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Dr. Michael Piesman, MD

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Specializes in: Adult Gastroenterology

Tufts University School of Medicine (1998)

Professional interests include: pancreatic cancer, colonoscopy, liver disease, and more.

12850 Toepperwein Road
San Antonio, TX 78233

(210) 614-1234

Dr. Michael Piesman, MD is a gastroenterologist in Live Oak, TX specializing in adult gastroenterology. He graduated from Tufts University School of Medicine in 1998 and has 26 years of experience. Dr. Michael Piesman, MD is affiliated with Baptist Health System, Baptist Hospital and TEXAS DIGESTIVE DISEASE CONSULTANTS PLLC.

Office Locations

Address:

12850 Toepperwein Road
Live Oak, TX 78233

Unable to locate address.

Address:

12850 Toepperwein Road
San Antonio, TX 78233

Some issues Dr. Michael Piesman, MD can help you with:

Colonoscopy

Colonoscopy is the use of a special tool called a colonoscope (a thin, flexible tube with a camera on the end) to examine the inside of the colon and rectum. The tube is typically inserted anally, and it allows the physician to examine the large intestine from the inside. It may be done at any time to diagnose bowel problems, but routine colonoscopies are advised after the age of 50 to screen for colon cancer.

A colonoscopy may be performed to diagnose:

Intestinal ulcers
Polyps
Bowel cancer
An unidentified source of pain or bleeding in the intestine

Patients may be asked to drink only liquids in the days before a colonoscopy, or they may be given an enema to remove residual fecal matter. Before the exam, patients are given medication to help them relax, and then lay on their side on a table. The scope is inserted into the anus and gently moved all the way through the large intestine. Air may be pumped into the intestine to improve the view for the physician. Any polyps that are found will be removed. Then the colonoscope will be withdrawn. A colonoscopy is not usually painful, but patients may feel some bloating or have some cramps right afterward. If patients have polyps removed, they might experience a small amount of bleeding. Any side effects should go away within a few hours.

Pancreatectomy (Pancreas Removal)

Pancreatectomy is surgery to remove part or all of the pancreas to treat pancreatitis, tumors, or cancer. The pancreas is located behind the stomach and near the small intestine and spleen. There are three sections of the pancreas:

The head, which is the portion closest to the intestines
The body, which is the middle portion of the pancreas
The tail, which is the portion nearest the spleen

Pancreas removal procedures differ based on how much of the pancreas and surrounding organs are removed. There are three types of pancreatectomy:

Distal pancreatectomy removes the tail and body of the pancreas. This procedure treats tumors confined to these areas.
Pancreaticoduodenectomy, or the Whipple procedure, removes the pancreas, duodenum, bile duct, and, sometimes, part of the stomach. The Whipple procedure is used for pancreatic tumors that have not spread past the head of the pancreas and for other conditions affecting the pancreas, duodenum, and bile duct.
Total pancreatectomy removes the whole pancreas along with the duodenum, gallbladder, parts of the stomach and bile duct, surrounding lymph nodes, and, potentially, the spleen. Rarely performed, total pancreatectomy treats conditions that involve the entire pancreas, such as tumors found in multiple sites on the pancreas, or for rare tumors such as intraductal papillary mucinous neoplasms (IPMN).

Pancreatectomy can be done by open or minimally invasive surgery. During a laparoscopic pancreatectomy, the surgeon will use tiny incisions to insert a thin tube with a camera, or laparoscope, into the abdomen. Open surgery, or a laparotomy, is performed through a larger incision on the abdomen. If additional organs are removed, some procedures may require that the small intestine be reconnected to the stomach.

The hospital for pancreatectomy stay may be between 1-3 weeks. Generally, laparoscopic surgeries require shorter recovery periods. Whether patients undergo an open or laparoscopic procedure is determined by factors such as their condition and the extent of their procedure. For example, open surgery tends to be more common for distal pancreatectomies. If patients have difficulty eating, they may require a nasogastric tube, inserted through the nose, to carry food to their stomachs. A catheter can be inserted into the bladder if patients have trouble urinating. Full recovery may take about two months.

