Donald Piestrak
Physician Assistant • Lagrange, GA
1399 Lafayette Pkwy
Lagrange, GA 302412572
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Donald Piestrak is listed in NPPES under Physician Assistant.
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NPI assigned on November 11, 2013; this date does not establish years in practice.
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Published CMS data list 1,798 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J1010 — Injection, methylprednisolone acetate, 1 mg: 1,600 service units.
- 99214 — Established patient outpatient office visit: 112 service units.
- 96372 — Injection of drug or substance under skin or into muscle: 46 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 5 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,460 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Prednisone — 92 prescription fills, including refills.
- Alprazolam — 72 prescription fills, including refills.
- Azithromycin — 71 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 55 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Lagrange, GA (2024, 11 clinicians with data). Median for this group: 347. Middle half: 104 to 439.
More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Georgia (2024, 2,111 clinicians with data). Median for this group: 206. Middle half: 69 to 679.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 72 in 2020 to 1,798 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1399 Lafayette Pkwy
Lagrange, GA 302412572
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Lagrange, GA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Hometown Physician Group, Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2013
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
98 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $14,974 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $11,076 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
2,126 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$99,339 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,671.54 across 87 records.
By nature of payment
- Food and Beverage: $1,671.54 across 87 records.
Reporting-company totals (3 largest of 16)
- Pfizer Inc.: $420.26 across 23 records.
- AstraZeneca Pharmaceuticals LP: $300.71 across 15 records.
- ABBVIE INC.: $190.20 across 13 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
13 years (graduated 2013)
CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2013
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Donald Piestrak has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Donald Piestrak as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Lagrange and Georgia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Lagrange, GA (2024, 11 clinicians with data). Median for this group: 347. Middle half: 104 to 439.
More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Georgia (2024, 2,111 clinicians with data). Median for this group: 206. Middle half: 69 to 679.
Medicare-allowed amount
A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Lagrange, GA (2024, 11 clinicians with data). Median for this group: $12,638. Middle half: $9,377 to $25,030.
Close to the middle for clinicians listed under Physician Assistant in Georgia (2024, 2,111 clinicians with data). Median for this group: $15,567. Middle half: $5,959 to $34,890.
Paid by Medicare
A higher Medicare payment amount than 60% of clinicians listed under Physician Assistant in Lagrange, GA (2024, 11 clinicians with data). Median for this group: $9,415. Middle half: $6,483 to $18,631.
Close to the middle for clinicians listed under Physician Assistant in Georgia (2024, 2,111 clinicians with data). Median for this group: $11,516. Middle half: $4,485 to $25,995.
Medicare Part D prescriptions
More Part D prescriptions than 85% of clinicians listed under Physician Assistant in Georgia (2024, 2,084 clinicians with data). Median for this group: 227. Middle half: 71 to 699.
Too few clinicians listed under Physician Assistant in Lagrange have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 75% of clinicians listed under Physician Assistant in Georgia (2024, 2,084 clinicians with data). Median for this group: $4,172. Middle half: $609 to $75,033.
Too few clinicians listed under Physician Assistant in Lagrange have Medicare Part D data for 2024 to compare.
18 active clinicians are listed under Physician Assistant with a practice address in Lagrange, GA (4,665 in Georgia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Lagrange
22.2% of these 18 clinicians have the CMS telehealth indicator.
66.7% of these 18 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 2397% from 72 in 2020 to 1,798 in 2024.
- 2020: 72
- 2021: 237
- 2022: 589
- 2023: 300
- 2024: 1,798
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Medicare-allowed amount
Medicare-allowed amount increased 76% from $8,494 in 2020 to $14,974 in 2024.
- 2020: $8,494
- 2021: $19,576
- 2022: $31,785
- 2023: $13,591
- 2024: $14,974
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Paid by Medicare
Paid by Medicare increased 79% from $6,172 in 2020 to $11,076 in 2024.
- 2020: $6,172
- 2021: $17,734
- 2022: $26,021
- 2023: $9,783
- 2024: $11,076
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 3006% from 47 in 2020 to 1,460 in 2024.
- 2020: 47
- 2021: 84
- 2022: 139
- 2023: 314
- 2024: 1,460
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30-day fills
30-day fills increased 4424% from 47 in 2020 to 2,126 in 2024.
- 2020: 47
- 2021: 85
- 2022: 139
- 2023: 334
- 2024: 2,126
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Part D drug cost
Part D drug cost went from $243 in 2020 to $99,339 in 2024.
- 2020: $243
- 2021: $1,505
- 2022: $1,938
- 2023: $2,975
- 2024: $99,339
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $613.47 in 2023 to $1,671.54 in 2025.
