Robert Pickeral, PA
Medical · Watertown, NYNPI 1205469186
Payments from drug & device makers
Across 87 payments — averaging $31.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$829
- Novo Nordisk$585
- Madrigal Pharmaceuticals$231
- Johnson & Johnson$188
- Lilly USA, LLC$141
- Bayer$130
- plus $676 from 15 others
What the payments were for
- Food & beverage$2,780100%
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 | 15 | $829 |
| Novo Nordisk | 17 | $585 |
| Madrigal Pharmaceuticals | 3 | $231 |
| Johnson & Johnson | 4 | $188 |
| Lilly USA, LLC | 5 | $141 |
| Bayer | 6 | $130 |
| Amgen | 4 | $89 |
| E.r. Squibb & Sons, L.L.C. | 5 | $87 |
| Phathom Pharmaceuticals, Inc. | 5 | $75 |
| Pfizer | 4 | $67 |
| GSK | 3 | $64 |
| Sumitomo Pharma America, Inc. | 2 | $47 |
| Merck | 2 | $41 |
| Dexcom, Inc. | 2 | $37 |
| AbbVie | 2 | $33 |
| Lundbeck LLC | 2 | $32 |
| Shield Therapeutics Inc | 2 | $28 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $23 |
| Otsuka America Pharmaceutical, Inc. | 1 | $23 |
| Novartis | 1 | $15 |
| Boehringer Ingelheim | 1 | $14 |
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
$2,780 in reported general payments places this provider in the 80th percentile of 2,395 medical providers in New York.
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 |
|---|---|---|
| OzempicSemaglutide | 52 | $53,215 |
| EliquisApixaban | 46 | $35,574 |
| XareltoRivaroxaban | 31 | $28,268 |
| RybelsusSemaglutide | 20 | $26,230 |
| TrulicityDulaglutide | 14 | $25,204 |
| MounjaroTirzepatide | 18 | $24,572 |
| JardianceEmpagliflozin | 14 | $22,167 |
| Breo ElliptaFluticasone/Vilanterol | 32 | $14,111 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 15 | $9,147 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 11 | $4,716 |
| Incruse ElliptaUmeclidinium Bromide | 11 | $3,923 |
| Varenicline Tartrate | 11 | $3,364 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 20 | $2,569 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 12 | $2,438 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 65 | $2,339 |
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 |
|---|---|---|
| Novo NordiskOzempic, Rybelsus | $585 | $79,44572 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $141 | $49,77632 claims |
| PfizerEliquis | $67 | $35,57446 claims |
| Johnson & JohnsonXarelto | $188 | $28,26831 claims |
| GSKBreo Ellipta, Anoro Ellipta, Incruse Ellipta | $64 | $22,75054 claims |
| Boehringer IngelheimJardiance | $14 | $22,16714 claims |
| AstraZenecaBreztri Aerosphere | $829 | $9,14715 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 80th percentile of 2,395 medical providers in New York.
Other medical in Watertown
- Rebecca EllwoodAlbany$565K
- Denisse SerranoCortlandt Manor$255K
- Michele Kissous-HuntNew York$246K
- Laura MaroldoNew York$126K
- Carl ClarkeBrooklyn$116K
- Maureen ThyneNew York$109K
- Gina FriesRochester$106K
- Ilse StraussSmithtown$87K
- Helen AdamsNew York$87K
- Hailey BrickmanNew York$82K
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.