In The News

“"They come to us complaining of vague symptoms after eating," said Dr. Michael Piesman of Gastroenterology Consultants.”—"Food allergies can cause more than discomfort", San Antonio Express-News, March 2015

aspiration	48
diagnostic procedures	180
doctor visit	213
gastrointestinal procedures	322
hospital care	76
image guided procedures	48
inpatient care	76
lab tests	190
minimally invasive procedures	297
minor procedures	48
preventive care	9
removal of lesion (e.g. growth)	180
stent placement (stenting)	27
ultrasound (sonogram)	90

**Gender**
Male	140
Female	156

**Ethnicity**
Non-Hispanic White	220
Black	0
Hispanic	46
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	154
From 75 to 84	80
85 and over	20
Less than 65	42

Hypertension	74
High Cholesterol	64
Stroke	4
Ischemic Heart Disease	43
Depression	23
Chronic Kidney Disease	31
Asthma	8
Osteoperosis	7
Atrial Fibrilation	11
Heart Failure	20
Chronic Obstructive Pulmonary Disease	16
Diabetes	36
Dementia	11
Cancer	14

aspiration	63
diagnostic procedures	279
doctor visit	405
gastrointestinal procedures	466
hospital care	90
image guided procedures	63
inpatient care	90
lab tests	268
minimally invasive procedures	425
minor procedures	63
preventive care	13
removal of lesion (e.g. growth)	279
stent placement (stenting)	18
ultrasound (sonogram)	134

**Gender**
Male	398
Female	486

**Ethnicity**
Non-Hispanic White	614
Black	0
Hispanic	174
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	436
From 75 to 84	236
85 and over	90
Less than 65	122

Hypertension	74
High Cholesterol	60
Stroke	4
Ischemic Heart Disease	39
Depression	22
Chronic Kidney Disease	35
Asthma	13
Osteoperosis	8
Atrial Fibrilation	11
Heart Failure	17
Chronic Obstructive Pulmonary Disease	13
Diabetes	38
Dementia	10
Cancer	14

aspiration	70
diagnostic procedures	275
doctor visit	376
gastrointestinal procedures	489
hospital care	121
image guided procedures	70
inpatient care	121
lab tests	281
minimally invasive procedures	445
minor procedures	70
preventive care	40
removal of lesion (e.g. growth)	275
stent placement (stenting)	29
ultrasound (sonogram)	132

**Gender**
Male	202
Female	307

**Ethnicity**
Non-Hispanic White	368
Black	45
Hispanic	78
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	263
From 75 to 84	163
85 and over	36
Less than 65	47

Hypertension	75
High Cholesterol	67
Stroke	4
Ischemic Heart Disease	40
Depression	23
Chronic Kidney Disease	40
Asthma	17
Osteoperosis	8
Atrial Fibrilation	12
Heart Failure	19
Chronic Obstructive Pulmonary Disease	15
Diabetes	40
Dementia	12
Cancer	14

aspiration	64
diagnostic procedures	368
doctor visit	467
esophageal dilation	38
gastrointestinal procedures	508
hospital care	78
image guided procedures	64
inpatient care	78
lab tests	475
minimally invasive procedures	509
minor procedures	64
preventive care	48
removal of lesion (e.g. growth)	368
stent placement (stenting)	16
ultrasound (sonogram)	113

**Gender**
Male	246
Female	336

**Ethnicity**
Non-Hispanic White	393
Black	58
Hispanic	110
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	288
From 75 to 84	167
85 and over	57
Less than 65	70

