Covered recipient · General Payments record

DONALD A PIESTRAK

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI: 1588093587
CMS profile: 10985445
Location: LAGRANGE, GA

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

General Payments · PY2025

$1,671.54

87 records · 0 disputed

Summary and payment records

CMS publication 2026-06-30

Read the payment records

“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”
— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated

This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. Nothing is estimated, weighted, or combined across categories.
General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
Methodology & Data — sourcing, labeling, and limitations.

Data mirrored July 26, 2026. CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

By nature of payment

PY2025 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$1,671.54	87

By paying entity

PY2025 · sorted by reported total

Paying entity	Amount	Records
PFIZER INC.	$420.26	23
Acerta Pharma LLC	$300.71	15
ABBVIE INC.	$190.20	13
ITI, Inc.	$131.48	4
Amgen Inc.	$101.75	6
Axsome Therapeutics, Inc.	$97.27	5
Boehringer Ingelheim Pharmaceuticals, Inc.	$85.12	4
Bayer HealthCare Pharmaceuticals Inc.	$68.47	3
Otsuka America Pharmaceutical, Inc.	$67.81	3
Lilly USA, LLC	$55.92	3
Vanda Pharmaceuticals Inc.	$45.43	2
Novo Nordisk AS	$32.21	2
Collegium Pharmaceutical, Inc.	$21.59	1
VERTEX PHARMACEUTICALS INCORPORATED	$21.24	1
GlaxoSmithKline, LLC.	$16.78	1
Lundbeck LLC	$15.30	1

Payment records · PY2025 (87)

