Alexandra Zhakov
Physician Assistant · Wethersfield, CTNPI 1184220865
Payments from drug & device makers
Across 132 payments — averaging $32.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$1K
- Novo Nordisk$576
- Abbott$369
- Novartis$323
- Johnson & Johnson$271
- AstraZeneca$249
- plus $1K from 14 others
What the payments were for
- Travel & lodging$60114%
- Food & beverage$3,62486%
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 |
|---|---|---|
| Boston Scientific | 6 | $1,121 |
| Novo Nordisk | 21 | $576 |
| Abbott | 7 | $369 |
| Novartis | 14 | $323 |
| Johnson & Johnson | 11 | $271 |
| AstraZeneca | 12 | $249 |
| Boehringer Ingelheim | 17 | $242 |
| Pfizer | 10 | $230 |
| E.r. Squibb & Sons, L.L.C. | 10 | $214 |
| Merck | 8 | $194 |
| Amgen | 3 | $90 |
| Kiniksa Pharmaceuticals International, PLC | 3 | $74 |
| Alnylam Pharmaceuticals Inc. | 2 | $68 |
| Lilly USA, LLC | 2 | $56 |
| Sanofi-aventis U.S. LLC | 1 | $40 |
| Actelion Pharmaceuticals US, Inc. | 1 | $30 |
| Bayer | 1 | $24 |
| Bridgebio Pharma, Inc. | 1 | $21 |
| Kiniksa Pharmaceuticals, Ltd. | 1 | $17 |
| Lantheus Medical Imaging, Inc. | 1 | $15 |
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.
- WATCHMAN FLX$776
- WATCHMAN Access System$320
- JOT DX$135
- Ozempic$125
- Confirm Rx$112
How this compares
$4,224 in reported general payments places this provider in the 90th percentile of 1,795 physician assistant providers in Connecticut.
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 |
|---|---|---|
| EliquisApixaban | 150 | $215,165 |
| FarxigaDapagliflozin Propanediol | 49 | $59,501 |
| JardianceEmpagliflozin | 33 | $47,432 |
| XareltoRivaroxaban | 29 | $30,700 |
| EntrestoSacubitril/Valsartan | 19 | $30,066 |
| Repatha SureclickEvolocumab | 22 | $20,338 |
| OzempicSemaglutide | 18 | $17,060 |
| Metoprolol Succinate | 246 | $3,042 |
| Torsemide | 90 | $2,174 |
| Atorvastatin Calcium | 123 | $1,397 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 56 | $1,160 |
| Rosuvastatin Calcium | 89 | $1,023 |
| Amlodipine Besylate | 119 | $811 |
| Nebivolol Hcl | 13 | $676 |
| Spironolactone | 69 | $671 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerEliquis | $230 | $215,165150 claims |
| AstraZenecaFarxiga | $249 | $59,50149 claims |
| Boehringer IngelheimJardiance | $242 | $47,43233 claims |
| Johnson & JohnsonXarelto | $271 | $30,70029 claims |
| NovartisEntresto | $323 | $30,06619 claims |
| Novo NordiskOzempic | $576 | $17,06018 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 1,795 physician assistant providers in Connecticut.
Other physician assistant in Wethersfield
- Brandon TibbittsWethersfield$12K
- Jenna LangelloWaterbury$345K
- Gary SpinnerBridgeport$123K
- Jordan MarcouTrumbull$44K
- Mary ElliottGuilford$43K
- Christopher ThompsonGroton$42K
- Michael LalondeNew Haven$35K
- Kristine LaneMiddletown$30K
- Kathryn MidgleyNew Haven$28K
- Richard MoroPlainfield$25K
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.