Karie Lafleur, MD
Obstetrics & Gynecology · Asheville, NCNPI 1588996714
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $104,442 of the $134,984 with a category attached, or 77.4%. Organon accounts for 84.0% of it on its own, with 24 other manufacturers making up the rest. Among obstetrics & gynecology clinicians in NC with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 266 payments — averaging $507.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Organon$113K
- Laborie Medical Technologies Corp.$20K
- AbbVie$491
- Pfizer$176
- Amgen$132
- Astellas Pharma US Inc$118
- plus $820 from 19 others
What the payments were for
- Consulting fees$12,87710%
- Speaking & faculty fees$104,44277%
- Travel & lodging$13,16610%
- Food & beverage$4,4993%
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 |
|---|---|---|
| Organon | 146 | $113,351 |
| Laborie Medical Technologies Corp. | 22 | $19,895 |
| AbbVie | 26 | $491 |
| Pfizer | 11 | $176 |
| Amgen | 8 | $132 |
| Astellas Pharma US Inc | 8 | $118 |
| Hologic Sales And Service, LLC | 6 | $103 |
| Coopersurgical, Inc. | 4 | $85 |
| Bayer | 6 | $83 |
| Mayne Pharma Commercial LLC | 3 | $81 |
| Therapeuticsmd, Inc. | 3 | $57 |
| Johnson & Johnson | 2 | $44 |
| Clinical Innovations, LLC | 1 | $41 |
| Exeltis, USA Inc. | 2 | $37 |
| Sage Therapeutics, LLC | 2 | $37 |
| AMAG Pharmaceuticals, Inc. | 3 | $35 |
| Axsome Therapeutics, Inc. | 2 | $34 |
| Dexcom, Inc. | 1 | $33 |
| Lupin Inc. | 2 | $31 |
| Millicent US Inc | 2 | $30 |
| Pacira Pharmaceuticals Incorporated | 2 | $29 |
| Novo Nordisk | 1 | $19 |
| Aspira Women's Health Inc | 1 | $14 |
| Boston Scientific | 1 | $14 |
| Mallinckrodt Enterprises LLC | 1 | $13 |
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.
- JADA SYSTEM$88,704
- NEXPLANON$7,780
How this compares
$134,984 in reported general payments places this provider in the 95th percentile of 1,344 obstetrics & gynecology providers in North Carolina.
See all obstetrics & gynecology providers in North Carolina →
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 |
|---|---|---|
| Estradiol | 52 | $3,255 |
| Estradiol (Twice Weekly)Estradiol | 19 | $809 |
| YuvafemEstradiol | 11 | $743 |
| Clobetasol Propionate | 19 | $280 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Asheville
- Breanna BolivarAsheville$45K
- Stacy TravisAsheville$27K
- Rita KaplonAsheville$14K
- Jerry MatkinsCharlotte$481K
- Laura McKainWilmington$475K
- Leslie Hansen-LindnerCharlotte$372K
- Robin MatthewsClyde$217K
- Haywood BrownDurham$165K
- Jack IngeRaleigh$157K
- Geeta SwamyDurham$142K
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.