Nicole Karras
Pediatric Hematology-Oncology · Duarte, CANPI 1790907962
Payments from drug & device makers
Across 147 payments — averaging $1273.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$123K
- Incyte Corporation$26K
- Pharmacyclics LLC, An Abbvie Company$19K
- AstraZeneca$19K
- Jazz Pharmaceuticals Inc.$471
- Adaptive Biotechnologies Corporation$176
- plus $691 from 14 others
Across 1 payment — averaging $716.83 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Novartis$717
What the payments were for
- Food & beverage$1,76697%
- Education$483%
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 |
|---|---|---|
| Merck | 45 | $122,586 |
| Incyte Corporation | 55 | $25,703 |
| Pharmacyclics LLC, An Abbvie Company | 5 | $19,003 |
| AstraZeneca | 9 | $18,570 |
| Jazz Pharmaceuticals Inc. | 11 | $471 |
| Adaptive Biotechnologies Corporation | 1 | $176 |
| Novartis | 2 | $148 |
| Sobi, Inc | 1 | $125 |
| EMD Serono, Inc. | 2 | $62 |
| Genentech USA, Inc. | 2 | $58 |
| Daiichi Sankyo Inc. | 3 | $56 |
| Seagen Inc. | 3 | $52 |
| Karyopharm Therapeutics Inc. | 1 | $32 |
| Genmab U.S., Inc. | 1 | $28 |
| Pharming Healthcare, Inc. | 1 | $26 |
| Bristol Myers Squibb | 1 | $25 |
| AbbVie | 1 | $23 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $22 |
| Servier Pharmaceuticals LLC | 1 | $19 |
| Regeneron Healthcare Solutions, 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.
How this compares
$187,200 in reported general payments places this provider in the 70th percentile of 307 pediatric hematology-oncology providers in California.
See all pediatric hematology-oncology providers in California →
Other pediatric hematology-oncology in Duarte
- Joseph RosenthalDuarte$1M
- Janet YoonDuarte$756K
- Anna PawlowskaDuarte$379K
- Beth WingerSan Francisco$8.6M
- James GellerSan Diego$7.8M
- Norman LacayoPalo Alto$5M
- Alan WayneLos Angeles$3.8M
- Ami ShahPalo Alto$3.2M
- Philip PizzoPalo Alto$2.6M
- Fariba NavidLos Angeles$2.5M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.