Michael Czarnecki, MD
Pulmonary Disease · Chattanooga, TNNPI 1780774083
Payments from drug & device makers
Across 1,278 payments — averaging $272.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Actelion Pharmaceuticals US, Inc.$199K
- Grifols USA, LLC$108K
- AstraZeneca$16K
- Intuitive Surgical$6K
- Boehringer Ingelheim$4K
- Grifols Shared Services North America, Inc.$4K
- plus $11K from 45 others
What the payments were for
- Consulting fees$27,3018%
- Speaking & faculty fees$254,79373%
- Travel & lodging$36,19010%
- Food & beverage$25,3827%
- Education$4,6571%
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.
- UPTRAVI$152,297
- OPSUMIT$142,952
- Prolastin-C Liquid$85,717
- Prolastin-C$22,553
- BREZTRI$11,003
- Da Vinci Surgical System$5,944
- BREZTRI AEROSPHERE$2,350
- Xembify$1,890
- BOSENTAN$487
- Adempas$400
- FLOWTRIEVER CATHETER, S$189
- CT THROMBECTOMY SYSTEM KIT$189
- Monarch Platform$188
- Spiration Valve System$115
How this compares
$348,323 in reported general payments places this provider in the 95th percentile of 339 pulmonary disease providers in Tennessee.
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 |
|---|---|---|
| UptraviSelexipag | 106 | $2,442,420 |
| OpsumitMacitentan | 124 | $1,537,606 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 552 | $501,965 |
| Prolastin CAlpha-1-Proteinase Inhibitor | 49 | $471,418 |
| AdempasRiociguat | 20 | $274,734 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 263 | $194,524 |
| WinrevairSotatercept-Csrk | 12 | $167,632 |
| Spiriva RespimatTiotropium Bromide | 86 | $72,852 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 88 | $56,511 |
| NucalaMepolizumab | 14 | $49,727 |
| Xtampza ErOxycodone Myristate | 82 | $47,896 |
| Breo ElliptaFluticasone/Vilanterol | 76 | $37,400 |
| EliquisApixaban | 31 | $26,620 |
| Advair HfaFluticasone Propion/Salmeterol | 40 | $25,679 |
| Combivent RespimatIpratropium/Albuterol Sulfate | 32 | $24,338 |
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 |
|---|---|---|
| Actelion Pharmaceuticals US, Inc.Uptravi, Opsumit | $199,287 | $3,980,026230 claims |
| GSKTrelegy Ellipta, Nucala, Breo Ellipta, Anoro Ellipta, Arnuity Ellipta | $2,497 | $614,369690 claims |
| Grifols USA, LLCProlastin C | $108,033 | $471,41849 claims |
| BayerAdempas | $659 | $274,73420 claims |
| AstraZenecaBreztri Aerosphere, Symbicort, Airsupra, Bevespi Aerosphere | $15,987 | $231,243347 claims |
| MerckWinrevair | $372 | $167,63212 claims |
| Boehringer IngelheimSpiriva Respimat, Stiolto Respimat, Combivent Respimat | $4,175 | $153,701206 claims |
| Collegium Pharmaceutical, Inc.Xtampza Er | $18 | $47,89682 claims |
| PfizerEliquis | $89 | $26,62031 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 339 pulmonary disease providers in Tennessee.
Other pulmonary disease in Chattanooga
- Krishnendu BhadraChattanooga$631K
- Carlos BaleeiroChattanooga$265K
- Vincent ViscomiChattanooga$28K
- Daniel SmithChattanooga$21K
- Fabien MaldonadoNashville$2.5M
- Aaron MilstoneFranklin$2.4M
- John SwisherKnoxville$2.3M
- James TolleNashville$2.3M
- Lisa LancasterNashville$1.6M
- Ivan RobbinsNashville$1.3M
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.