Carlos Pacheco
Endocrinology, Diabetes & Metabolism · Maitland, FLNPI 1104824127
Payments from drug & device makers
Across 494 payments — averaging $64.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$12K
- Tandem Diabetes Care, Inc.$6K
- AbbVie$4K
- Sanofi-aventis U.S. LLC$2K
- Lilly USA, LLC$1K
- Amgen$833
- plus $6K from 45 others
What the payments were for
- Speaking & faculty fees$18,23457%
- Travel & lodging$7592%
- Food & beverage$12,77240%
- Education$2191%
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.
- Ozempic$5,911
- Tresiba$4,539
- Synthroid$3,228
- t:slim X2 insulin pump$3,000
- t-slim insulin pump$2,811
- iLet Bionic Pancreas$874
- TZIELD$741
- Kerendia$312
- Omnipod$232
- CeQur Simplicity$189
- iLet Insulin Infusion Kit Inset$144
- iLet Insulin Infusion Kit Contact Detach$144
- SOLIQUA 100/33$129
- DISEASE STATE$125
- TEPEZZA$125
- DEXCOM G7 GSS (161)$123
- Repatha$123
- TOUJEO$114
- FreeStyle Libre Pro$110
- FreeStyle Lite system$101
How this compares
$31,985 in reported general payments places this provider in the 80th percentile of 586 endocrinology, diabetes & metabolism providers in Florida.
See all endocrinology, diabetes & metabolism providers in Florida →
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| OzempicSemaglutide | 114 | $178,560 |
| JardianceEmpagliflozin | 104 | $132,726 |
| TrulicityDulaglutide | 98 | $121,602 |
| Tresiba Flextouch U-200Insulin Degludec | 49 | $93,856 |
| MounjaroTirzepatide | 56 | $91,308 |
| FarxigaDapagliflozin Propanediol | 45 | $57,980 |
| SynthroidLevothyroxine Sodium | 378 | $38,769 |
| RybelsusSemaglutide | 14 | $33,426 |
| JanuviaSitagliptin Phosphate | 17 | $22,224 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 31 | $14,586 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 11 | $13,783 |
| Janumet XrSitagliptin Phos/Metformin Hcl | 14 | $12,267 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 56 | $11,384 |
| VascepaIcosapent Ethyl | 18 | $9,729 |
| Novolog FlexpenInsulin Aspart | 25 | $9,446 |
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 |
|---|---|---|
| Lilly USA, LLCTrulicity, Mounjaro, Humalog, Insulin Lispro | $1,178 | $219,193186 claims |
| Novo NordiskOzempic, Rybelsus, Novolog | $12,037 | $218,368166 claims |
| Boehringer IngelheimJardiance | $374 | $132,726104 claims |
| AstraZenecaFarxiga | $151 | $57,98045 claims |
| AbbVieSynthroid | $3,604 | $38,769378 claims |
| MerckJanuvia, Janumet Xr | $177 | $34,49131 claims |
| Amneal Pharmaceuticals LLCUnithroid, Levothyroxine Sodium | $276 | $6,429245 claims |
| PfizerLevoxyl | $126 | $4,554138 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 586 endocrinology, diabetes & metabolism providers in Florida.
Other endocrinology, diabetes & metabolism in Maitland
- Richard PratleyOrlando$9.2M
- Jose MandryOcoee$9.1M
- Steven SmithOrlando$7.9M
- Barry HorowitzWest Palm Beach$7.1M
- Tina ThethiOrlando$3.8M
- David SuttonJacksonville$3.1M
- Lorena Lewy-AlterbaumHollywood$3.1M
- Mae Sheikh AliJacksonville$2.9M
- James MageeJacksonville$2.7M
- Rodolfo GalindoMiami$2.5M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.