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Heather Pulaski, MD

Gynecologic Oncology · Tyler, TXNPI 1033230354

Payments from drug & device makers

$2,534,710in general payments, 2019–2025

Across 171 payments — averaging $14,823 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Merck$2.5M
  • GSK$60K
  • AstraZeneca$15K
  • Tempus AI, Inc$497
  • Myriad Genetic Laboratories, Inc.$323
  • Intuitive Surgical$228
  • plus $2K from 31 others

What the payments were for

  • Consulting fees$3,8855%
  • Speaking & faculty fees$56,85076%
  • Travel & lodging$8,61612%
  • Food & beverage$5,3797%
  • Education$200%

General payments by program year

19
21
22
23
24
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.

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

$2,534,710 in reported general payments places this provider in the 90th percentile of 135 gynecologic oncology providers in Texas.

See all gynecologic oncology providers in Texas

Medicare billing

Part B allowed, 2024
$118,373
Medicare patients
133
Services billed
2,877

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
EliquisApixaban14$8,295
PremarinEstrogens, Conjugated12$4,882
Megestrol Acetate24$1,746
Anastrozole39$784
Estradiol15$700
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen52$651
Gabapentin65$635
Clobetasol Propionate13$531
Olanzapine45$425
Lidocaine-PrilocaineLidocaine/Prilocaine31$376
Ondansetron Hcl59$333
Lidocaine13$315
Oxycodone Hcl36$290
Dexamethasone19$284
Potassium Chloride20$205

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$50$13,17726 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 90th percentile of 135 gynecologic oncology providers in Texas.

Other gynecologic oncology in Tyler

See the full list for Texas

Where these figures come from

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