David Pietrasiuk, MD
Emergency Medicine · Jacksonville, FLNPI 1619991619
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 94.5% of the total across 51 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 14 manufacturers reported payments, led by Smith+Nephew at 34.0% of the total. Reporting peaked in 2019 at $678 and has fallen 71.7% since, to $192 in 2025. Among emergency medicine clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 51 payments — averaging $41.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$723
- Organogenesis Inc.$530
- Kerecis Limited$272
- Integra Lifesciences Corporation$209
- Boston Scientific$132
- Next Science LLC$65
- plus $196 from 8 others
What the payments were for
- Speaking & faculty fees$1176%
- Food & beverage$2,00994%
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 |
|---|---|---|
| Smith+Nephew | 19 | $723 |
| Organogenesis Inc. | 10 | $530 |
| Kerecis Limited | 4 | $272 |
| Integra Lifesciences Corporation | 5 | $209 |
| Boston Scientific | 2 | $132 |
| Next Science LLC | 2 | $65 |
| TEI Medical Inc. | 2 | $47 |
| Solventum Corporation | 1 | $30 |
| Urgo Medical North America, LLC | 1 | $26 |
| Convatec Inc. | 1 | $23 |
| Aroa Biosurgery Incorporated | 1 | $22 |
| KCI USA, Inc. | 1 | $19 |
| Medtronic | 1 | $15 |
| AbbVie | 1 | $15 |
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.
- Kerecis Omega3 SurgiClose$533
- PuraPly$242
- Kerecis Omega3 GraftGuide$178
- Kerecis Omega3 Marigen$178
- Apligraf$117
- Dermagraft$117
- Puraply/Affinity/NuTech$117
- Grafix PRIME$110
- Grafix CORE$110
- Grafix XC$110
- Grafix PL PRIME$110
- Santyl$105
- REGRANEX$105
- Oasis$105
How this compares
$2,126 in reported general payments places this provider in the 95th percentile of 3,289 emergency medicine providers in Florida.
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 |
|---|---|---|
| Ciprofloxacin Hcl | 107 | $817 |
| Cephalexin | 72 | $618 |
| Doxycycline Hyclate | 59 | $595 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 44 | $564 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 103 | $451 |
| Cefdinir | 33 | $412 |
| Metronidazole | 41 | $268 |
| Levofloxacin | 41 | $202 |
| Clindamycin Hcl | 12 | $149 |
| NitrofurantoinNitrofurantoin Macrocrystal | 11 | $122 |
| Fluconazole | 28 | $119 |
| Amoxicillin | 28 | $79 |
Paid to pharmacies, not to this prescriber.
Other emergency medicine in Jacksonville
- Robert LutenJacksonville$190K
- Daniel D'amoreJacksonville$12K
- Konika SchallenJacksonville$5K
- Michael LuskoJacksonville$5K
- Faheem GuirgisJacksonville$5K
- Laurent DreyfussSunrise$1.2M
- Jason WilsonTampa$538K
- Adam LeisyHialeah$148K
- Joseph TyndallGainesville$130K
- Kunal AgarwalMiami$101K
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.