Richard Rosiello, MD
Pulmonary Disease · Worcester, MANPI 1992739791
Payments from drug & device makers
Across 189 payments — averaging $25.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$1K
- GSK$643
- Regeneron Healthcare Solutions, Inc.$311
- Boehringer Ingelheim$283
- E.r. Squibb & Sons, L.L.C.$218
- Eisai Inc.$211
- plus $2K from 31 others
What the payments were for
- Food & beverage$4,76998%
- Education$862%
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 |
|---|---|---|
| AstraZeneca(2 entities) | 52 | $1,237 |
| GSK | 29 | $643 |
| Regeneron Healthcare Solutions, Inc. | 12 | $311 |
| Boehringer Ingelheim | 11 | $283 |
| E.r. Squibb & Sons, L.L.C. | 10 | $218 |
| Eisai Inc. | 8 | $211 |
| Merck | 9 | $208 |
| Actelion Pharmaceuticals US, Inc. | 3 | $193 |
| Sanofi | 9 | $191 |
| Inspire Medical Systems, Inc. | 1 | $132 |
| Bayer | 4 | $125 |
| Seagen Inc. | 5 | $120 |
| Amgen | 3 | $83 |
| Exelixis Inc. | 2 | $71 |
| Incyte Corporation | 3 | $65 |
| Mirati Therapeutics, Inc. | 2 | $64 |
| Insmed, Inc. | 2 | $61 |
| Sanofi-aventis U.S. LLC | 1 | $57 |
| Verona Pharma, Inc. | 2 | $54 |
| Grifols USA, LLC | 2 | $48 |
| Novartis | 2 | $47 |
| Intuitive Surgical | 1 | $46 |
| Johnson & Johnson(2 entities) | 2 | $43 |
| Jazz Pharmaceuticals Inc. | 1 | $38 |
| Circassia Inc. | 1 | $36 |
| United Therapeutics Corporation | 1 | $35 |
| Geron Corporation | 1 | $31 |
| Karyopharm Therapeutics Inc. | 1 | $29 |
| Pulmonx Corporation | 1 | $27 |
| Sobi, Inc | 1 | $25 |
| CTI Biopharma Corp. | 1 | $25 |
| Pharmacyclics LLC, An Abbvie Company | 1 | $20 |
| Covidien LP | 1 | $17 |
| Lilly USA, LLC | 1 | $17 |
| Sunovion Pharmaceuticals Inc. | 1 | $15 |
| Pfizer | 1 | $14 |
| Teva Pharmaceuticals USA, Inc. | 1 | $11 |
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
$4,855 in reported general payments places this provider in the 75th percentile of 482 pulmonary disease providers in Massachusetts.
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 350 | $280,047 |
| OfevNintedanib Esylate | 11 | $139,427 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 177 | $112,972 |
| Breo ElliptaFluticasone/Vilanterol | 156 | $78,314 |
| XolairOmalizumab | 12 | $67,417 |
| NucalaMepolizumab | 18 | $66,993 |
| TezspireTezepelumab-Ekko | 13 | $52,989 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 69 | $47,163 |
| Dupixent PenDupilumab | 11 | $40,501 |
| Spiriva RespimatTiotropium Bromide | 58 | $40,349 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 48 | $30,384 |
| Pirfenidone | 19 | $29,058 |
| SymbicortBudesonide/Formoterol Fumarate | 91 | $25,774 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 92 | $22,534 |
| Combivent RespimatIpratropium/Albuterol Sulfate | 31 | $20,456 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta, Nucala, Arnuity Ellipta | $643 | $569,520778 claims |
| Boehringer IngelheimOfev, Spiriva Respimat, Stiolto Respimat, Combivent Respimat | $283 | $230,615148 claims |
| AstraZenecaTezspire, Breztri Aerosphere, Symbicort, Pulmicort Flexhaler | $1,237 | $131,670185 claims |
| Teva Pharmaceuticals USA, Inc.Qvar Redihaler | $11 | $10,10339 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 75th percentile of 482 pulmonary disease providers in Massachusetts.
Other pulmonary disease in Worcester
- Yaron GoldmanWorcester$843K
- Fernando MartinezWorcester$375K
- Aaron WaxmanBoston$7.7M
- John BerkBoston$6M
- Darrell KottonBoston$5.3M
- Hilary GoldbergBoston$3.5M
- Ehab BillatosWinchester$2.7M
- Harrison FarberBoston$2.6M
- Elizabeth KlingsBoston$2.1M
- Curtis MelloNorth Dartmouth$1.9M
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.