Hypertension	75
High Cholesterol	62
Stroke	6
Ischemic Heart Disease	38
Depression	24
Chronic Kidney Disease	38
Asthma	9
Osteoperosis	7
Atrial Fibrilation	13
Heart Failure	17
Chronic Obstructive Pulmonary Disease	14
Diabetes	37
Dementia	12
Cancer	13

aspiration	66
diagnostic procedures	337
doctor visit	445
esophageal dilation	42
gastrointestinal procedures	498
hospital care	69
image guided procedures	66
inpatient care	69
lab tests	377
minimally invasive procedures	499
minor procedures	66
preventive care	25
removal of lesion (e.g. growth)	337
stent placement (stenting)	31
ultrasound (sonogram)	133

**Gender**
Male	253
Female	347

**Ethnicity**
Non-Hispanic White	420
Black	43
Hispanic	108
Asian	0
Other	18
Native American	0

**Age**
From 65 to 74	309
From 75 to 84	174
85 and over	52
Less than 65	65

Hypertension	75
High Cholesterol	69
Stroke	6
Ischemic Heart Disease	38
Depression	21
Chronic Kidney Disease	40
Asthma	10
Osteoperosis	8
Atrial Fibrilation	11
Heart Failure	15
Chronic Obstructive Pulmonary Disease	14
Diabetes	35
Dementia	10
Cancer	14

aspiration	70
diagnostic procedures	399
doctor visit	450
esophageal dilation	26
foreign body removal	11
gastrointestinal procedures	641
hospital care	84
image guided procedures	70
inpatient care	84
lab tests	418
minimally invasive procedures	605
minor procedures	70
preventive care	52
removal of lesion (e.g. growth)	399
stent placement (stenting)	35
ultrasound (sonogram)	134

**Gender**
Male	287
Female	382

**Ethnicity**
Non-Hispanic White	463
Black	63
Hispanic	110
Asian	16
Other	0
Native American	0

**Age**
From 65 to 74	348
From 75 to 84	195
85 and over	62
Less than 65	64

Hypertension	75
High Cholesterol	71
Stroke	5
Ischemic Heart Disease	42
Depression	25
Chronic Kidney Disease	41
Asthma	11
Osteoperosis	8
Atrial Fibrilation	11
Heart Failure	19
Chronic Obstructive Pulmonary Disease	14
Diabetes	38
Dementia	9
Cancer	13

aspiration	38
diagnostic procedures	311
doctor visit	483
esophageal dilation	13
gastrointestinal procedures	493
hospital care	44
image guided procedures	38
inpatient care	44
lab tests	139
minimally invasive procedures	471
minor procedures	38
preventive care	66
removal of lesion (e.g. growth)	311
stent placement (stenting)	16
ultrasound (sonogram)	96

**Gender**
Male	240
Female	352

**Ethnicity**
Non-Hispanic White	402
Black	59
Hispanic	96
Asian	14
Other	21
Native American	0

**Age**
From 65 to 74	309
From 75 to 84	188
85 and over	41
Less than 65	54

Hypertension	75
High Cholesterol	68
Stroke	3
Ischemic Heart Disease	35
Depression	22
Chronic Kidney Disease	40
Asthma	8
Osteoperosis	9
Atrial Fibrilation	12
Heart Failure	15
Chronic Obstructive Pulmonary Disease	12
Diabetes	35
Dementia	11
Cancer	14

aspiration	62
diagnostic procedures	612
doctor visit	970
esophageal dilation	29
gastrointestinal procedures	1041
hospital care	71
image guided procedures	62
inpatient care	71
minimally invasive procedures	950
minor procedures	62
preventive care	163
removal of lesion (e.g. growth)	612
stent placement (stenting)	19
ultrasound (sonogram)	145

Average Medicare Procedure Volume From 2014 - 2021

Volume of procedures performed by Dr. Michael Piesman, MD for Medicare patients.

