Mark Sigler, MD
Pulmonary Disease · Amarillo, TXNPI 1578799946
Payments from drug & device makers
Across 139 payments — averaging $1032.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$141K
- Pulmonx Corporation$979
- Sanofi$255
- Genentech USA, Inc.$218
- GSK$198
- Regeneron Healthcare Solutions, Inc.$157
- plus $1K from 21 others
What the payments were for
- Travel & lodging$77923%
- Food & beverage$2,52374%
- Education$863%
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 |
|---|---|---|
| AstraZeneca | 20 | $140,721 |
| Pulmonx Corporation | 4 | $979 |
| Sanofi | 13 | $255 |
| Genentech USA, Inc. | 14 | $218 |
| GSK | 16 | $198 |
| Regeneron Healthcare Solutions, Inc. | 10 | $157 |
| Boehringer Ingelheim | 12 | $137 |
| Amgen | 4 | $94 |
| Electromed, Inc. | 8 | $87 |
| Insmed, Inc. | 5 | $84 |
| Intuitive Surgical | 1 | $83 |
| Sanofi-aventis U.S. LLC | 2 | $75 |
| Mylan Specialty L.p. | 4 | $71 |
| Shire North American Group Inc | 3 | $51 |
| Grifols USA, LLC | 3 | $48 |
| Pfizer | 3 | $39 |
| AbbVie | 2 | $36 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $34 |
| Novartis | 2 | $29 |
| Philips North America LLC | 2 | $25 |
| Johnson & Johnson | 2 | $24 |
| Merck | 2 | $24 |
| Inogen, Inc. | 1 | $18 |
| E.r. Squibb & Sons, L.L.C. | 1 | $17 |
| Lilly USA, LLC | 1 | $16 |
| Circassia Inc. | 1 | $16 |
| Veran Medical Technologies, Inc. | 1 | $7 |
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
$143,544 in reported general payments places this provider in the 90th percentile of 904 pulmonary disease 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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 749 | $546,108 |
| OfevNintedanib Esylate | 21 | $375,184 |
| TezspireTezepelumab-Ekko | 48 | $198,600 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 169 | $90,534 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 114 | $70,059 |
| Breo ElliptaFluticasone/Vilanterol | 110 | $48,780 |
| EliquisApixaban | 37 | $29,541 |
| Bevespi AerosphereGlycopyrrolate/Formoterol Fum | 46 | $27,352 |
| SymbicortBudesonide/Formoterol Fumarate | 31 | $9,338 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 229 | $5,417 |
| Ventolin HfaAlbuterol Sulfate | 42 | $2,494 |
| BreynaBudesonide/Formoterol Fumarate | 12 | $1,704 |
| Wixela InhubFluticasone Propion/Salmeterol | 18 | $1,654 |
| Methylprednisolone | 139 | $1,102 |
| Azithromycin | 104 | $634 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta | $198 | $685,4221,028 claims |
| Boehringer IngelheimOfev | $137 | $375,18421 claims |
| AstraZenecaTezspire, Breztri Aerosphere, Bevespi Aerosphere, Symbicort | $140,721 | $305,348239 claims |
| PfizerEliquis | $39 | $29,54137 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 904 pulmonary disease providers in Texas.
Other pulmonary disease in Amarillo
- Timothy MooringAmarillo$341K
- Kalil Al-NassirAmarillo$242K
- Charles AndrewsSan Antonio$17M
- Ivan RosasHouston$13.8M
- Shahrukh KureishyMcKinney$12.4M
- Raksha JainDallas$3.4M
- Kelly ChinDallas$2.7M
- Julie PhilleyTyler$2.4M
- Nicola HananiaHouston$2.2M
- Sandeep SahayHouston$2.1M
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.