Mark Penaranda
Physician Assistant · Winchester, VANPI 1639731797
Payments from drug & device makers
Across 141 payments — averaging $15.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$566
- AbbVie$471
- Johnson & Johnson$160
- Nestle Healthcare Nutrition Inc.$145
- Ironwood Pharmaceuticals, Inc$119
- Takeda Pharmaceuticals U.S.A., Inc.$117
- plus $653 from 13 others
What the payments were for
- Food & beverage$2,230100%
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 |
|---|---|---|
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 43 | $566 |
| AbbVie | 35 | $471 |
| Johnson & Johnson | 9 | $160 |
| Nestle Healthcare Nutrition Inc. | 7 | $145 |
| Ironwood Pharmaceuticals, Inc | 7 | $119 |
| Takeda Pharmaceuticals U.S.A., Inc. | 7 | $117 |
| Sanofi | 4 | $116 |
| Bristol Myers Squibb | 6 | $113 |
| Gilead | 4 | $83 |
| Regeneron Healthcare Solutions, Inc. | 3 | $66 |
| Merck | 3 | $55 |
| Braintree Laboratories, Inc. | 3 | $51 |
| Ardelyx, Inc. | 3 | $44 |
| Ferring Pharmaceuticals Inc. | 2 | $28 |
| Intercept Pharmaceuticals, Inc. | 1 | $24 |
| QOL Medical, LLC | 1 | $23 |
| Pfizer | 1 | $19 |
| AstraZeneca | 1 | $17 |
| Redhill Biopharma Inc. | 1 | $14 |
How this compares
$2,230 in reported general payments places this provider in the 80th percentile of 3,376 physician assistant providers in Virginia.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Dicyclomine Hcl | 14 | $328 |
| Ondansetron OdtOndansetron | 13 | $262 |
| Pantoprazole Sodium | 19 | $207 |
| Omeprazole | 21 | $163 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Winchester
- John DalessandroSalem$160K
- Jalal AlghabraFredericksburg$119K
- Jamie GiovanelliVirginia Beach$118K
- John CarterStaunton$90K
- Melissa AlcoxNorfolk$73K
- Lindsay TomReston$71K
- Robert HigginsonRichmond$66K
- Jameka McElroy-BrooklynArlington$65K
- Hillary HartungNorfolk$62K
- Juliette BeristainVirginia Beach$54K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.