Alvaro N Changco, MD

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

• Washington Hospital, The Hospital · Washington, PA · listed as Washington Hospital
• Concordia Visiting Nurses Home health agency · Cabot, PA
• Ospta At Home Home health agency · Belle Vernon, PA · listed as Ospta Home, LLC
• Penn Highlands Mon Valley Hospital · Monongahela, PA
• Amedisys Home Health Of Pa Home health agency · Uniontown, PA

Colleagues at Centerville Clinics, Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 44 clinicians in the practice; 12 are shown here.

• Maria R Bening, MD Family Medicine Physician · Washington, PA
• Derek Bowman Family Nurse Practitioner · Washington, PA
• Darcie Lynn Coen, LPC Professional Counselor · Waynesburg, PA
• Michelle M Cohen, CRNP Family Nurse Practitioner · Washington, PA
• Varun Dobariya Internal Medicine Physician · Monongahela, PA
• Danielle M Guerrieri, CRNP Family Nurse Practitioner · Fredericktown, PA
• MS. Angela Kalia, MD Family Medicine Physician · Washington, PA
• Tara Spain Lemaire, MD Family Medicine Physician · Fredericktown, PA
• Dr. Ravindra K Mehta, MD Psychiatry Physician · Brownsville, PA
• Mrs. Jill Marie Miscovich, CRNP Family Nurse Practitioner · Uniontown, PA
• Dr. Brigitte Leigh Sapko, DPM Podiatrist · Washington, PA
• James Whisner Student in an Organized Health Care Education/Training Program · Fredericktown, PA

Other providers in Cokeburg

• Alvaro N. Changco, MD, Inc

  Organization Family Medicine Physician · NPI 1508992553

  #14 Route 917, Cokeburg, PA 15324 · (724) 945-6128