Teresa M. Karcsmar, ARNP
NPI 1134312200ActiveIndividual· Nurse Practitioner, Family· Winter Garden, FL
Nurse Practitioner, Family (ARNP) with Ability Health Services and Rehabilitation LP and 1 other group, practicing in Winter Garden, Florida. Their prescriptions cost Medicare Part D more than their services did: $553,393 for 4,309 claims, against $1,289 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 18 companies reporting payments in 2025, $763.38 in all, mostly food and beverage. Lists Orlando Health South Lake Hospital as a hospital affiliation.
Overview
| NPI | 1134312200 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP |
| Sole proprietor | No |
| NPI issued | Aug 22, 2007 |
| Last updated in NPPES | Apr 11, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 9172831 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 23 across 6 procedure codes |
| Paid by Medicare | $1,289 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,309 · 9,550 30-day fills |
|---|---|
| Patients | 457 |
| Total drug cost | $553,393 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 1994 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Ability Health Services and Rehabilitation LPSanford, FL · 1,269 clinicians
- Ability Health Services, IncSanford, FL · 1,258 clinicians
Hospital affiliation
- Orlando Health South Lake HospitalClermont, FL
Industry payments (Open Payments)
- 2025$763.38 · 28 payments from 18 companies
- 2024$1,254 · 62 payments from 17 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $164.32 | 3 |
| Takeda Pharmaceuticals U.S.A., Inc. | $87.14 | 3 |
| Jazz Pharmaceuticals Inc. | $69.68 | 2 |
| Novo Nordisk Inc | $47.95 | 2 |
| Avadel Cns Pharmaceuticals, LLC | $36.47 | 1 |
What the 2025 payments were for
- Food and Beverage$763.38 · 28 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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