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
ABBVIE INC.	$9.26	12/11/2025	Food and Beverage	No dispute reported	06/30/2026	1205461247	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$32.98	12/10/2025	Food and Beverage	No dispute reported	06/30/2026	1241639218	CMS
PFIZER INC.	$13.72	12/04/2025	Food and Beverage	No dispute reported	06/30/2026	1230924319	CMS
ABBVIE INC.	$14.87	12/03/2025	Food and Beverage	No dispute reported	06/30/2026	1205461241	CMS
Amgen Inc.	$13.58	12/03/2025	Food and Beverage	No dispute reported	06/30/2026	1229351986	CMS
AstraZeneca Pharmaceuticals LP	$17.23	12/01/2025	Food and Beverage	No dispute reported	06/30/2026	1206885722	CMS
PFIZER INC.	$15.64	11/20/2025	Food and Beverage	No dispute reported	06/30/2026	1230868905	CMS
PFIZER INC.	$23.59	11/20/2025	Food and Beverage	No dispute reported	06/30/2026	1230876891	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$23.99	11/12/2025	Food and Beverage	No dispute reported	06/30/2026	1222729061	CMS
AstraZeneca Pharmaceuticals LP	$15.01	11/11/2025	Food and Beverage	No dispute reported	06/30/2026	1207212786	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$29.98	11/05/2025	Food and Beverage	No dispute reported	06/30/2026	1241639216	CMS
AstraZeneca Pharmaceuticals LP	$24.55	11/03/2025	Food and Beverage	No dispute reported	06/30/2026	1206623790	CMS
ABBVIE INC.	$4.33	10/30/2025	Food and Beverage	No dispute reported	06/30/2026	1205461235	CMS
Axsome Therapeutics, Inc.	$20.70	10/30/2025	Food and Beverage	No dispute reported	06/30/2026	1235605765	CMS
PFIZER INC.	$16.17	10/29/2025	Food and Beverage	No dispute reported	06/30/2026	1230760934	CMS
Vanda Pharmaceuticals Inc.	$27.08	10/27/2025	Food and Beverage	No dispute reported	06/30/2026	1233111384	CMS
GlaxoSmithKline, LLC.	$16.78	10/25/2025	Food and Beverage	No dispute reported	06/30/2026	1190839288	CMS
PFIZER INC.	$22.65	10/23/2025	Food and Beverage	No dispute reported	06/30/2026	1230794111	CMS
Amgen Inc.	$13.98	10/16/2025	Food and Beverage	No dispute reported	06/30/2026	1229351998	CMS
Collegium Pharmaceutical, Inc.	$21.59	10/15/2025	Food and Beverage	No dispute reported	06/30/2026	1224191258	CMS
ABBVIE INC.	$6.42	10/14/2025	Food and Beverage	No dispute reported	06/30/2026	1205461230	CMS
PFIZER INC.	$14.12	10/08/2025	Food and Beverage	No dispute reported	06/30/2026	1230405469	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$33.70	10/06/2025	Food and Beverage	No dispute reported	06/30/2026	1241639214	CMS
AstraZeneca Pharmaceuticals LP	$23.02	10/02/2025	Food and Beverage	No dispute reported	06/30/2026	1206570325	CMS
PFIZER INC.	$7.93	10/02/2025	Food and Beverage	No dispute reported	06/30/2026	1230349833	CMS
Lilly USA, LLC	$22.20	09/26/2025	Food and Beverage	No dispute reported	06/30/2026	1187117775	CMS
PFIZER INC.	$22.40	09/24/2025	Food and Beverage	No dispute reported	06/30/2026	1230357729	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.82	09/18/2025	Food and Beverage	No dispute reported	06/30/2026	1222729059	CMS
PFIZER INC.	$16.97	09/17/2025	Food and Beverage	No dispute reported	06/30/2026	1229715470	CMS
AstraZeneca Pharmaceuticals LP	$18.37	09/15/2025	Food and Beverage	No dispute reported	06/30/2026	1206630933	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$34.82	09/10/2025	Food and Beverage	No dispute reported	06/30/2026	1241639212	CMS
AstraZeneca Pharmaceuticals LP	$23.02	09/03/2025	Food and Beverage	No dispute reported	06/30/2026	1207047529	CMS
Otsuka America Pharmaceutical, Inc.	$24.85	08/25/2025	Food and Beverage	No dispute reported	06/30/2026	1227912753	CMS
PFIZER INC.	$22.79	08/21/2025	Food and Beverage	No dispute reported	06/30/2026	1229717195	CMS
ABBVIE INC.	$28.71	08/20/2025	Food and Beverage	No dispute reported	06/30/2026	1205461224	CMS
ABBVIE INC.	$22.06	08/18/2025	Food and Beverage	No dispute reported	06/30/2026	1205461217	CMS
PFIZER INC.	$17.65	08/14/2025	Food and Beverage	No dispute reported	06/30/2026	1229415912	CMS
Vanda Pharmaceuticals Inc.	$18.35	08/07/2025	Food and Beverage	No dispute reported	06/30/2026	1233111382	CMS
ABBVIE INC.	$6.00	07/29/2025	Food and Beverage	No dispute reported	06/30/2026	1205461212	CMS
AstraZeneca Pharmaceuticals LP	$18.93	07/21/2025	Food and Beverage	No dispute reported	06/30/2026	1206606715	CMS
PFIZER INC.	$22.15	07/17/2025	Food and Beverage	No dispute reported	06/30/2026	1229502179	CMS
PFIZER INC.	$10.65	07/09/2025	Food and Beverage	No dispute reported	06/30/2026	1229357299	CMS
Axsome Therapeutics, Inc.	$17.62	07/07/2025	Food and Beverage	No dispute reported	06/30/2026	1235423617	CMS
Otsuka America Pharmaceutical, Inc.	$19.08	06/30/2025	Food and Beverage	No dispute reported	06/30/2026	1227912749	CMS
PFIZER INC.	$23.90	06/26/2025	Food and Beverage	No dispute reported	06/30/2026	1229440525	CMS
Novo Nordisk Inc	$16.06	06/16/2025	Food and Beverage	No dispute reported	06/30/2026	1188904264	CMS
AstraZeneca Pharmaceuticals LP	$22.41	06/09/2025	Food and Beverage	No dispute reported	06/30/2026	1206711183	CMS
AstraZeneca Pharmaceuticals LP	$23.02	06/05/2025	Food and Beverage	No dispute reported	06/30/2026	1206150775	CMS
