Rachel Piechowiak, DO
Vascular & Interventional Radiology · Reston, VANPI 1679867212
Payments from drug & device makers
What this record shows
This record is dominated by education: $3,357 of the $5,445 with a category attached, or 61.7%. Angiodynamics, Inc. accounts for 63.2% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2019 at $2,867 and has fallen 99.2% since, to $24 in 2025.
Across 39 payments — averaging $139.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Angiodynamics, Inc.$3K
- Medtronic$417
- Abbott$404
- Boston Scientific$303
- Terumo Medical Corporation$273
- Asahi Intecc USA, Inc.$173
- plus $434 from 7 others
Across 2 payments — averaging $2013.50 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.
- Merit Medical Systems Inc$4K
- Medtronic$527
What the payments were for
- Food & beverage$2,08738%
- Education$3,35762%
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 |
|---|---|---|
| Angiodynamics, Inc. | 6 | $3,440 |
| Medtronic(3 entities) | 8 | $417 |
| Abbott | 4 | $404 |
| Boston Scientific | 5 | $303 |
| Terumo Medical Corporation | 5 | $273 |
| Asahi Intecc USA, Inc. | 1 | $173 |
| Siemens Medical Solutions USA, Inc. | 3 | $170 |
| Cardiovascular Systems Inc. | 2 | $86 |
| Philips North America LLC | 1 | $70 |
| Cook Medical LLC | 1 | $46 |
| Varian Medical Systems, Inc. | 1 | $26 |
| Sirtex Medical Inc | 1 | $21 |
| Misonix Inc | 1 | $15 |
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
$5,445 in reported general payments places this provider in the 70th percentile of 136 vascular & interventional radiology providers in Virginia.
See all vascular & interventional radiology providers in Virginia →
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 |
|---|---|---|
| Methylprednisolone | 183 | $1,279 |
| Ibuprofen | 146 | $364 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 170 | $288 |
| Famotidine | 148 | $193 |
| Celecoxib | 18 | $157 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 15 | $109 |
| Cefadroxil | 14 | $55 |
| IbuIbuprofen | 25 | $41 |
Paid to pharmacies, not to this prescriber.
Other vascular & interventional radiology in Reston
- Alex PavidaphaReston$13K
- Faraz KhanReston$5K
- Jeffrey HullRichmond$10.8M
- Ziv HaskalCharlottesville$724K
- Keith SterlingSpringfield$357K
- John GaughenCharlottesville$253K
- Jawad HussainRichmond$248K
- Sandeep BaglaFalls Church$146K
- Aaron DucoffeFairfax$108K
- Ryan McTaggartRoanoke$103K
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.