Peter Chien, MD
Cardiovascular Disease · Keene, NHNPI 1508063470
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.2% of the total across 40 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 12 manufacturers, the largest accounting for just 18.7% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $1,224 and has fallen 97.0% since, to $37 in 2025.
Across 40 payments — averaging $38.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$290
- Medtronic$286
- Novartis$140
- E.r. Squibb & Sons, L.L.C.$127
- AbbVie$124
- Actelion Pharmaceuticals US, Inc.$122
- plus $464 from 6 others
What the payments were for
- Food & beverage$1,54199%
- Education$131%
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 |
|---|---|---|
| Johnson & Johnson | 12 | $290 |
| Medtronic | 4 | $286 |
| Novartis | 3 | $140 |
| E.r. Squibb & Sons, L.L.C. | 8 | $127 |
| AbbVie | 1 | $124 |
| Actelion Pharmaceuticals US, Inc. | 4 | $122 |
| Sanofi-aventis U.S. LLC | 3 | $119 |
| Edwards Lifesciences | 1 | $104 |
| Merck | 1 | $100 |
| AstraZeneca | 1 | $88 |
| Alnylam Pharmaceuticals Inc. | 1 | $37 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $17 |
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
$1,553 in reported general payments places this provider in the 60th percentile of 112 cardiovascular disease providers in New Hampshire.
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 | 186 | $164,706 |
| JardianceEmpagliflozin | 145 | $102,756 |
| EntrestoSacubitril/Valsartan | 82 | $74,308 |
| XareltoRivaroxaban | 34 | $45,794 |
| Repatha PushtronexEvolocumab | 24 | $20,073 |
| FarxigaDapagliflozin Propanediol | 11 | $13,570 |
| Praluent PenAlirocumab | 17 | $8,404 |
| Ezetimibe | 210 | $4,699 |
| Atorvastatin Calcium | 358 | $3,310 |
| Rosuvastatin Calcium | 113 | $2,364 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 55 | $2,113 |
| Metoprolol Succinate | 199 | $2,079 |
| Torsemide | 179 | $1,810 |
| Losartan Potassium | 127 | $880 |
| Amlodipine Besylate | 196 | $838 |
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 |
|---|---|---|
| NovartisEntresto | $140 | $74,30882 claims |
| Johnson & JohnsonXarelto | $290 | $45,79434 claims |
| AstraZenecaFarxiga | $88 | $13,57011 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 60th percentile of 112 cardiovascular disease providers in New Hampshire.
Other cardiovascular disease in Keene
- Jose BetancourtKeene$8K
- Amr El MeligyKeene$5K
- Alan SteljesKeene$4K
- Olivia HungKeene$1K
- Fahad GilaniManchester$418K
- Stephan HeoManchester$116K
- Robert CapodilupoManchester$85K
- Kevin KwakuLebanon$79K
- Michael YoungLebanon$53K
- Jeanney LewManchester$36K
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.