Alan Garely, MD
Urogynecology and Reconstructive Pelvic Surgery · New York, NYNPI 1891788931
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (50.3%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 14 manufacturers reported payments, led by Femselect Inc. at 55.6% of the total. 2025 is the largest year on record at $3,061, 6.1 times the $500 reported in 2019.
Across 54 payments — averaging $130.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Femselect Inc.$4K
- Axonics, Inc.$1K
- Coloplast$932
- Caldera Medical, Inc$333
- Escala Medical Inc.$184
- Medtronic$158
- plus $217 from 8 others
Across 2 payments — averaging $2650.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Femselect Inc.$5K
What the payments were for
- Consulting fees$3,25046%
- Travel & lodging$1752%
- Food & beverage$3,54250%
- Gifts$751%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Femselect Inc. | 9 | $3,915 |
| Axonics, Inc. | 17 | $1,305 |
| Coloplast | 9 | $932 |
| Caldera Medical, Inc | 4 | $333 |
| Escala Medical Inc. | 2 | $184 |
| Medtronic | 2 | $158 |
| Hologic Sales And Service, LLC | 2 | $43 |
| Pacira Pharmaceuticals Incorporated | 2 | $41 |
| Astellas Pharma US Inc | 2 | $36 |
| Baxter Healthcare | 1 | $23 |
| Acerus Pharmaceuticals Corporation | 1 | $21 |
| Merck | 1 | $20 |
| Myriad Genetic Laboratories, Inc. | 1 | $17 |
| AbbVie | 1 | $16 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$7,043 in reported general payments places this provider in the 75th percentile of 90 urogynecology and reconstructive pelvic surgery providers in New York.
See all urogynecology and reconstructive pelvic surgery providers in New York →
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| MyrbetriqMirabegron | 161 | $79,845 |
| GemtesaVibegron | 101 | $49,335 |
| Mirabegron ErMirabegron | 18 | $8,892 |
| Estradiol | 82 | $4,791 |
| Methenamine Hippurate | 94 | $2,437 |
| NitrofurantoinNitrofurantoin Macrocrystal | 72 | $1,354 |
| Amitriptyline Hcl | 27 | $168 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Astellas Pharma US IncMyrbetriq | $36 | $79,845161 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 75th percentile of 90 urogynecology and reconstructive pelvic surgery providers in New York.
Other urogynecology and reconstructive pelvic surgery in New York
- Ido SirotaNew York$12K
- Christina EscobarNew York$12K
- Kimberly FerranteNew York$11K
- Larissa RodriguezNew York$5K
- Melissa LaudanoNew York$4K
- Feven GetanehNew York$4K
- Chandhana PakaNew York$4K
- Svjetlana LozoNew York$2K
- Lisa DabneyNew York$2K
- Matan MekaytenNew York$2K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.