Darrell Pietsch, MD
Family Medicine · Waco, TXNPI 1780689992
Payments from drug & device makers
Across 54 payments — averaging $19.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sunovion Pharmaceuticals Inc.$230
- ZOLL Respicardia, Inc.$108
- Gilead$96
- Novartis$81
- GSK$80
- Vital Connect, Inc$79
- plus $391 from 16 others
What the payments were for
- Food & beverage$1,065100%
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 |
|---|---|---|
| Sunovion Pharmaceuticals Inc. | 18 | $230 |
| ZOLL Respicardia, Inc. | 1 | $108 |
| Gilead | 1 | $96 |
| Novartis | 5 | $81 |
| GSK | 5 | $80 |
| Vital Connect, Inc | 1 | $79 |
| Pfizer | 4 | $73 |
| Perspectum Diagnostics Ltd | 1 | $55 |
| Johnson & Johnson | 3 | $44 |
| Amarin Pharma, Inc. | 2 | $31 |
| Novo Nordisk | 2 | $28 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $20 |
| Amgen | 1 | $18 |
| Merck | 1 | $17 |
| Abbott | 1 | $17 |
| Intuitive Surgical | 1 | $16 |
| Ironshore Pharmaceuticals Inc. | 1 | $14 |
| AstraZeneca | 1 | $13 |
| AbbVie | 1 | $13 |
| Therapeuticsmd, Inc. | 1 | $12 |
| Astellas Pharma US Inc | 1 | $11 |
| Kowa Pharmaceuticals America, Inc. | 1 | $11 |
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.
- remede System$108
How this compares
$1,065 in reported general payments places this provider in the 60th percentile of 8,760 family medicine providers in Texas.
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 | 334 | $148,139 |
| IngrezzaValbenazine Tosylate | 14 | $81,503 |
| TeflaroCeftaroline Fosamil Acetate | 19 | $50,936 |
| JardianceEmpagliflozin | 67 | $34,973 |
| GemtesaVibegron | 111 | $34,433 |
| NuplazidPimavanserin Tartrate | 11 | $30,095 |
| XareltoRivaroxaban | 70 | $27,972 |
| OzempicSemaglutide | 21 | $23,965 |
| MyrbetriqMirabegron | 57 | $22,397 |
| TrulicityDulaglutide | 20 | $20,038 |
| EntrestoSacubitril/Valsartan | 30 | $17,723 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 34 | $15,881 |
| JanuviaSitagliptin Phosphate | 49 | $14,892 |
| Potassium Chloride | 540 | $14,460 |
| Atorvastatin Calcium | 938 | $13,582 |
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 | $73 | $148,139334 claims |
| AbbVieTeflaro, Lumigan | $13 | $56,86041 claims |
| GSKTrelegy Ellipta, Incruse Ellipta, Breo Ellipta | $80 | $30,08173 claims |
| MerckJanuvia, Lagevrio (Eua) | $17 | $28,12563 claims |
| Johnson & JohnsonXarelto | $44 | $27,97270 claims |
| Novo NordiskOzempic | $28 | $23,96521 claims |
| Astellas Pharma US IncMyrbetriq | $11 | $22,39757 claims |
| NovartisEntresto | $81 | $17,72330 claims |
| AstraZenecaFarxiga | $13 | $11,94624 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 60th percentile of 8,760 family medicine providers in Texas.
Other family medicine in Waco
- Douglas DenhamSan Antonio$68.5M
- Vicki MillerPasadena$58.3M
- Hareshkumar BogharaDesoto$30.3M
- Earl MartinTomball$30.1M
- Lisa HollowayHouston$30.1M
- William SegerFort Worth$27.5M
- Veronica FragosoHouston$24.5M
- Joel SolisMcAllen$21.1M
- George AtieeSan Antonio$19.9M
- Bonnie ColvilleHouston$19.6M
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.