Joseph Tiscani
Family · Shavano Park, TXNPI 1013246834
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 955 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 57 manufacturers, the largest accounting for just 11.0% — the pattern of someone who eats at a lot of different presentations. Among family clinicians in TX 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 955 payments — averaging $27.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Dexcom, Inc.$3K
- AstraZeneca$2K
- Novo Nordisk$2K
- Lilly USA, LLC$2K
- Cequr Corporation$2K
- Corcept Therapeutics$2K
- plus $14K from 51 others
What the payments were for
- Food & beverage$26,708100%
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.
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.
- DEXCOM G6 TRANSMITTER$1,654
- CeQur Simplicity$1,540
- Korlym$1,074
- FARXIGA$937
- iLet Bionic Pancreas$808
- TWIIST$552
- FREESTYLE LIBRE 3$518
- AFREZZA$515
- REZDIFFRA$373
- JARDIANCE$372
- DEXCOM G7 GSS (161)$275
- NEXLIZET$249
- NEXLETOL$249
- MOUNJARO$242
- Kerendia$238
- t:slim X2 Insulin Pump with Control-IQ$227
- LOKELMA$227
- DEXCOM STELO GLUCOSE BIOSENSOR$150
- Qutenza$147
- EVERSENSE E3 SENSOR KIT - RETAIL$141
How this compares
$26,708 in reported general payments places this provider in the 95th percentile of 15,456 family providers in Texas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| MounjaroTirzepatide | 126 | $163,991 |
| OzempicSemaglutide | 77 | $130,688 |
| TrulicityDulaglutide | 42 | $69,285 |
| FarxigaDapagliflozin Propanediol | 54 | $48,711 |
| JardianceEmpagliflozin | 35 | $37,673 |
| TymlosAbaloparatide | 11 | $29,512 |
| VascepaIcosapent Ethyl | 45 | $24,652 |
| Tresiba Flextouch U-200Insulin Degludec | 20 | $20,933 |
| Repatha SureclickEvolocumab | 17 | $19,552 |
| Tresiba Flextouch U-100Insulin Degludec | 15 | $15,549 |
| Xigduo XrDapaglifloz Propaned/Metformin | 20 | $14,764 |
| Synjardy XrEmpagliflozin/Metformin Hcl | 13 | $9,162 |
| SynthroidLevothyroxine Sodium | 110 | $7,931 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 13 | $3,173 |
| NovologInsulin Aspart | 13 | $2,919 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity | $1,898 | $233,275168 claims |
| Novo NordiskOzempic, Novolog | $2,367 | $133,60790 claims |
| AstraZenecaFarxiga | $2,457 | $48,71154 claims |
| Boehringer IngelheimJardiance, Synjardy Xr | $768 | $46,83548 claims |
| Radius Health, Inc.Tymlos | $618 | $29,51211 claims |
| AbbVieSynthroid | $450 | $7,931110 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 95th percentile of 15,456 family providers in Texas.
Other family in Shavano Park
- Kelly NunemakerShavano Park$30K
- David WeirDallas$959K
- Robin BeachHouston$428K
- April LopezMcAllen$417K
- Sarah AguilarHouston$199K
- Sie ThomasDallas$197K
- Anna CastroSan Antonio$184K
- Jill CampbellShenandoah$182K
- Angela AchaPflugerville$174K
- Susan BowlinIrving$164K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.