Piatek Institute
Reviewed by Vial Editorial · October 12, 2026
Carmel, IN · Serves 1 state
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Piatek Institute's $399 starting fee includes an EKG, metabolic testing, labs, the first medication vial and four months of visits. Subsequent semaglutide vials start at $179, with appointments billed separately.
- Best for
- People in central Indiana who want a physician they see in person and keep seeing, rather than a telehealth subscription and a rotating panel of prescribers.
- Price
- $399 once for the workup, first vial and four months of visits. Then $179 a vial for semaglutide or $249 for tirzepatide, and visits from $95.
What they offerWeight LossGLP-1In-person & telehealthServes IN only.
Why this score?
The Vial Score measures how much of this provider's public record Vial could confirm, and how clearly the provider discloses it. It does not measure quality of care.
| 85-100 | High Confidence |
| 70-84 | Well Documented |
| 50-69 | Limited Confidence |
| 0-49 | Flagged |
Piatek Institute scores 82, in the Well Documented band. The score moves when the public record changes. For Piatek Institute, the item most likely to move it: Pricing.
Payment never changes a score.
4 of 6 checks complete. The remaining checks have not been run yet. Missing checks reduce how complete the profile is. They are not a finding by themselves.
What we found on Piatek Institute
Why it stands out
- The Carmel, Indiana practice has operated since 1995 and reports more than 18,000 patients and 700,000 visits.
- Its initial GLP-1 workup includes an EKG, basal metabolic rate assessment and laboratory testing before the first medication vial.
The catch
The $399 entry package includes the first vial and four months of appointments, not an unlimited course of medication. Subsequent vials, visits, and shipping are billed separately.
Keep looking if: You live outside Indiana, you want to start without an in-person visit, or you want FDA-approved branded medication rather than a compounded one.
Pros
- The $399 initial program includes a consultation, EKG, metabolic testing, laboratory panel, first medication vial and four months of appointments.
- Publishes subsequent medication prices starting at $179 for semaglutide and $249 for tirzepatide.
- Offers follow-up appointments at $135 individually or $570 for six visits.
- Accepts HSA and FSA payments without requiring a subscription contract.
Cons
- Does not bill health insurance directly.
- Medication refills and appointments incur additional charges after the initial package.
- Shipping costs $25 standard or $35 expedited.
- Does not identify its dispensing pharmacy on its website.
What we checked
We reviewed FDA enforcement records, OIG exclusions, DEA registration, HIPAA breach records, and NPI registration.
Why this score: 4 of 6 checks complete. Each links to the public source it was verified against.
A check we haven’t completed yet is not a mark against this provider. It just means we’re still sourcing that record. The score reflects what we’ve confirmed so far, and updates as more checks come in.
Vial describes the record, not the provider. This is not a medical recommendation or endorsement. Last reviewed October 12, 2026.
How this score has moved
Score history
- 82August 2026Record updated
- 81July 2026Vial scoring update
- 82June 2026Record updated
- 71June 2026Record updated
- 62June 2026Record updated
- 71June 2026Vial scoring update
Our take
Vial EditorialBased on the records and public materials we reviewed.
Piatek is a physician-led Carmel practice with an in-person assessment, published prices, and no subscription contract. Its compounded GLP-1 medication is offered without naming the dispensing pharmacy, leaving one significant part of the treatment chain unverified.
What it costs
Starting treatment costs $399 for a physician consultation, EKG, basal metabolic rate assessment, laboratory panel, first medication vial, and four months of appointments. Later vials start at $179 for semaglutide or $249 for tirzepatide; visits cost $135 individually or $570 for six ($95 each). Shipping costs $25 standard or $35 expedited, with free pickup available. There is no required subscription, and the practice does not bill insurance directly.
What patients report
Piatek cites a 4.8 Google rating from more than 65 reviews. No Better Business Bureau file or Trustpilot profile was found for the practice, so there are no independently checked ratings, complaint counts or review dates to report.
Sources: jaymd.com
What the record means
Vial scores Piatek Institute 82 out of 100, Well Documented.
No FDA, OIG, or DEA action or HIPAA breach was found against Piatek in the September 2026 checks. Dr. Roger Andrew Piatek has an active individual NPI and Indiana medical license, confirmed in the federal registry on October 12, 2026. The practice does not identify the pharmacy preparing its compounded GLP-1 medications on its website, and no pharmacy-specific enforcement conclusion is supported.
Worth asking before you choose
Ask these before you sign up.
- 1Which pharmacy fills the prescription?Pharmacy
- 2What is the total monthly cost, including consults, medication, labs, and shipping?Cost
- 3Who prescribes the medication, and are they licensed in my state?Physician
- 4What happens if I cancel or stop treatment?Cancellation
Screenshot these or show your doctor: they’re the same questions Vial would ask.
Compare record details
Near-identical on the public record; the choice comes down to fit: treatment type, state availability, and pricing.
| Piatek Institute | Fast Clinical Weight Loss & Body Renew | |
|---|---|---|
| Federal actions | None found | None found |
| Vial Score | 82/100 | 79/100 |
| LegitScript certified | No | No |
| States served | 1 state | 1 state |
What Vial measures, and what we don’t
We evaluate public records: federal enforcement history, registrations, certifications, and how transparent a provider is about its clinicians, pharmacies, and pricing. We don’t score bedside manner, clinical outcomes, or customer satisfaction, and we don’t collect user reviews.
Treatments offered
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Find your providerThis page evaluates compliance signals, not clinical outcomes. Consult a licensed physician before starting any therapy, medication, or treatment. Vial does not provide medical advice.