Peter Panagos, MD
Emergency Medicine · Saint Louis, MONPI 1225042823
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $8,175 of the $12,050 with a category attached, or 67.8%. Pfizer accounts for 67.4% of it on its own, with 6 other manufacturers making up the rest. 2024 is the largest year on record at $6,537, 2.1 times the $3,102 reported in 2020. Among emergency medicine clinicians in MO 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 12 payments — averaging $1004.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$8K
- Portola Pharmaceuticals, LLC$2K
- Nabriva Therapeutics, PLC$1K
- Abbott$675
- AstraZeneca$98
- Microtransponder, Inc.$37
- plus $14 from 1 others
Across 6 payments — averaging $525.00 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.
- ZOLL Circulation Inc$3K
What the payments were for
- Consulting fees$8,17568%
- Speaking & faculty fees$2,00017%
- Travel & lodging$1,0799%
- Food & beverage$7967%
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 |
|---|---|---|
| Pfizer | 5 | $8,125 |
| Portola Pharmaceuticals, LLC | 1 | $2,000 |
| Nabriva Therapeutics, PLC | 2 | $1,102 |
| Abbott | 1 | $675 |
| AstraZeneca | 1 | $98 |
| Microtransponder, Inc. | 1 | $37 |
| ZOLL Circulation Inc | 1 | $14 |
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
$12,050 in reported general payments places this provider in the 95th percentile of 1,073 emergency medicine providers in Missouri.
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.
Other emergency medicine in Saint Louis
- Chrysanthy TsifutisSaint Louis$75K
- Jonathan SchonertSaint Louis$39K
- Charles KircherSaint Louis$29K
- Opeolu AdeoyeSaint Louis$16K
- Jeffrey SieglerSaint Louis$6K
- Robert PoirierSaint Louis$5K
- Alan TaylorSaint Louis$4K
- Stacey HouseSaint Louis$2K
- Mark LevineSaint Louis$2K
- Christopher PalmerSaint Louis$1K
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.