John Varlotto, MD
Radiation Oncology · Huntington, WVNPI 1366489148
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $81,455 of the $119,776 with a category attached, or 68.0%. AstraZeneca accounts for 76.8% of it on its own, with 21 other manufacturers making up the rest. 2025 is the largest year on record at $41,256, 6.9 times the $6,011 reported in 2019. Among radiation oncology clinicians in WV with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 135 payments — averaging $887.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$92K
- Medtronic$17K
- Novocure Inc.$2K
- Elekta, Inc.$2K
- Astrazeneca UK Limited$2K
- Covidien LP$2K
- plus $4K from 16 others
Across 2 payments — averaging $33,673 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Merck$66K
- Covidien LP$925
What the payments were for
- Consulting fees$24,16820%
- Speaking & faculty fees$81,45568%
- Travel & lodging$9,4788%
- Food & beverage$4,6664%
- Education$90%
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 |
|---|---|---|
| AstraZeneca | 67 | $91,990 |
| Medtronic | 7 | $16,900 |
| Novocure Inc. | 8 | $2,331 |
| Elekta, Inc. | 15 | $1,768 |
| Astrazeneca UK Limited | 2 | $1,598 |
| Covidien LP | 2 | $1,542 |
| Canon Medical Systems USA, Inc. | 6 | $1,397 |
| Reflexion Medical, Inc. | 5 | $560 |
| Siemens Medical Solutions USA, Inc. | 3 | $388 |
| Brainlab, Inc. | 5 | $381 |
| Progenics Pharmaceuticals, Inc. | 1 | $150 |
| Histosonics, Inc. | 1 | $142 |
| Tempus AI, Inc | 3 | $134 |
| Philips North America LLC | 1 | $110 |
| GT Medical Technologies, Inc | 2 | $91 |
| Galvanize Therapeutics, Inc | 1 | $82 |
| Johnson & Johnson | 1 | $65 |
| MIM Software Inc. | 1 | $58 |
| Myovant Sciences Inc. | 1 | $25 |
| Boston Scientific | 1 | $24 |
| Myriad Genetic Laboratories, Inc. | 1 | $23 |
| Seagen Inc. | 1 | $16 |
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.
- IMFINZI$70,480
- TAGRISSO$10,947
- Oncology$2,000
- CT SCANNER$1,317
- ELEKTA UNITY$920
- REFLEXION MEDICAL RADIOTHERAPY SYSTEM$363
- SOMATOM go.Top$320
- ELEKTA MEDICAL LINEAR ACCELERATOR$269
- Brainlab, Inc.$167
- PYLARIFY$150
- FLEXITRON HDR$139
- (4108) PD Ventures$110
- Mosaiq$109
- Monaco$109
- PROKNOW DS$109
- LEKSELL GAMMA KNIFE ICON$109
How this compares
$119,776 in reported general payments places this provider in the 95th percentile of 29 radiation oncology providers in West Virginia.
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 |
|---|---|---|
| Tamsulosin Hcl | 39 | $592 |
| Pentoxifylline | 23 | $422 |
| Memantine Hcl | 12 | $366 |
| Dexamethasone | 13 | $149 |
| Olanzapine | 11 | $112 |
| Omeprazole | 13 | $73 |
Paid to pharmacies, not to this prescriber.
Other radiation oncology in Huntington
- Paul AdedoyinHuntington$3K
- Sanjeev SharmaHuntington$1K
- Grace DixonHuntington$145
- Mary ContiHuntington$108
- Sophia Edwards-BennettHuntington$47
- Gregory MerrickWheeling$21K
- David ShimmBeckley$5K
- Benjamin YanMorgantown$2K
- Michael GallowayElkins$1K
- Jondavid PollockWheeling$1K
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.