Gregory Koshkarian, MD
Cardiovascular Disease · Tucson, AZNPI 1164425096
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 638 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 45 manufacturers, the largest accounting for just 14.6% — the pattern of someone who eats at a lot of different presentations.
Across 638 payments — averaging $19.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$2K
- Pfizer$865
- Cvrx, Inc.$825
- Johnson & Johnson$688
- Amgen$686
- Boston Scientific$670
- plus $7K from 39 others
Across 16 payments — averaging $37,447 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Eli Lilly$497K
- E.r. Squibb & Sons, L.L.C.$102K
What the payments were for
- Food & beverage$12,704100%
- Education$10%
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.
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.
- Barostim Neo System$573
- Watchman$369
- FARXIGA$250
- UPTRAVI$239
- OPSUMIT$239
- Perceval$189
- ENROUTE Transcarotid Neuroprotection System$188
- ENROUTE Transcarotid Stent System$188
- ENHANCE Transcarotid Peripheral Access Kit$188
- ENROUTE 0.014 Guidewire$188
- MitraClip$150
- remede System$134
- SAPIEN 3 Ultra RESILIA$133
- WATCHMAN Access System$126
- Vascepa$125
- TEGSEDI$122
- ONPATTRO$122
- CAMZYOS$122
- Assure WCD$121
- Inspire Upper Airway Stimulation System$117
How this compares
$12,705 in reported general payments places this provider in the 80th percentile of 423 cardiovascular disease providers in Arizona.
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 |
|---|---|---|
| EliquisApixaban | 742 | $1,011,506 |
| JardianceEmpagliflozin | 304 | $364,560 |
| EntrestoSacubitril/Valsartan | 223 | $328,778 |
| XareltoRivaroxaban | 257 | $320,999 |
| VyndamaxTafamidis | 11 | $221,823 |
| Repatha SureclickEvolocumab | 166 | $167,244 |
| FarxigaDapagliflozin Propanediol | 107 | $131,860 |
| CamzyosMavacamten | 14 | $109,176 |
| MultaqDronedarone Hcl | 51 | $82,959 |
| Praluent PenAlirocumab | 19 | $25,030 |
| Flecainide Acetate | 309 | $19,115 |
| Metoprolol Succinate | 1,020 | $13,359 |
| VascepaIcosapent Ethyl | 13 | $11,107 |
| CorlanorIvabradine Hcl | 14 | $11,033 |
| Rosuvastatin Calcium | 676 | $9,914 |
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 |
|---|---|---|
| PfizerEliquis, Vyndamax | $865 | $1,233,329753 claims |
| Boehringer IngelheimJardiance | $524 | $364,560304 claims |
| NovartisEntresto | $1,859 | $328,778223 claims |
| Johnson & JohnsonXarelto | $688 | $320,999257 claims |
| AstraZenecaFarxiga, Lokelma | $497 | $140,878119 claims |
| E.r. Squibb & Sons, L.L.C.Camzyos | $292 | $109,17614 claims |
| Sanofi-aventis U.S. LLCMultaq | $270 | $82,95951 claims |
| AmgenCorlanor | $686 | $11,03314 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 80th percentile of 423 cardiovascular disease providers in Arizona.
Other cardiovascular disease in Tucson
- Steven MottlTucson$340K
- Karl KernTucson$174K
- Marvin SlepianTucson$106K
- Stephen AlgeoTucson$53K
- Monty MoralesTucson$39K
- Hoang ThaiTucson$30K
- Joshua BeverlyTucson$24K
- Paul FensterTucson$22K
- Gundeep SinghTucson$18K
- Rajen DesaiTucson$16K
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.