The highest averages for the top procedures that Dr. Michael Piesman, MD treated as a gastroenterologist in Live Oak, TX were gastrointestinal procedures, minimally invasive procedures, diagnostic procedures and removal of lesion (e.g. growth).

aspiration	60
diagnostic procedures	346
doctor visit	476
esophageal dilation	30
foreign body removal	11
gastrointestinal procedures	408
hospital care	79
image guided procedures	60
inpatient care	79
lab tests	307
minimally invasive procedures	385
minor procedures	60
preventive care	52
removal of lesion (e.g. growth)	346
stent placement (stenting)	23
ultrasound (sonogram)	123

Average Medicare Patient Data From 2014 - 2021

Information about Medicare patients treated by Dr. Michael Piesman, MD.

**Gender**
Male	160
Female	215

**Ethnicity**
Black / African American	24
Asian / Pacific Islander	2
Non-Hispanic White	261
Native American / Alaskan Native	0
Hispanic	65
Other	3

**Age**
75 to 84	109
85 and over	32
Less than 65	42
65 to 74	191

Average of Total of Conditions of Medicare patients treated by Dr. Michael Piesman, MD From 2014 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Michael Piesman, MD treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	47
High Cholesterol	41
Stroke	2
Ischemic Heart Disease	25
Depression	14
Chronic Kidney Disease	24
Asthma	6
Osteoporosis	5
Heart Failure	11
Chronic Obstructive Pulmonary Disease	8
Diabetes	23
Atrial Fibrillation	7
Cancer	8
Dementia	6

Education & Training

Dr. Michael Piesman, MD graduated from Tufts University School of Medicine in 1998. He completed residency at Madigan Army Medical Center. He has a state license in Indiana.

Medical School: Tufts University School of Medicine (1998)

Residency: Madigan Army Medical Center

Licensed In: Indiana

Affiliations & Hospitals

Dr. Michael Piesman, MD is associated with these hospitals and organizations:

Baptist Health System

Baptist Hospital

TEXAS DIGESTIVE DISEASE CONSULTANTS PLLC

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Michael Piesman, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
AbbVie Inc.	$1,568 Skyrizi $442	Mavyret $312	Humira $310	Creon $197	Rinvoq $192	Other $114
AbbVie, Inc.	$620 Humira $319	Creon $111	Mavyret $79	Viekira $48	$62
Janssen Biotech, Inc.	$600 STELARA $587	SIMPONI $13
Takeda Pharmaceuticals U.S.A., Inc.	$558 ENTYVIO $227	AMITIZA $154	MOTEGRITY $129	GATTEX $35	$13
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$546 XIFAXAN $342	Trulance $165	UCERIS TABLETS $18	XIFAXANIBSD $14	Relistor $7
Other	$3,950 Cimzia $312	ZEPOSIA $304	XELJANZ $152	LINZESS $151	SUCRAID $151	Other $2,880

**Types of Payments**
Food and Beverage	$7,617
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$200
Education	$25

Ownership and Interest Payments

This table describes ownership payments received by Dr. Michael Piesman, MD.

GastroGPO, LLC	2023	$39,179.85	Physician Covered Recipient	Common Stock
GastroGPO, LLC	2021	$2,490.17	Physician Covered Recipient	Common Stock
GastroGPO, LLC	2022	$2,460.94	Physician Covered Recipient	Common Stock

Biography

Dr. Michael Piesman's area of specialization is adult gastroenterology. He is a graduate of Tufts University School of Medicine.

Select Year:

Dr. Michael Piesman, MD

Office Locations

Some issues Dr. Michael Piesman, MD can help you with:

In The News

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Michael Piesman, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Michael Piesman, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Michael Piesman, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Michael Piesman, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Michael Piesman, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Michael Piesman, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Michael Piesman, MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2014 - 2021

Average Medicare Patient Data From 2014 - 2021

Average of Total of Conditions of Medicare patients treated by Dr. Michael Piesman, MD From 2014 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Ownership and Interest Payments

Biography

Other Providers in Live Oak, TX