Pawel Zelenski, MD
Internal Medicine · Saint Cloud, FLNPI 1609846633
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 16 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 9 manufacturers reported payments, led by GSK at 24.6% of the total. Reporting peaked in 2023 at $142 and has fallen 52.6% since, to $68 in 2025. That places this record below the midpoint for internal medicine clinicians in FL, where the typical reported total is $316.
Across 16 payments — averaging $20.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$79
- Exact Sciences$48
- Sanofi-aventis U.S. LLC$38
- Amgen$37
- Novo Nordisk$34
- Abbott$25
- plus $60 from 3 others
What the payments were for
- Food & beverage$321100%
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 |
|---|---|---|
| GSK | 4 | $79 |
| Exact Sciences | 3 | $48 |
| Sanofi-aventis U.S. LLC | 1 | $38 |
| Amgen | 2 | $37 |
| Novo Nordisk | 2 | $34 |
| Abbott | 1 | $25 |
| Axonics, Inc. | 1 | $24 |
| E.r. Squibb & Sons, L.L.C. | 1 | $18 |
| Lilly USA, LLC | 1 | $18 |
How this compares
$321 in reported general payments places this provider in the 50th percentile of 8,530 internal 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 |
|---|---|---|
| EliquisApixaban | 97 | $108,761 |
| OzempicSemaglutide | 45 | $56,595 |
| JardianceEmpagliflozin | 45 | $49,239 |
| JanuviaSitagliptin Phosphate | 32 | $38,641 |
| JanumetSitagliptin Phos/Metformin Hcl | 15 | $17,745 |
| XareltoRivaroxaban | 18 | $14,824 |
| Repatha SureclickEvolocumab | 21 | $12,303 |
| FarxigaDapagliflozin Propanediol | 11 | $7,878 |
| Breo ElliptaFluticasone/Vilanterol | 15 | $5,826 |
| Atorvastatin Calcium | 597 | $5,261 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 29 | $5,218 |
| Levothyroxine Sodium | 332 | $3,653 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 33 | $3,589 |
| Rosuvastatin Calcium | 193 | $3,426 |
| SymbicortBudesonide/Formoterol Fumarate | 13 | $3,249 |
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 | $34 | $56,59545 claims |
| GSKBreo Ellipta | $79 | $5,82615 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 50th percentile of 8,530 internal medicine providers in Florida.
Other internal medicine in Saint Cloud
- Haytham ElgammalMiami$2.2M
- Keith RubinFort Lauderdale$2M
- Michael SensionFort Lauderdale$1M
- Quang NguyenOcala$434K
- Luis Correa LunaSanford$412K
- Michael OleksykFort Myers$365K
- Andrew KuykendallTampa$322K
- Howard FederoffCoconut Grove$302K
- Bianka EperjesiovaGainesville$260K
- Julio ConradoFort Myers$247K
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.