Felix Pacheco, MD
Hospice and Palliative Medicine · Paramus, NJNPI 1033326152
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 31 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 7 manufacturers reported payments, led by Takeda Pharmaceuticals U.S.A., Inc. at 58.0% of the total. Reporting peaked in 2021 at $195 and has fallen 58.7% since, to $81 in 2022.
Across 31 payments — averaging $13.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Takeda Pharmaceuticals U.S.A., Inc.$237
- Alkermes, Inc.$56
- AbbVie$52
- Merck$28
- Redhill Biopharma Inc.$13
- Amgen$12
- plus $11 from 1 others
What the payments were for
- Food & beverage$408100%
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 |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 18 | $237 |
| Alkermes, Inc. | 4 | $56 |
| AbbVie | 4 | $52 |
| Merck | 2 | $28 |
| Redhill Biopharma Inc. | 1 | $13 |
| Amgen | 1 | $12 |
| Boehringer Ingelheim | 1 | $11 |
How this compares
$408 in reported general payments places this provider in the 75th percentile of 38 hospice and palliative medicine providers in New Jersey.
See all hospice and palliative medicine providers in New Jersey →
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 |
|---|---|---|
| JardianceEmpagliflozin | 34 | $31,156 |
| EliquisApixaban | 27 | $21,486 |
| JanuviaSitagliptin Phosphate | 14 | $16,641 |
| XareltoRivaroxaban | 21 | $15,448 |
| TradjentaLinagliptin | 12 | $6,237 |
| Atorvastatin Calcium | 293 | $3,816 |
| DexilantDexlansoprazole | 11 | $3,304 |
| Montelukast Sodium | 86 | $1,783 |
| Nebivolol Hcl | 27 | $1,723 |
| Pantoprazole Sodium | 106 | $1,702 |
| Rosuvastatin Calcium | 67 | $1,552 |
| Metoprolol Succinate | 120 | $1,471 |
| Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide | 66 | $1,385 |
| Losartan Potassium | 98 | $1,180 |
| Levothyroxine Sodium | 160 | $1,176 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance, Tradjenta | $11 | $37,39246 claims |
| MerckJanuvia | $28 | $16,64114 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Dexilant | $237 | $3,30411 claims |
| AbbVieSynthroid | $52 | $56617 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 75th percentile of 38 hospice and palliative medicine providers in New Jersey.
Other hospice and palliative medicine in Paramus
- Puneeta SharmaParamus$134
- Stacey Rifkin-ZenenbergHackensack$19K
- Kenneth AdessaParsippany$16K
- Ramy SedhomPlainsboro$3K
- Anjali DesaiMorristown$3K
- Keith PasichowLong Branch$834
- Ilene LauferWest New York$666
- Vandana SharmaNeptune$653
- Christopher BolichCamden$583
- Maria ShindlerMorristown$514
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.