David Ciochetty, MD
Pain Medicine · Chapel Hill, NCNPI 1982666830
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $82,448 of the $82,617 with a category attached, or 99.8%. Kedplasma LLC accounts for 99.7% of it on its own, with 7 other manufacturers making up the rest. 2025 is the largest year on record at $30,017, more than ten times the $100 reported in 2019. Among pain medicine clinicians in NC with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 58 payments — averaging $1424.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Kedplasma LLC$82K
- Comsort, Inc$100
- Biohaven Pharmaceutical Holding Company Ltd.$56
- Merck$31
- Lilly USA, LLC$28
- SK Life Science, Inc.$19
- plus $34 from 2 others
What the payments were for
- Consulting fees$82,448100%
- Food & beverage$1690%
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 |
|---|---|---|
| Kedplasma LLC | 47 | $82,348 |
| Comsort, Inc | 1 | $100 |
| Biohaven Pharmaceutical Holding Company Ltd. | 3 | $56 |
| Merck | 2 | $31 |
| Lilly USA, LLC | 2 | $28 |
| SK Life Science, Inc. | 1 | $19 |
| Biohaven Pharmaceuticals, Inc. | 1 | $19 |
| Amarin Pharma, Inc. | 1 | $16 |
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.
- BRIDION$100
How this compares
$82,617 in reported general payments places this provider in the 90th percentile of 182 pain medicine providers in North Carolina.
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.
Other pain medicine in Chapel Hill
- James NorthWinston Salem$721K
- Leonardo KapuralWinston Salem$523K
- Christopher GilmoreWinston Salem$457K
- Richard RauckWinston Salem$431K
- Courtney AumanJacksonville$186K
- Jacob WangCharlotte$162K
- Aashish KumarCharlotte$160K
- Javid BakshAsheville$116K
- David ZubLeland$97K
- James DeeringCharlotte$93K
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.