Stephen C. Karem, MD
NPI 1295719664ActiveIndividual· Family Medicine· Floyds Knobs, IN
Opted out of Medicare from April 2021 to April 2027. Family Medicine (MD) in Floyds Knobs, Indiana, licensed in IN, with an NPI issued in November 2005. Part D covered 1,491 prescriptions written in 2024, 85% of them generic. Axsome Therapeutics, Inc. was the largest of 4 companies reporting payments in 2025, $198.80 in all, mostly food and beverage.
Overview
| NPI | 1295719664 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Nov 30, 2005 |
| Last updated in NPPES | Dec 7, 2020 |
| Certified by provider | Dec 7, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 01044232 | IN |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Apr 1, 2021 – Apr 1, 2027 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 1,491 · 3,002 30-day fills |
|---|---|
| Patients | 134 |
| Total drug cost | $263,533 |
| Generic share | 85% of claims |
Industry payments (Open Payments)
- 2025$198.80 · 5 payments from 4 companies
- 2024$59.36 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Axsome Therapeutics, Inc. | $148.46 | 2 |
| Lilly USA, LLC | $17.75 | 1 |
| Novartis Pharmaceuticals Corporation | $17.67 | 1 |
| Amgen Inc. | $14.92 | 1 |
What the 2025 payments were for
- Food and Beverage$198.80 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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