Gregory Piro, DO
Dermatology · Howell, MINPI 1912054115
Payments from drug & device makers
What this record shows
This record is dominated by education: $100 of the $124 with a category attached, or 80.6%. Johnson & Johnson accounts for 80.6% of it on its own, with 1 other manufacturer making up the rest. That places this record below the midpoint for dermatology clinicians in MI, where the typical reported total is $2,933.
Across 2 payments — averaging $62.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$100
- Revance Therapeutics, Inc.$24
What the payments were for
- Food & beverage$2419%
- Education$10081%
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 |
|---|---|---|
| Johnson & Johnson | 1 | $100 |
| Revance Therapeutics, Inc. | 1 | $24 |
How this compares
$124 in reported general payments places this provider in the 15th percentile of 404 dermatology providers in Michigan.
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 |
|---|---|---|
| OtezlaApremilast | 15 | $68,705 |
| Metronidazole | 151 | $11,506 |
| Ivermectin | 14 | $3,790 |
| Clindamycin Phosphate | 68 | $2,975 |
| Fluocinonide | 137 | $2,775 |
| Ketoconazole | 186 | $2,719 |
| Sulfacetamide Sodium | 16 | $1,574 |
| Triamcinolone Acetonide | 263 | $1,409 |
| Fluocinolone AcetonideFluocinolone/Shower Cap | 40 | $1,230 |
| Mupirocin | 139 | $1,145 |
| Econazole Nitrate | 41 | $923 |
| Minocycline Hcl | 20 | $908 |
| Permethrin | 18 | $860 |
| Tretinoin | 27 | $799 |
| Doxycycline Hyclate | 20 | $657 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Howell
- Linda Stein GoldWest Bloomfield$3.3M
- Kristi HawleyCaledonia$2.2M
- David AltmanWarren$1.9M
- Michael SiegelWaterford$708K
- Johann GudjonssonAnn Arbor$535K
- Michael DormanWest Bloomfield$433K
- Steven DaveluyDearborn$350K
- Benjamin WorkmanMidland$284K
- Diana WestgateKalamazoo$252K
- Christofer BuattiAuburn Hills$247K
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.