Has John Tieman, MD received payments from drug or device companies?

Yes. Drug and device makers reported $2,022 in general payments to John Tieman, MD across 83 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean John Tieman, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about John Tieman, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

John Tieman, MD

Dermatology · New Braunfels, TXNPI 1114089844

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 90.4% of the total across 83 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 13 manufacturers, the largest accounting for just 13.4% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $939, more than ten times the $11 reported in 2019. That places this record below the midpoint for dermatology clinicians in TX, where the typical reported total is $4,085.

$2,022in general payments, 2019–2025

Across 83 payments — averaging $24.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Johnson & Johnson$270
E.r. Squibb & Sons, L.L.C.$251
Novartis$246
Galderma Laboratories, L.p.$212
UCB, Inc.$167
AbbVie$166
plus $709 from 7 others

What the payments were for

Food & beverage$1,82790%
Education$19510%

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
Johnson & Johnson	5	$270
E.r. Squibb & Sons, L.L.C.	13	$251
Novartis	12	$246
Galderma Laboratories, L.p.	11	$212
UCB, Inc.	6	$167
AbbVie	9	$166
Sanofi	6	$159
Medtronic	1	$131
Regeneron Healthcare Solutions, Inc.	4	$124
Lilly USA, LLC	6	$123
Incyte Corporation	5	$108
Organon	4	$45
Botanix SB Inc	1	$19

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.

KYPHON EXPRESS II KYPHOPAK TRAY$131

How this compares

$2,022 in reported general payments places this provider in the 35th percentile of 1,098 dermatology providers in Texas.

See all dermatology providers in Texas →

Medicare billing

Part B allowed, 2024

$249,391

Medicare patients

808

Services billed

6,777

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
Taltz AutoinjectorIxekizumab	11	$76,018
Clobetasol Propionate	38	$1,830
Metronidazole	33	$1,525
Desonide	22	$1,426
Ketoconazole	88	$1,242
Mometasone Furoate	54	$941
Clindamycin Phosphate	17	$549
Triamcinolone Acetonide	68	$506
CefuroximeCefuroxime Axetil	25	$473
Doxycycline Hyclate	34	$394
MethotrexateMethotrexate Sodium	16	$370
Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc	28	$351
Imiquimod	12	$346
Levocetirizine Dihydrochloride	14	$333
Mupirocin	39	$304

Paid to pharmacies, not to this prescriber.

Other dermatology in New Braunfels

Edward LainAustin$2.5M
William CragunSan Antonio$2.2M
Alpesh DesaiHouston$1.6M
Craig TellerBellaire$1.3M
Jennifer CatherDallas$1.3M
Emily BeckerSan Antonio$1.2M
Ross RaduskyDallas$1.2M
Joseph MerolaDallas$1.2M
Daniel CarrascoAustin$1.1M
Dale SchaeferAustin$1M

See the full list for Texas →

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.

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