Elise Tetelman, PA
Medical · Piney Flats, TNNPI 1225530686
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.8% of the total across 159 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 35 manufacturers, the largest accounting for just 13.4% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $4,630, 3.9 times the $1,189 reported in 2022. Among medical clinicians in TN 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 159 payments — averaging $41.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Incyte Corporation$887
- Regeneron Healthcare Solutions, Inc.$562
- Johnson & Johnson$537
- CSL Behring$360
- AstraZeneca$277
- Amgen$271
- plus $4K from 29 others
What the payments were for
- Food & beverage$6,608100%
- Education$130%
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 |
|---|---|---|
| Incyte Corporation | 18 | $887 |
| Regeneron Healthcare Solutions, Inc. | 7 | $562 |
| Johnson & Johnson | 5 | $537 |
| CSL Behring | 8 | $360 |
| AstraZeneca | 4 | $277 |
| Amgen | 7 | $271 |
| Grifols USA, LLC | 5 | $267 |
| Novartis | 9 | $262 |
| LEO Pharma Inc. | 11 | $225 |
| ARS Pharmaceuticals Operations, Inc. | 6 | $224 |
| Sanofi | 8 | $221 |
| GSK | 6 | $197 |
| Lilly USA, LLC | 9 | $194 |
| Takeda Pharmaceuticals U.S.A., Inc. | 9 | $192 |
| AbbVie(2 entities) | 6 | $178 |
| Galderma Laboratories, L.p. | 4 | $176 |
| UCB, Inc. | 3 | $171 |
| Octapharma USA, Inc. | 2 | $154 |
| Blueprint Medicines Corporation | 2 | $151 |
| Ionis Pharmaceuticals, Inc. | 2 | $143 |
| EPI Health, LLC | 4 | $136 |
| Alk-abello, Inc | 3 | $134 |
| Arcutis Biotherapeutics, Inc. | 2 | $134 |
| Pharming Healthcare, Inc. | 4 | $97 |
| Regeneron | 1 | $73 |
| Merz North America, Inc. | 1 | $72 |
| Pfizer | 3 | $69 |
| Azurity Pharmaceuticals, Inc. | 3 | $52 |
| E.r. Squibb & Sons, L.L.C. | 1 | $52 |
| Genentech, Inc. | 1 | $47 |
| Phadia US Inc. | 1 | $23 |
| Greer Laboratories, Inc. | 1 | $23 |
| Insmed, Inc. | 1 | $22 |
| Biocryst US Sales Co., LLC | 1 | $20 |
| Cycle Pharmaceuticals Inc | 1 | $19 |
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.
How this compares
$6,620 in reported general payments places this provider in the 90th percentile of 480 medical providers in Tennessee.
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 |
|---|---|---|
| Fluorouracil | 12 | $1,120 |
| Ketoconazole | 39 | $703 |
| Clobetasol Propionate | 12 | $573 |
| Clindamycin Phosphate | 14 | $377 |
| Triamcinolone Acetonide | 28 | $300 |
| Mupirocin | 26 | $226 |
| Hydrocortisone | 21 | $142 |
Paid to pharmacies, not to this prescriber.
Other medical in Piney Flats
- Maria WoodChattanooga$130K
- Alyssa JamesonFranklin$65K
- Melissa LambertHendersonville$47K
- Stephanie HowardKnoxville$18K
- Evan HatfillNashville$18K
- Meredith McDanielChattanooga$17K
- Janet BreedingKnoxville$15K
- Paul MabenKnoxville$13K
- Hannah KirkGreeneville$13K
- Scarlett FordNashville$12K
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.