Joseph Pietrangelo, MD
Dermatology · Germantown, TNNPI 1376800979
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $15,900 of the $24,239 with a category attached, or 65.6%. Galderma Laboratories, L.p. accounts for 67.6% of it on its own, with 25 other manufacturers making up the rest. 2025 is the largest year on record at $17,488, more than ten times the $795 reported in 2019. Among dermatology clinicians in TN with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 470 payments — averaging $51.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Galderma Laboratories, L.p.$16K
- AbbVie$2K
- Sanofi$863
- Johnson & Johnson$832
- Novartis$750
- Sun Pharmaceutical Industries Inc.$664
- plus $3K from 20 others
What the payments were for
- Speaking & faculty fees$15,90066%
- Food & beverage$7,62131%
- Education$7183%
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 |
|---|---|---|
| Galderma Laboratories, L.p. | 31 | $16,375 |
| AbbVie | 126 | $1,807 |
| Sanofi | 51 | $863 |
| Johnson & Johnson | 46 | $832 |
| Novartis | 45 | $750 |
| Sun Pharmaceutical Industries Inc. | 28 | $664 |
| Regeneron Healthcare Solutions, Inc. | 18 | $515 |
| Lilly USA, LLC | 20 | $442 |
| LEO Pharma Inc. | 19 | $367 |
| Pfizer | 19 | $333 |
| E.r. Squibb & Sons, L.L.C. | 20 | $286 |
| UCB, Inc. | 10 | $197 |
| Sanofi-aventis U.S. LLC | 2 | $150 |
| Incyte Corporation | 4 | $150 |
| Dermavant Sciences, Inc. | 5 | $93 |
| Mayne Pharma Commercial LLC | 5 | $74 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 4 | $60 |
| Misonix Inc | 2 | $51 |
| Boehringer Ingelheim | 3 | $49 |
| Dermira, Inc. | 3 | $46 |
| Verrica Pharmaceuticals Inc. | 2 | $42 |
| Botanix SB Inc | 2 | $36 |
| Medimetriks Pharmaceuticals, Inc. | 1 | $18 |
| Biofrontera Inc. | 1 | $16 |
| Bristol Myers Squibb | 1 | $14 |
| Organon | 2 | $10 |
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.
- NEMLUVIO$16,050
How this compares
$24,239 in reported general payments places this provider in the 90th percentile of 209 dermatology providers in Tennessee.
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 |
|---|---|---|
| StelaraUstekinumab | 30 | $512,313 |
| Dupixent PenDupilumab | 13 | $53,783 |
| Dupixent SyringeDupilumab | 11 | $40,999 |
| Triamcinolone Acetonide | 102 | $1,720 |
| Ketoconazole | 71 | $999 |
| Doxycycline Hyclate | 41 | $614 |
| Clobetasol Propionate | 11 | $484 |
| ValacyclovirValacyclovir Hcl | 25 | $367 |
| Hydrocortisone | 20 | $208 |
| Mupirocin | 19 | $153 |
| Prednisone | 16 | $61 |
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 |
|---|---|---|
| Johnson & JohnsonStelara | $832 | $512,31330 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 209 dermatology providers in Tennessee.
Other dermatology in Germantown
- Purvisha PatelGermantown$20K
- Matthew GordonGermantown$12K
- Kimberly VincentNashville$1.5M
- Adrian RodriguezNashville$1.1M
- Michael GoldNashville$748K
- Joni SagoKingsport$661K
- Jennifer LeeBrentwood$396K
- Christina FeserClarksville$383K
- Emily OverholserMemphis$322K
- James TurnerBartlett$314K
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.