Karen Tuano
Allergy & Immunology · The Woodlands, TXNPI 1245585397
Payments from drug & device makers
Across 71 payments — averaging $25.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi$355
- Takeda Pharmaceuticals U.S.A., Inc.$234
- GSK$211
- AstraZeneca$195
- Regeneron Healthcare Solutions, Inc.$122
- Kaleo, Inc.$120
- plus $594 from 14 others
What the payments were for
- Food & beverage$1,831100%
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 |
|---|---|---|
| Sanofi | 6 | $355 |
| Takeda Pharmaceuticals U.S.A., Inc. | 9 | $234 |
| GSK | 9 | $211 |
| AstraZeneca | 10 | $195 |
| Regeneron Healthcare Solutions, Inc. | 6 | $122 |
| Kaleo, Inc. | 5 | $120 |
| Pharming Healthcare, Inc. | 5 | $110 |
| CSL Behring | 3 | $72 |
| Grifols USA, LLC | 3 | $70 |
| Genentech USA, Inc. | 3 | $66 |
| Octapharma USA, Inc. | 2 | $64 |
| Greer Laboratories, Inc. | 2 | $38 |
| Azurity Pharmaceuticals, Inc. | 1 | $27 |
| USWM, LLC | 1 | $25 |
| Galderma Laboratories, L.p. | 1 | $24 |
| Shire North American Group Inc | 1 | $22 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $22 |
| Phadia US Inc. | 1 | $20 |
| Circassia Inc. | 1 | $18 |
| Kowa Pharmaceuticals America, Inc. | 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.
- DUPIXENT$219
How this compares
$1,831 in reported general payments places this provider in the 25th percentile of 336 allergy & immunology providers in Texas.
Other allergy & immunology in The Woodlands
- William HowlandAustin$3.6M
- Russell PerryBeaumont$3.2M
- Barbara BaxterDallas$2.5M
- Lyndon MansfieldEl Paso$2.4M
- Dale MoharKerrville$2.3M
- Erika GonzalezSan Antonio$2.2M
- Richard WassermanDallas$1.9M
- Joseph DiazSan Antonio$1.8M
- Niran AmarWaco$840K
- Robert JacobsSan Antonio$757K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.