Jacob Chacko, MD
Pulmonary Disease · Tucson, AZNPI 1346340551
Payments from drug & device makers
Across 107 payments — averaging $17.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Philips North America LLC$294
- GSK$186
- Insmed, Inc.$168
- Sanofi$161
- Actelion Pharmaceuticals US, Inc.$151
- Sunovion Pharmaceuticals Inc.$151
- plus $787 from 18 others
What the payments were for
- Food & beverage$1,897100%
- 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.
| Company | Payments | Total |
|---|---|---|
| Philips North America LLC | 17 | $294 |
| GSK | 17 | $186 |
| Insmed, Inc. | 9 | $168 |
| Sanofi | 8 | $161 |
| Actelion Pharmaceuticals US, Inc. | 2 | $151 |
| Sunovion Pharmaceuticals Inc. | 8 | $151 |
| Regeneron Healthcare Solutions, Inc. | 4 | $100 |
| Grifols USA, LLC | 5 | $98 |
| Electromed, Inc. | 8 | $91 |
| Novartis | 5 | $79 |
| Boehringer Ingelheim | 4 | $74 |
| AstraZeneca | 4 | $52 |
| Genentech USA, Inc. | 3 | $48 |
| CSL Behring | 1 | $36 |
| Verona Pharma, Inc. | 1 | $32 |
| Baxter Healthcare | 1 | $30 |
| ANI Pharmaceuticals, Inc. | 1 | $28 |
| Merck | 2 | $25 |
| Pfizer | 2 | $23 |
| Recordati_rare_diseases_inc. | 1 | $21 |
| Mylan Specialty L.p. | 1 | $14 |
| Medtronic | 1 | $13 |
| Jazz Pharmaceuticals Inc. | 1 | $12 |
| Pulmonx Corporation | 1 | $12 |
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
$1,898 in reported general payments places this provider in the 40th percentile of 250 pulmonary 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 |
|---|---|---|
| OpsumitMacitentan | 23 | $291,168 |
| OfevNintedanib Esylate | 11 | $123,019 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 52 | $64,238 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 35 | $35,234 |
| Advair HfaFluticasone Propion/Salmeterol | 46 | $29,131 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 16 | $20,246 |
| Spiriva RespimatTiotropium Bromide | 27 | $16,430 |
| Breo ElliptaFluticasone/Vilanterol | 16 | $16,298 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 43 | $10,177 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 83 | $7,009 |
| SymbicortBudesonide/Formoterol Fumarate | 12 | $4,020 |
| Wixela InhubFluticasone Propion/Salmeterol | 11 | $3,392 |
| Qvar RedihalerBeclomethasone Dipropionate | 12 | $3,140 |
| Ventolin HfaAlbuterol Sulfate | 15 | $2,199 |
| Montelukast Sodium | 32 | $574 |
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 |
|---|---|---|
| Actelion Pharmaceuticals US, Inc.Opsumit | $151 | $291,16823 claims |
| Boehringer IngelheimOfev, Stiolto Respimat, Spiriva Respimat | $74 | $159,69454 claims |
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta | $186 | $115,770103 claims |
| AstraZenecaSymbicort | $52 | $4,02012 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 40th percentile of 250 pulmonary disease providers in Arizona.
Other pulmonary disease in Tucson
- Sachin ChaudharyTucson$1.2M
- Abhinav MittalTucson$570K
- Todd LocherTucson$243K
- Christian BimeTucson$175K
- Ravi ChandranTucson$92K
- Billie BixbyTucson$72K
- Swathy PuthalapattuTucson$64K
- Muhammad SalimChandler$5.9M
- Vikas SayalBullhead City$3.7M
- David BaratzPhoenix$2.2M
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.