Karen Paul
Medical · Middletown, NYNPI 1396847117
Payments from drug & device makers
Across 20 payments — averaging $23.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$148
- Inspire Medical Systems, Inc.$100
- Sanofi$85
- Optinose US, Inc.$59
- Takeda Pharmaceuticals U.S.A., Inc.$47
- ARS Pharmaceuticals Operations, Inc.$29
What the payments were for
- Food & beverage$468100%
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 |
|---|---|---|
| GSK | 7 | $148 |
| Inspire Medical Systems, Inc. | 4 | $100 |
| Sanofi | 3 | $85 |
| Optinose US, Inc. | 3 | $59 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $47 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $29 |
How this compares
$468 in reported general payments places this provider in the 55th percentile of 2,395 medical providers in New York.
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 |
|---|---|---|
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 37 | $4,623 |
| Azelastine Hcl | 167 | $3,380 |
| Fluticasone Propionate | 156 | $1,948 |
| Ofloxacin | 30 | $1,157 |
| Fluocinolone Acetonide Oil | 23 | $988 |
| Cefdinir | 47 | $759 |
| Omeprazole | 55 | $480 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 56 | $401 |
| Ipratropium Bromide | 20 | $389 |
| Mupirocin | 44 | $237 |
| Levocetirizine Dihydrochloride | 19 | $228 |
| Famotidine | 32 | $201 |
| Methylprednisolone | 22 | $138 |
Paid to pharmacies, not to this prescriber.
Other medical in Middletown
- Jonathan WeissMiddletown$33K
- Rebecca EllwoodAlbany$565K
- Denisse SerranoCortlandt Manor$255K
- Michele Kissous-HuntNew York$246K
- Laura MaroldoNew York$126K
- Carl ClarkeBrooklyn$116K
- Maureen ThyneNew York$109K
- Gina FriesRochester$106K
- Ilse StraussSmithtown$87K
- Helen AdamsNew York$87K
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.