Lesli Tristan, MD
Dermatology · Plano, TXNPI 1740692276
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.3% of the total across 118 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 23 manufacturers, the largest accounting for just 13.0% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,731, more than ten times the $125 reported in 2020. That places this record below the midpoint for dermatology clinicians in TX, where the typical reported total is $4,085.
Across 118 payments — averaging $20.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$309
- Johnson & Johnson$299
- Arcutis Biotherapeutics, Inc.$281
- Regeneron Healthcare Solutions, Inc.$242
- E.r. Squibb & Sons, L.L.C.$151
- Incyte Corporation$149
- plus $949 from 17 others
What the payments were for
- Food & beverage$2,31597%
- Education$653%
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 |
|---|---|---|
| AbbVie | 22 | $309 |
| Johnson & Johnson | 15 | $299 |
| Arcutis Biotherapeutics, Inc. | 15 | $281 |
| Regeneron Healthcare Solutions, Inc. | 11 | $242 |
| E.r. Squibb & Sons, L.L.C. | 7 | $151 |
| Incyte Corporation | 7 | $149 |
| Genentech USA, Inc. | 1 | $125 |
| UCB, Inc. | 6 | $124 |
| Sun Pharmaceutical Industries Inc. | 5 | $106 |
| Sanofi | 4 | $103 |
| Galderma Laboratories, L.p. | 5 | $95 |
| Novartis | 2 | $51 |
| Botanix SB Inc | 3 | $47 |
| Lilly USA, LLC | 2 | $45 |
| Amgen | 2 | $41 |
| LEO Pharma Inc. | 2 | $39 |
| Biofrontera Inc. | 2 | $34 |
| Strata Skin Sciences, Inc. | 2 | $28 |
| Medimetriks Pharmaceuticals, Inc. | 1 | $27 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $25 |
| Boehringer Ingelheim | 1 | $24 |
| Almirall LLC | 1 | $20 |
| Pfizer | 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.
- Erivedge$125
How this compares
$2,380 in reported general payments places this provider in the 40th percentile of 1,098 dermatology providers in Texas.
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 |
|---|---|---|
| Triamcinolone Acetonide | 12 | $144 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Plano
- Seemal DesaiPlano$777K
- Sam AwanPlano$586K
- Natalie WrightPlano$353K
- 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
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.