- 2023: $613.47
- 2024: $1,590.05
- 2025: $1,671.54
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 87 records totaling $1,671.54.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) |
Food and Beverage
In-kind items and services
|
CAPLYTA | General | $34.82 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) |
Food and Beverage
In-kind items and services
|
CAPLYTA | General | $33.70 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) |
Food and Beverage
In-kind items and services
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CAPLYTA | General | $32.98 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) |
Food and Beverage
In-kind items and services
|
CAPLYTA | General | $29.98 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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VRAYLAR | General | $28.71 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
VRAYLAR | General | $28.04 |
| Vanda Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
FANAPT | General | $27.08 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
KRYSTEXXA | General | $24.92 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Kerendia | General | $24.87 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
|
REXULTI | General | $24.85 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
BREZTRI | General | $24.55 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Kerendia | General | $24.17 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
JARDIANCE | General | $23.99 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
ELIQUIS | General | $23.90 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
|
REXULTI | General | $23.88 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
ELIQUIS | General | $23.83 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
ELIQUIS | General | $23.59 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
AIRSUPRA | General | $23.02 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
AIRSUPRA | General | $23.02 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
AIRSUPRA | General | $23.02 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
AIRSUPRA | General | $23.02 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
ELIQUIS | General | $22.79 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
ELIQUIS | General | $22.79 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
ELIQUIS | General | $22.65 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
FARXIGA | General | $22.41 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J1010
Injection, methylprednisolone acetate, 1 mg
|
1,600 | 19 | $0.30 | $0.12 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
112 | 75 | $208.00 | $99.73 |
|
96372
Injection of drug or substance under skin or into muscle
|
46 | 22 | $50.00 | $11.27 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
28 | 23 | $141.00 | $71.79 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
12 | 12 | $230.00 | $90.27 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Prednisone | Prednisone | 92 | 569 | $162.21 | 78 |
| Alprazolam | Alprazolam | 72 | 1,857 | $246.97 | 19 |
| Azithromycin | Azithromycin | 71 | 355 | $331.26 | 63 |
| Amoxicillin | Amoxicillin | 67 | 673 | $326.60 | 53 |
| Amlodipine Besylate | Amlodipine Besylate | 64 | 4,380 | $225.04 | 24 |
| Zolpidem Tartrate | Zolpidem Tartrate | 55 | 1,739 | $197.87 | 11 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 54 | 1,577 | $1,185.65 | 28 |
| Atorvastatin Calcium | Atorvastatin Calcium | 50 | 3,540 | $269.95 | 19 |
| Lisinopril | Lisinopril | 40 | 2,520 | $130.19 | 11 |
| Levothyroxine Sodium | Levothyroxine Sodium | 40 | 2,640 | $274.26 | 14 |
| Famotidine | Famotidine | 38 | 1,920 | $239.81 | 21 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 33 | 330 | $318.54 | 27 |
| Gabapentin | Gabapentin | 32 | 1,297 | $483.39 | 15 |
| Doxycycline Hyclate | Doxycycline Hyclate | 30 | 409 | $280.10 | 20 |
| Methocarbamol | Methocarbamol | 30 | 455 | $249.22 | 18 |
| Fluconazole | Fluconazole | 28 | 149 | $157.80 | 17 |
| Metformin Hcl | Metformin Hcl | 28 | 2,040 | $80.23 | — |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 27 | 252 | $126.81 | 23 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 26 | 190 | $148.03 | 23 |
| Hydrochlorothiazide | Hydrochlorothiazide | 25 | 2,070 | $108.93 | 12 |
| Pantoprazole Sodium | Pantoprazole Sodium | 25 | 1,710 | $209.28 | 11 |
| Diclofenac Sodium | Diclofenac Sodium | 24 | 976 | $663.32 | — |
| Escitalopram Oxalate | Escitalopram Oxalate | 23 | 750 | $58.43 | — |
| Rybelsus | Semaglutide | 23 | 690 | $21,181.17 | — |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 21 | 534 | $837.92 | — |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-04-09NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20140415001331
GA
8921230467
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Hometown Physician Group, Llc
1399 Lafayette Pkwy, Lagrange, GA 302412572
Phone: 7062984937
Hometown Physician Group, Llc
1698 Vernon Rd, Lagrange, GA 302404100
Phone: 7062984937
Secondary Practice Locations
1698 Vernon Rd
Lagrange, GA 302404100
Phone: 7062984937
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Nurse Practitioner
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1399 LAFAYETTE PKWY, LAGRANGE, GA 302412572 (Tel: 7062984937)
Registered at 1698 VERNON RD, LAGRANGE, GA 302404100 (Tel: 7062984937)
NPI status registered as active in NPPES database
Registered at 5665 NEW NORTHSIDE DR, SUITE 320, ATLANTA, GA 303285831 (Tel: 7708745446)
Registered at 5665 NEW NORTHSIDE DR, SUITE 320, ATLANTA, GA 303285831 (Tel: 7708745446)
Recorded as DONALD PIESTRAK
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Lagrange
- Kristen Hammond, PA
- Jordan Martinec
- Brandy Owens, PA
- Destina Reid, PA-C
- Ashley Higby, PA
- Leslie Ogilvy, PA-C
Mailing Address
1698 Vernon Rd
Lagrange, GA 302404100
Phone: 7062984937