Karen Nehlich

What was reported, 2021–2025

$58

General payments

4 separate payments. Meals, travel, speaking and consulting fees, gifts.

$0

Research payments

Funding for a study, usually paid to an institution with this doctor named on it. Not added to general payments, and not income.

$0

Ownership and investment

The value of a stake this doctor or an immediate family member held.

0

Disputed

This doctor has contested none of the payments reported about them.

By program year

CMS reports a program year at a time and also publishes its own total across them, which is what the figures above are. These rows are that total taken apart, not a second set of payments.

The record

1699731158

National Provider Identifier

The identifier this page is addressed by, and the one both CMS files share.

Physician Assistant

Specialty

Physician Assistants & Advanced Practice Nursing Providers, in CMS's taxonomy.

SD

Licensed in

The state of the licence CMS lists first.

Covered Recipient Non-Physician Practitioner

Recipient type

How CMS classifies the recipient of these payments.

Medicare prescribing

What this provider billed to Medicare Part D in 2024, as CMS published it. Medicare Part D only: what they prescribed outside it is not here.

7,385

Claims

Prescriptions and refills billed to Part D, as CMS counts them.

$682,075

Total drug cost

What Part D, the plan and the patient paid together. Not what this provider was paid — they are paid nothing out of it.

674

Beneficiaries

People with at least one prescription from this provider.

853

Brand-name claims

Of the claims above, those for a brand-name drug.

6,486

Generic claims

Of the claims above, those for a generic.

35

Opioid claims

CMS puts this provider's opioid prescribing rate at 0.47393364928909953% of their claims. That is their figure, computed from their own unsuppressed data.

141

Antibiotic claims

Claims for an antibiotic.

Physician Assistant

Prescriber type

As CMS classifies this prescriber. Credentials: PA-C.

A blank is not a zero. CMS withholds a value between 1 and 10, and withholds the next lowest alongside it so the first cannot be worked out by subtraction — so a withheld figure is not even evidence that the number was small. Rows for ten or fewer claims are removed from the file altogether, which is why the parts of a total can be withheld while the total is published.

Elsewhere

• Payments to doctors in South Dakota — what was reported across the state this doctor practises in.
• What drug and device companies pay doctors — the national picture these figures are part of.
• This record at CMS — the publisher’s own page for this profile.
• The NPI registry — who this identifier belongs to, at CMS.