Renee Marchegiani, DO
Pain Medicine · Wasilla, AKNPI 1982192282
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (49.9%), food and beverage and education — rather than concentrated in one kind of arrangement. 19 manufacturers reported payments, led by Boston Scientific at 49.8% of the total. Reporting peaked in 2022 at $3,756 and has fallen 85.1% since, to $561 in 2025. Among pain medicine clinicians in AK 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 170 payments — averaging $60.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$5K
- Medtronic$2K
- Stryker$1K
- Nevro Corp.$401
- Abbott$344
- AbbVie$172
- plus $671 from 13 others
What the payments were for
- Travel & lodging$5,15150%
- Food & beverage$5,14250%
- Education$300%
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 |
|---|---|---|
| Boston Scientific | 84 | $5,139 |
| Medtronic | 22 | $2,283 |
| Stryker | 7 | $1,315 |
| Nevro Corp. | 14 | $401 |
| Abbott | 5 | $344 |
| AbbVie | 9 | $172 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 7 | $139 |
| Nalu Medical, Inc. | 1 | $97 |
| Vertos Medical, Inc. | 1 | $95 |
| Collegium Pharmaceutical, Inc. | 5 | $87 |
| Averitas Pharma Inc. | 3 | $65 |
| Merck | 3 | $41 |
| Johnson & Johnson | 2 | $34 |
| Pfizer | 2 | $34 |
| Vertex | 1 | $21 |
| Avanos Medical | 1 | $21 |
| Painteq LLC | 1 | $20 |
| Si-bone, Inc. | 1 | $15 |
| Ambu Inc. | 1 | $2 |
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.
- INTELLIS ADAPTIVESTIM$1,852
- Intracept$1,299
- GENERAL - THERAPIES$1,239
- AUGMENT INJECTABLE$1,114
- Superion Indirect Decompression System$400
- PROCLAIM$317
- WaveWriter Alpha Prime 16$315
How this compares
$10,323 in reported general payments places this provider in the 90th percentile of 20 pain medicine providers in Alaska.
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 |
|---|---|---|
| Gabapentin | 54 | $887 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 23 | $428 |
| Oxycodone Hcl | 19 | $371 |
| Celecoxib | 24 | $250 |
| Pregabalin | 16 | $240 |
| Nortriptyline Hcl | 13 | $153 |
| Doxycycline Hyclate | 20 | $152 |
| Baclofen | 19 | $142 |
| Tizanidine Hcl | 26 | $109 |
| Cyclobenzaprine Hcl | 15 | $107 |
| Alprazolam | 26 | $15 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Wasilla
- Stephen MarkewichWasilla$57K
- Jon HinmanWasilla$2K
- Derek BradleyJber$9K
- Kimpreet KaurElmendorf Afb$7K
- James PricePalmer$7K
- Nichelle RenkAnchorage$5K
- Benjamin EkstromAnchorage$910
- Leon ChandlerAnchorage$836
- Nancy CrossFairbanks$707
- Shawn JohnstonAnchorage$663
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.