Tara Pianko
Medical · Knoxville, TNNPI 1861144511
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.2% of the total across 359 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 39 manufacturers, the largest accounting for just 23.8% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $2,884 and has fallen 82.8% since, to $496 in 2025. Among medical clinicians in TN 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 359 payments — averaging $21.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Amgen$1K
- Johnson & Johnson$667
- Lilly USA, LLC$623
- AstraZeneca$596
- UCB, Inc.$513
- plus $2K from 33 others
What the payments were for
- Food & beverage$7,42697%
- Education$2113%
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 |
|---|---|---|
| AbbVie | 70 | $1,817 |
| Amgen(2 entities) | 65 | $1,298 |
| Johnson & Johnson | 27 | $667 |
| Lilly USA, LLC | 24 | $623 |
| AstraZeneca(2 entities) | 27 | $596 |
| UCB, Inc. | 30 | $513 |
| Novartis | 35 | $475 |
| GSK | 19 | $368 |
| Pfizer | 9 | $153 |
| Fresenius Kabi USA, LLC | 7 | $124 |
| Incyte Corporation | 2 | $109 |
| Radius Health, Inc. | 5 | $103 |
| Genentech USA, Inc. | 6 | $95 |
| Sandoz | 3 | $69 |
| E.r. Squibb & Sons, L.L.C. | 3 | $63 |
| Mallinckrodt Hospital Products Inc. | 2 | $60 |
| Aurinia Pharma U.S., Inc. | 2 | $46 |
| Stemline Therapeutics Inc. | 2 | $39 |
| Merck | 1 | $28 |
| ANI Pharmaceuticals, Inc. | 1 | $25 |
| Bayer | 1 | $24 |
| Kiniksa Pharmaceuticals, Ltd. | 1 | $24 |
| Kiniksa Pharmaceuticals International, PLC | 1 | $22 |
| Kyowa Kirin, Inc. | 1 | $22 |
| Sobi, Inc | 1 | $22 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $22 |
| Celltrion USA Inc. | 1 | $22 |
| Regeneron Healthcare Solutions, Inc. | 1 | $21 |
| Daiichi Sankyo Inc. | 1 | $21 |
| Geron Corporation | 1 | $19 |
| Puma Biotechnology, Inc. | 1 | $19 |
| Beone Medicines USA, Inc. | 1 | $18 |
| Bristol Myers Squibb | 1 | $17 |
| Eisai Inc. | 1 | $17 |
| Rigel Pharmaceuticals, Inc. | 1 | $17 |
| Agios Pharmaceuticals, Inc. | 1 | $15 |
| Organon | 1 | $15 |
| Almatica Pharma LLC | 1 | $15 |
| IBSA Pharma Inc. | 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.
- KRYSTEXXA$106
How this compares
$7,636 in reported general payments places this provider in the 90th percentile of 480 medical providers in Tennessee.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Taltz AutoinjectorIxekizumab | 12 | $77,676 |
| Xeljanz XrTofacitinib Citrate | 13 | $71,486 |
| ActemraTocilizumab | 12 | $40,609 |
| Hydroxychloroquine Sulfate | 237 | $9,955 |
| MethotrexateMethotrexate Sodium | 116 | $4,238 |
| Leflunomide | 63 | $3,283 |
| Colchicine | 31 | $2,166 |
| Duloxetine Hcl | 87 | $2,079 |
| Prednisone | 237 | $1,682 |
| Celecoxib | 58 | $1,336 |
| Tizanidine Hcl | 57 | $591 |
| Sulfasalazine | 21 | $553 |
| Allopurinol | 38 | $419 |
| Gabapentin | 45 | $389 |
| Methylprednisolone | 26 | $349 |
Paid to pharmacies, not to this prescriber.
Other medical in Knoxville
- Stephanie HowardKnoxville$18K
- Janet BreedingKnoxville$15K
- Paul MabenKnoxville$13K
- Jaan KellyKnoxville$6K
- Tonya JonesKnoxville$5K
- Maria WoodChattanooga$130K
- Alyssa JamesonFranklin$65K
- Melissa LambertHendersonville$47K
- Evan HatfillNashville$18K
- Meredith McDanielChattanooga$17K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.