Natalie Giammanco, DPM
Primary Podiatric Medicine · Cullman, ALNPI 1427020171
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 43 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Paratek Pharmaceuticals, Inc. accounts for 71.7% of it on its own, with 8 other manufacturers making up the rest.
Across 43 payments — averaging $19.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paratek Pharmaceuticals, Inc.$596
- Ortho Dermatologics, A Division Of Bausch Health US, LLC$55
- Organogenesis Inc.$50
- Bioventus LLC$42
- Boston Scientific$28
- Medtronic$18
- plus $42 from 3 others
What the payments were for
- Food & beverage$831100%
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 |
|---|---|---|
| Paratek Pharmaceuticals, Inc. | 33 | $596 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $55 |
| Organogenesis Inc. | 1 | $50 |
| Bioventus LLC | 2 | $42 |
| Boston Scientific | 2 | $28 |
| Medtronic | 1 | $18 |
| GRT US Holding, Inc. | 1 | $17 |
| Medimetriks Pharmaceuticals, Inc. | 1 | $12 |
| Amgen | 1 | $12 |
How this compares
Too few primary podiatric medicine providers in Alabamato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| CiclopiroxCiclopirox Olamine | 169 | $6,639 |
| Ciclopirox | 29 | $1,456 |
| Diclofenac Sodium | 25 | $940 |
| Terbinafine Hcl | 94 | $908 |
| Neomycin-Polymyxin-DexamethNeomycin/Polymyxin B/Dexametha | 63 | $861 |
| Doxycycline Monohydrate | 55 | $655 |
| SsdSilver Sulfadiazine | 39 | $457 |
| Methylprednisolone | 51 | $448 |
| Silver Sulfadiazine | 23 | $232 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 54 | $227 |
| Triamcinolone Acetonide | 27 | $211 |
| Mupirocin | 18 | $209 |
| Clindamycin Hcl | 34 | $185 |
| Cephalexin | 57 | $174 |
| Gabapentin | 13 | $117 |
Paid to pharmacies, not to this prescriber.
Other primary podiatric medicine in Cullman
- Dustin GrimmettGuntersville$3K
- Travis ZimbelmanMontgomery$1K
- John SmithFlorence$559
- Tomeko McPhillipsSelma$500
- Catherine YackHuntsville$364
- Douglas StewartAlexander City$269
- La'shonda MooreGreenville$121
- Jack MarquisNorthport$82
- Brett StarkAuburn$57
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.