135
- Eisai Inc.$109
- Pfizer$90
- GSK$87
- plus $483 from 13 others
What the payments were for
- Food & beverage$1,473100%
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) | 24 | $333 |
| Novo Nordisk | 9 | $237 |
| Sanofi-aventis U.S. LLC | 8 | $135 |
| Eisai Inc. | 5 | $109 |
| Pfizer | 6 | $90 |
| GSK | 5 | $87 |
| Lilly USA, LLC | 5 | $68 |
| AstraZeneca | 3 | $63 |
| Boehringer Ingelheim | 4 | $63 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 4 | $52 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $44 |
| Johnson & Johnson | 2 | $34 |
| Amarin Pharma, Inc. | 2 | $31 |
| Teva Pharmaceuticals USA, Inc. | 2 | $30 |
| Merck | 2 | $26 |
| Supernus Pharmaceuticals, Inc. | 1 | $24 |
| Medtronic | 1 | $17 |
| Biohaven Pharmaceuticals, Inc. | 1 | $16 |
| Ironwood Pharmaceuticals, Inc | 1 | $14 |
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.
- Ozempic$116
How this compares
$1,473 in reported general payments places this provider in the 70th percentile of 1,193 family medicine providers in Maryland.
Other family medicine in Frederick
- Amreen AzizFrederick$14K
- Karen DonaldsonBaltimore$899K
- Louis JacquesBaltimore$522K
- Michael ObiefuneBaltimore$291K
- Thomas LawrenceBerlin$254K
- Casey ScottCambridge$88K
- Daljeet SalujaBaltimore$63K
- Sanjay SaxenaHagerstown$60K
- Cynthia KleppingerSilver Spring$51K
- Tramaine DavisBowie$43K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.