Lauren Chiec, MD
Medical Oncology · Cleveland, OHNPI 1932594728
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $5,698 of the $6,485 with a category attached, or 87.9%. 11 manufacturers reported payments, led by Takeda Pharmaceuticals U.S.A., Inc. at 39.5% of the total. 2025 is the largest year on record at $5,922, more than ten times the $116 reported in 2019.
Across 34 payments — averaging $190.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Takeda Pharmaceuticals U.S.A., Inc.$3K
- E.r. Squibb & Sons, L.L.C.$2K
- Johnson & Johnson$1K
- Bayer$138
- AstraZeneca$123
- Merck$116
- plus $185 from 5 others
Across 21 payments — averaging $17,528 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.
- Janssen Research & Development, LLC$123K
- Astrazeneca UK Limited$110K
- Pfizer$71K
- Merck$65K
What the payments were for
- Consulting fees$5,69888%
- Food & beverage$77112%
- Education$170%
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 |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $2,562 |
| E.r. Squibb & Sons, L.L.C. | 7 | $2,024 |
| Johnson & Johnson | 5 | $1,337 |
| Bayer | 3 | $138 |
| AstraZeneca | 2 | $123 |
| Merck | 7 | $116 |
| Eisai Inc. | 4 | $90 |
| Tempus AI, Inc | 1 | $30 |
| Novartis | 1 | $27 |
| Astellas Pharma US Inc | 1 | $22 |
| Array Biopharma 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.
How this compares
$6,485 in reported general payments places this provider in the 65th percentile of 157 medical oncology providers in Ohio.
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 |
|---|---|---|
| TagrissoOsimertinib Mesylate | 22 | $366,487 |
| AlecensaAlectinib Hcl | 14 | $260,063 |
| Ondansetron Hcl | 59 | $2,421 |
| Prochlorperazine Maleate | 71 | $786 |
| Dexamethasone | 47 | $711 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 20 | $435 |
| Oxycodone Hcl | 19 | $361 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 18 | $360 |
| Olanzapine | 58 | $329 |
| Prednisone | 47 | $164 |
| Pantoprazole Sodium | 19 | $154 |
| Gabapentin | 16 | $148 |
| Folic Acid | 23 | $76 |
| Levothyroxine Sodium | 16 | $62 |
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 |
|---|---|---|
| AstraZenecaTagrisso | $123 | $366,48722 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 65th percentile of 157 medical oncology providers in Ohio.
Other medical oncology in Cleveland
- Moshe OrnsteinCleveland$249K
- Suneel KamathCleveland$120K
- William TseCleveland$56K
- Amanda NizamCleveland$46K
- Melinda HsuCleveland$41K
- Jack KhouriCleveland$39K
- Jessica GeigerCleveland$33K
- Thach-Giao TruongCleveland$31K
- David PeereboomCleveland$23K
- George BuddCleveland$22K
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.