Miguel Tepedino, MD
Family Medicine · Lake City, FLNPI 1568544054
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $14,646 of the $18,112 with a category attached, or 80.9%. It is spread thinly across 54 manufacturers, the largest accounting for just 17.6% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $5,364 and has fallen 54.0% since, to $2,467 in 2025. Among family medicine clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 986 payments — averaging $18.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$3K
- Novo Nordisk$3K
- AbbVie$2K
- Lilly USA, LLC$2K
- AstraZeneca$1K
- Boehringer Ingelheim$884
- plus $6K from 48 others
Across 236 payments — averaging $4047.34 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.
- Novartis$190K
- Ortho-clinical Diagnostics, Inc.$180K
- Braintree Laboratories, Inc.$135K
- Janssen Research & Development, LLC$102K
- Astellas Pharma Global Development$100K
- AbbVie$61K
- plus $186K from 7 others
What the payments were for
- Consulting fees$3002%
- Speaking & faculty fees$3,13017%
- Food & beverage$14,64681%
- Education$360%
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.
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
$18,112 in reported general payments places this provider in the 95th percentile of 7,282 family medicine providers in Florida.
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 |
|---|---|---|
| OzempicSemaglutide | 196 | $233,391 |
| MounjaroTirzepatide | 91 | $114,211 |
| JardianceEmpagliflozin | 72 | $74,470 |
| TrulicityDulaglutide | 48 | $57,639 |
| ShingrixVaricella-Zoster Ge/As01b/Pf | 227 | $48,058 |
| FarxigaDapagliflozin Propanediol | 43 | $44,390 |
| EliquisApixaban | 36 | $36,409 |
| AbrysvoRsv Vacc, Pref A And Pref B/Pf | 119 | $35,987 |
| Tresiba Flextouch U-200Insulin Degludec | 56 | $32,380 |
| VraylarCariprazine Hcl | 18 | $25,692 |
| XareltoRivaroxaban | 31 | $24,200 |
| Repatha SureclickEvolocumab | 34 | $21,175 |
| Synjardy XrEmpagliflozin/Metformin Hcl | 19 | $17,738 |
| JanuviaSitagliptin Phosphate | 12 | $12,043 |
| MyrbetriqMirabegron | 21 | $9,719 |
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 |
|---|---|---|
| Novo NordiskOzempic | $2,506 | $233,391196 claims |
| Lilly USA, LLCMounjaro, Trulicity | $1,639 | $171,850139 claims |
| Boehringer IngelheimJardiance, Synjardy Xr, Tradjenta | $884 | $98,202103 claims |
| PfizerEliquis, Abrysvo | $407 | $72,396155 claims |
| GSKShingrix, Arexvy | $124 | $55,265251 claims |
| AstraZenecaFarxiga, Symbicort | $1,255 | $48,11159 claims |
| AbbVieVraylar | $2,147 | $25,69218 claims |
| Johnson & JohnsonXarelto | $226 | $24,20031 claims |
| MerckJanuvia | $215 | $12,04312 claims |
| Astellas Pharma US IncMyrbetriq | $3,194 | $9,71921 claims |
| Sanofi-aventis U.S. LLCLantus | $100 | $3,79012 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 7,282 family medicine providers in Florida.
Other family medicine in Lake City
- Noah LeeOakland Park$1.2M
- Angela RosselotBelle Isle$977K
- Richard LappOrlando$702K
- Hal BrownVero Beach$477K
- Lisa EvansBoca Raton$473K
- Giovana Rene CrooksBoca Raton$407K
- Edward BraunSt Petersburg$364K
- Samuel GreenleePensacola$235K
- Kevin FitzgeraldStuart$198K
- Louis KuritzkyGainesville$186K
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.