PFIZER INC.	$18.04	06/04/2025	Food and Beverage	No dispute reported	06/30/2026	1229338852	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.82	06/02/2025	Food and Beverage	No dispute reported	06/30/2026	1222729057	CMS
Novo Nordisk Inc	$16.15	05/28/2025	Food and Beverage	No dispute reported	06/30/2026	1188708570	CMS
Axsome Therapeutics, Inc.	$19.90	05/22/2025	Food and Beverage	No dispute reported	06/30/2026	1235730514	CMS
AstraZeneca Pharmaceuticals LP	$23.02	05/21/2025	Food and Beverage	No dispute reported	06/30/2026	1206172616	CMS
Lilly USA, LLC	$18.55	05/19/2025	Food and Beverage	No dispute reported	06/30/2026	1187127669	CMS
PFIZER INC.	$12.81	05/15/2025	Food and Beverage	No dispute reported	06/30/2026	1229037515	CMS
VERTEX PHARMACEUTICALS INCORPORATED	$21.24	05/12/2025	Food and Beverage	No dispute reported	06/30/2026	1213898514	CMS
Bayer Healthcare Pharmaceuticals Inc.	$19.43	05/08/2025	Food and Beverage	No dispute reported	06/30/2026	1225706075	CMS
AstraZeneca Pharmaceuticals LP	$21.07	05/05/2025	Food and Beverage	No dispute reported	06/30/2026	1207041056	CMS
Amgen Inc.	$16.66	05/01/2025	Food and Beverage	No dispute reported	06/30/2026	1229352004	CMS
ABBVIE INC.	$9.21	04/30/2025	Food and Beverage	No dispute reported	06/30/2026	1205461207	CMS
PFIZER INC.	$22.79	04/24/2025	Food and Beverage	No dispute reported	06/30/2026	1229096836	CMS
Lundbeck LLC	$15.30	04/16/2025	Food and Beverage	No dispute reported	06/30/2026	1251953436	CMS
AstraZeneca Pharmaceuticals LP	$17.30	04/10/2025	Food and Beverage	No dispute reported	06/30/2026	1207024344	CMS
PFIZER INC.	$18.51	04/09/2025	Food and Beverage	No dispute reported	06/30/2026	1229065125	CMS
Bayer Healthcare Pharmaceuticals Inc.	$24.17	04/07/2025	Food and Beverage	No dispute reported	06/30/2026	1225706079	CMS
ABBVIE INC.	$18.61	03/26/2025	Food and Beverage	No dispute reported	06/30/2026	1205461201	CMS
Axsome Therapeutics, Inc.	$20.53	03/24/2025	Food and Beverage	No dispute reported	06/30/2026	1235391863	CMS
PFIZER INC.	$22.15	03/20/2025	Food and Beverage	No dispute reported	06/30/2026	1229069952	CMS
AstraZeneca Pharmaceuticals LP	$13.14	03/17/2025	Food and Beverage	No dispute reported	06/30/2026	1206477068	CMS
PFIZER INC.	$15.63	03/13/2025	Food and Beverage	No dispute reported	06/30/2026	1228972791	CMS
Amgen Inc.	$17.13	03/12/2025	Food and Beverage	No dispute reported	06/30/2026	1229352011	CMS
AstraZeneca Pharmaceuticals LP	$19.52	03/06/2025	Food and Beverage	No dispute reported	06/30/2026	1206347453	CMS
Lilly USA, LLC	$15.17	03/05/2025	Food and Beverage	No dispute reported	06/30/2026	1187104373	CMS
Axsome Therapeutics, Inc.	$18.52	02/26/2025	Food and Beverage	No dispute reported	06/30/2026	1235390536	CMS
PFIZER INC.	$18.45	02/20/2025	Food and Beverage	No dispute reported	06/30/2026	1229196251	CMS
ABBVIE INC.	$11.06	02/19/2025	Food and Beverage	No dispute reported	06/30/2026	1205461195	CMS
ABBVIE INC.	$16.09	02/17/2025	Food and Beverage	No dispute reported	06/30/2026	1205461188	CMS
AstraZeneca Pharmaceuticals LP	$21.10	02/12/2025	Food and Beverage	No dispute reported	06/30/2026	1206581128	CMS
Bayer Healthcare Pharmaceuticals Inc.	$24.87	02/06/2025	Food and Beverage	No dispute reported	06/30/2026	1225706070	CMS
Amgen Inc.	$24.92	02/05/2025	Food and Beverage	No dispute reported	06/30/2026	1229351992	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.49	01/30/2025	Food and Beverage	No dispute reported	06/30/2026	1222729055	CMS
PFIZER INC.	$17.72	01/29/2025	Food and Beverage	No dispute reported	06/30/2026	1229012813	CMS
Otsuka America Pharmaceutical, Inc.	$23.88	01/27/2025	Food and Beverage	No dispute reported	06/30/2026	1227912746	CMS
PFIZER INC.	$23.83	01/16/2025	Food and Beverage	No dispute reported	06/30/2026	1229012414	CMS
ABBVIE INC.	$15.54	01/15/2025	Food and Beverage	No dispute reported	06/30/2026	1205461183	CMS
ABBVIE INC.	$28.04	01/13/2025	Food and Beverage	No dispute reported	06/30/2026	1205461176	CMS
Amgen Inc.	$15.48	01/09/2025	Food and Beverage	No dispute reported	06/30/2026	1229352018	CMS

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2023	$613.47	37
PY2024	$1,590.05	97
PY2025	$1,671.54	87

Source & provenance

Dataset: CMS Open Payments — General Payments
Publisher of source data: Centers for Medicare & Medicaid Services
CMS publication date: 2026-06-30
Program years on this page: 2023, 2024, 2025

Source files and profile matching

Source files: Dataset page · Bulk file · PY2023 , PY2024 , PY2025
Generated from: OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.

Cite this record.

Permalink https://industrypayments.org/provider/npi-1588093587

Plain: DONALD A PIESTRAK, NPI 1588093587. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1588093587.
APA 7: IndustryPayments. (2026). DONALD A PIESTRAK, NPI 1588093587 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1588093587
Bluebook: DONALD A PIESTRAK, NPI 1588093587, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1588093587.

Source: Centers for Medicare & Medicaid Services, Open Payments.