Peter Pappas
Infectious Disease · Birmingham, ALNPI 1811921497
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $18,395 of the $25,124 with a category attached, or 73.2%. 9 manufacturers reported payments, led by Melinta Therapeutics, LLC at 35.1% of the total. Reporting peaked in 2019 at $8,022 and has fallen 97.4% since, to $207 in 2025. Among infectious disease clinicians in AL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 29 payments — averaging $866.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Melinta Therapeutics, LLC$9K
- Merck$7K
- Pfizer$5K
- Gilead$3K
- Cidara Therapeutics, Inc.$2K
- Intuitive Surgical$207
- plus $246 from 3 others
Across 58 payments — averaging $33,761 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.
- Astellas Pharma Global Development$765K
- Mayne Pharma Commercial LLC$678K
- Gilead$403K
- Merck$106K
- Pfizer$6K
What the payments were for
- Consulting fees$18,39573%
- Speaking & faculty fees$3,71015%
- Travel & lodging$2,0878%
- Food & beverage$7253%
- Education$2071%
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 |
|---|---|---|
| Melinta Therapeutics, LLC | 8 | $8,822 |
| Merck | 8 | $6,670 |
| Pfizer | 6 | $5,049 |
| Gilead | 1 | $2,530 |
| Cidara Therapeutics, Inc. | 1 | $1,600 |
| Intuitive Surgical | 1 | $207 |
| Scynexis, Inc. | 1 | $123 |
| Mayne Pharma Commercial LLC | 2 | $111 |
| Tactile Systems Technology Inc | 1 | $12 |
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.
- Rezzayo$9,420
- Da Vinci Surgical System$207
How this compares
$25,124 in reported general payments places this provider in the 90th percentile of 104 infectious disease providers in Alabama.
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 |
|---|---|---|
| Posaconazole | 15 | $6,559 |
| ErtapenemErtapenem Sodium | 13 | $3,741 |
| Voriconazole | 11 | $2,981 |
| Cefadroxil | 23 | $2,941 |
| Cefazolin Sodium | 23 | $2,297 |
| CiproCiprofloxacin | 15 | $2,136 |
| Doxycycline Monohydrate | 19 | $605 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 23 | $443 |
| Sodium Chloride0.9 % Sodium Chloride | 11 | $56 |
Paid to pharmacies, not to this prescriber.
Other infectious disease in Birmingham
- John BaddleyBirmingham$113K
- Christina MuznyBirmingham$111K
- Sonya HeathBirmingham$80K
- William GeislerBirmingham$63K
- Edward HookBirmingham$61K
- Edgar OvertonBirmingham$46K
- Jane SchwebkeBirmingham$42K
- Jeanne MarrazzoBirmingham$23K
- Todd McCartyBirmingham$20K
- Anurag GandhiBirmingham$19K
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.