RxDoctor Payments Data

David Zielinski, MD

Family Medicine · Destin, FLNPI 1407895790

Payments from drug & device makers

$484in general payments, 2019–2025

Across 28 payments — averaging $17.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Dexcom, Inc.$90
  • Merck$54
  • Astellas Pharma US Inc$49
  • Pfizer$35
  • AstraZeneca$32
  • Eisai Inc.$31
  • plus $194 from 10 others

What the payments were for

  • Food & beverage$484100%

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

19
22
25

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.

How this compares

$484 in reported general payments places this provider in the 50th percentile of 7,282 family medicine providers in Florida.

See all family medicine providers in Florida

Medicare billing

Part B allowed, 2024
$170,369
Medicare patients
602
Services billed
2,053

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

DrugClaimsCost to plans & patients
EliquisApixaban95$106,959
MounjaroTirzepatide73$80,688
JanuviaSitagliptin Phosphate50$54,002
OzempicSemaglutide44$53,818
XareltoRivaroxaban34$42,415
TrulicityDulaglutide34$40,262
LinzessLinaclotide34$39,639
JardianceEmpagliflozin26$37,837
CreonLipase/Protease/Amylase23$35,505
MyrbetriqMirabegron40$34,794
Budesonide ErBudesonide12$26,901
Trelegy ElliptaFluticasone/Umeclidin/Vilanter36$25,646
RexultiBrexpiprazole11$15,928
Repatha SureclickEvolocumab15$14,325
Bydureon BciseExenatide Microspheres11$14,273

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.

CompanyPaid to this providerPart D cost of their drugs
PfizerEliquis, Premarin$35$113,911113 claims
AbbVieLinzess, Creon, Synthroid$13$78,70692 claims
MerckJanuvia$54$54,00250 claims
GSKTrelegy Ellipta, Incruse Ellipta, Breo Ellipta$13$42,54671 claims
Astellas Pharma US IncMyrbetriq$49$34,79440 claims
AstraZenecaFarxiga, Symbicort, Breztri Aerosphere$32$31,73853 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 7,282 family medicine providers in Florida.

Other family medicine in Destin

See the full list for Florida

Where these figures come from

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