Atul Palkar, MD
Pulmonary Disease · Norwich, CTNPI 1225326804
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 90.5% of the total across 510 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 45 manufacturers reported payments, led by GSK at 28.7% of the total.
Across 510 payments — averaging $19.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$3K
- AstraZeneca$1K
- Pulmonx Corporation$658
- Boehringer Ingelheim$598
- Novartis$388
- Pfizer$386
- plus $4K from 39 others
What the payments were for
- Travel & lodging$5365%
- Food & beverage$9,06191%
- Education$4124%
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.
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
$10,009 in reported general payments places this provider in the 80th percentile of 255 pulmonary disease 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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 540 | $793,157 |
| Dupixent PenDupilumab | 46 | $231,615 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 161 | $174,426 |
| Prolastin CAlpha-1-Proteinase Inhibitor | 14 | $146,561 |
| Breo ElliptaFluticasone/Vilanterol | 115 | $88,824 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 68 | $74,570 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 52 | $64,278 |
| Spiriva RespimatTiotropium Bromide | 48 | $51,490 |
| AirsupraAlbuterol Sulfate/Budesonide | 19 | $30,513 |
| EliquisApixaban | 23 | $25,575 |
| Roflumilast | 139 | $21,606 |
| SymbicortBudesonide/Formoterol Fumarate | 44 | $21,601 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 446 | $20,686 |
| Spiriva HandihalerTiotropium Bromide | 15 | $16,759 |
| Combivent RespimatIpratropium/Albuterol Sulfate | 16 | $15,480 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta, Incruse Ellipta | $2,876 | $1,071,694848 claims |
| Grifols USA, LLCProlastin C | $164 | $146,56114 claims |
| Boehringer IngelheimStiolto Respimat, Spiriva Respimat, Combivent Respimat | $598 | $141,540132 claims |
| AstraZenecaBreztri Aerosphere, Airsupra, Symbicort, Bevespi Aerosphere | $1,285 | $121,396127 claims |
| PfizerEliquis | $386 | $25,57523 claims |
| MerckDulera | $59 | $13,27513 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 80th percentile of 255 pulmonary disease providers in Connecticut.
Other pulmonary disease in Norwich
- Thinesh DahanayakeNorwich$192K
- Ankit GuptaNorwich$13K
- Priya BakayaNorwich$10K
- Jose Angelo de DiosNorwich$8K
- Donna Romito RollaNorwich$6K
- Geoffrey ChuppNew Haven$1.2M
- Tapas BandyopadhyayWest Hartford$483K
- Raj ParikhHartford$386K
- Patrick TroyHartford$385K
- Michael ImevboreNew Haven$323K
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.