Robert Pesek
Pediatrics · Little Rock, ARNPI 1083833313
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $19,420 of the $20,385 with a category attached, or 95.3%. Regeneron accounts for 92.2% of it on its own, with 1 other manufacturer making up the rest. 2025 is the largest year on record at $9,760, more than ten times the $343 reported in 2019. Among pediatrics clinicians in AR 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 16 payments — averaging $1274.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron$19K
- Takeda Pharmaceuticals U.S.A., Inc.$2K
Across 149 payments — averaging $7427.94 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.
- Regeneron$781K
- AstraZeneca$288K
- Astrazeneca UK Limited$37K
- Sanofi$500
What the payments were for
- Consulting fees$19,42095%
- Travel & lodging$5853%
- Food & beverage$3802%
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 |
|---|---|---|
| Regeneron | 15 | $18,785 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $1,600 |
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.
- DUPIXENT$18,518
How this compares
$20,385 in reported general payments places this provider in the 95th percentile of 464 pediatrics providers in Arkansas.
Other pediatrics in Little Rock
- Peyton MillsLittle Rock$7K
- Eduardo OchoaLittle Rock$4K
- Laura MarrattLittle Rock$4K
- September WestbrookLittle Rock$3K
- Lindsey HaackLittle Rock$2K
- Jerry ByrumLittle Rock$2K
- Dawn MartinLittle Rock$2K
- Joshua LyonLittle Rock$2K
- Anna OstromLittle Rock$2K
- Jessica EmisonLittle Rock$2K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.