John Pilcher, MD
Surgery · San Antonio, TXNPI 1356339550
Payments from drug & device makers
Across 373 payments — averaging $574.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$189K
- Johnson & Johnson$21K
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$543
- Medtronic$500
- Ethicon Endo-surgery Inc.$450
- Daiichi Sankyo Inc.$450
- plus $2K from 30 others
What the payments were for
- Consulting fees$21,35010%
- Speaking & faculty fees$11,5005%
- Travel & lodging$13,0466%
- Food & beverage$8,3344%
- Education$160,05075%
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 |
|---|---|---|
| Intuitive Surgical | 192 | $189,463 |
| Johnson & Johnson(3 entities) | 26 | $21,031 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 34 | $543 |
| Medtronic | 10 | $500 |
| Ethicon Endo-surgery Inc. | 1 | $450 |
| Daiichi Sankyo Inc. | 22 | $450 |
| Novo Nordisk | 15 | $296 |
| Lilly USA, LLC | 8 | $238 |
| Phathom Pharmaceuticals, Inc. | 3 | $149 |
| Endo Pharmaceuticals Inc. | 11 | $146 |
| Currax Pharmaceuticals LLC | 8 | $118 |
| Lexington Medical, Inc. | 2 | $104 |
| Vertex | 3 | $90 |
| Takeda Pharmaceuticals U.S.A., Inc. | 5 | $88 |
| Baxter Healthcare | 2 | $71 |
| Shire North American Group Inc | 3 | $55 |
| Microline Surgical Inc | 3 | $47 |
| Redhill Biopharma Inc. | 3 | $43 |
| Pacira Pharmaceuticals Incorporated | 2 | $40 |
| Innocoll Pharmaceuticals Limited | 2 | $38 |
| Shield Therapeutics Inc | 2 | $34 |
| Intra-sana Laboratories | 2 | $33 |
| Cook Medical LLC | 1 | $27 |
| LSI Solutions Inc | 1 | $27 |
| Rhythm Pharmaceuticals, Inc. | 1 | $26 |
| Integra Lifesciences Corporation | 1 | $22 |
| Stryker | 1 | $20 |
| Kerecis Limited | 1 | $20 |
| Vivus LLC | 1 | $19 |
| TELA Bio, Inc. | 1 | $17 |
| Boston Scientific | 1 | $17 |
| Standard Bariatrics, Inc. | 1 | $16 |
| W. L. Gore & Associates, Inc. | 1 | $16 |
| Davol Inc. | 1 | $14 |
| Covidien LP | 1 | $12 |
| Kvk-tech, Inc. | 1 | $3 |
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.
- Da Vinci Surgical System$185,021
- DA VINCI SP$2,455
- Signia$282
- ZEPBOUND$125
- VOQUEZNA$124
- BIOINTRAFIX$100
How this compares
$214,280 in reported general payments places this provider in the 95th percentile of 1,830 surgery providers in Texas.
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 |
|---|---|---|
| Sodium ChlorideSodium Chloride 0.45 % | 11 | $231 |
| Omeprazole | 17 | $222 |
| Pantoprazole Sodium | 16 | $178 |
| Potassium Chloride | 11 | $140 |
| Magnesium Sulfate | 11 | $40 |
Paid to pharmacies, not to this prescriber.
Other surgery in San Antonio
- Richard PetersonSan Antonio$323K
- Joseph KaramSan Antonio$293K
- Richard EnglehardtSan Antonio$229K
- Susannah NicholsonSan Antonio$161K
- John MeterskySan Antonio$158K
- Funda MericHouston$20.6M
- Michael HarkinsTomball$2.7M
- Lloyd StegemannCorpus Christi$1.9M
- Douglas StoddardAustin$1.4M
- Erik WilsonBellaire$1.2M
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.