Brittany Giammalvo
Physician Assistant · Old Saybrook, CTNPI 1033426200
Payments from drug & device makers
Across 18 payments — averaging $31.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$323
- Pfizer$100
- Regeneron Healthcare Solutions, Inc.$38
- Amgen$36
- AbbVie$25
- Arcutis Biotherapeutics, Inc.$23
- plus $19 from 1 others
What the payments were for
- Food & beverage$28651%
- Education$27849%
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 |
|---|---|---|
| Johnson & Johnson | 8 | $323 |
| Pfizer | 4 | $100 |
| Regeneron Healthcare Solutions, Inc. | 1 | $38 |
| Amgen | 2 | $36 |
| AbbVie | 1 | $25 |
| Arcutis Biotherapeutics, Inc. | 1 | $23 |
| Novartis | 1 | $19 |
How this compares
$564 in reported general payments places this provider in the 75th 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 |
|---|---|---|
| Dupixent PenDupilumab | 13 | $48,646 |
| Doxycycline Ir-DrDoxycycline Monohydrate | 23 | $22,936 |
| Calcipotriene | 39 | $4,404 |
| Metronidazole | 106 | $3,993 |
| Fluorouracil | 71 | $3,411 |
| Ketoconazole | 124 | $2,622 |
| Tacrolimus | 16 | $1,529 |
| Doxycycline Hyclate | 42 | $1,382 |
| Betamethasone Dipropionate | 44 | $1,255 |
| Betamethasone Valerate | 35 | $401 |
| Clobetasol Propionate | 14 | $355 |
| Triamcinolone Acetonide | 61 | $318 |
| Mupirocin | 38 | $266 |
| ValacyclovirValacyclovir Hcl | 18 | $128 |
| Cephalexin | 11 | $81 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Old Saybrook
- 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
- Janine TedescoDarien$21K
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.