David Piatok, MD
Endocrinology, Diabetes & Metabolism · Sayre, PANPI 1700995248
Payments from drug & device makers
Across 78 payments — averaging $18.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Mannkind Corporation$236
- AstraZeneca$231
- Lilly USA, LLC$198
- Sanofi-aventis U.S. LLC$198
- Novo Nordisk$85
- Medtronic$77
- plus $384 from 17 others
What the payments were for
- Food & beverage$1,28491%
- Education$60%
- Gifts$1198%
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 |
|---|---|---|
| Mannkind Corporation | 7 | $236 |
| AstraZeneca | 15 | $231 |
| Lilly USA, LLC | 12 | $198 |
| Sanofi-aventis U.S. LLC | 12 | $198 |
| Novo Nordisk | 5 | $85 |
| Medtronic(2 entities) | 4 | $77 |
| Tolmar, Inc. | 2 | $44 |
| Intuity Medical Inc | 2 | $37 |
| Shire North American Group Inc | 2 | $34 |
| BD | 2 | $29 |
| Dexcom, Inc. | 2 | $29 |
| Amgen | 2 | $26 |
| Antares Pharma, Inc. | 1 | $23 |
| Xeris Pharmaceuticals, Inc. | 1 | $22 |
| Insulet Corporation | 1 | $20 |
| Tandem Diabetes Care, Inc. | 1 | $19 |
| Ascensia Diabetes Care US Inc. | 1 | $17 |
| IBSA Pharma Inc. | 1 | $16 |
| Merck | 1 | $14 |
| Abbott | 1 | $14 |
| Pfizer | 1 | $14 |
| Aytu Biopharma, Inc. | 1 | $13 |
| AbbVie | 1 | $12 |
How this compares
$1,409 in reported general payments places this provider in the 50th percentile of 388 endocrinology, diabetes & metabolism providers in Pennsylvania.
See all endocrinology, diabetes & metabolism providers in Pennsylvania →
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 |
|---|---|---|
| MounjaroTirzepatide | 85 | $101,865 |
| AfrezzaInsulin Regular, Human | 25 | $49,354 |
| OzempicSemaglutide | 24 | $30,256 |
| JardianceEmpagliflozin | 29 | $28,171 |
| JanuviaSitagliptin Phosphate | 30 | $20,532 |
| FarxigaDapagliflozin Propanediol | 20 | $17,757 |
| V-Go 40Sub-Q Insulin Device, 40 Unit | 12 | $5,641 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 11 | $5,205 |
| Novolog FlexpenInsulin Aspart | 28 | $5,194 |
| HumalogInsulin Lispro | 18 | $4,463 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 13 | $4,268 |
| NovologInsulin Aspart | 19 | $3,709 |
| Humalog Kwikpen U-100Insulin Lispro | 15 | $2,934 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 18 | $2,606 |
| Levothyroxine Sodium | 224 | $2,445 |
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, LLCMounjaro, Humalog, Insulin Lispro | $198 | $107,177116 claims |
| Mannkind CorporationAfrezza | $236 | $49,35425 claims |
| Novo NordiskOzempic, Novolog | $85 | $33,96543 claims |
| MerckJanuvia | $14 | $20,53230 claims |
| AstraZenecaFarxiga | $231 | $17,75720 claims |
| AbbVieSynthroid | $12 | $1,59635 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 50th percentile of 388 endocrinology, diabetes & metabolism providers in Pennsylvania.
Other endocrinology, diabetes & metabolism in Sayre
- Sahzene YavuzSayre$342K
- Mona Al MukaddamPhiladelphia$3.9M
- Serge JabbourPhiladelphia$3.1M
- Mihaela BiscoveanuPhiladelphia$1.5M
- Barbara SimonPhiladelphia$1M
- Mitchell LazarPhiladelphia$1M
- Vijay BahlPittsburgh$998K
- Intekhab AhmedPhiladelphia$926K
- Erin KershawPittsburgh$804K
- Geraldo SaavedraWhitehall$698K
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.