Alek Mishail, MD
Urology · Rego Park, NYNPI 1447421821
Payments from drug & device makers
Across 353 payments — averaging $22.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$1K
- Sumitomo Pharma America, Inc.$1K
- Astellas Pharma US Inc$693
- Teleflex LLC$452
- AbbVie$435
- Boston Scientific$432
- plus $4K from 27 others
What the payments were for
- Food & beverage$7,62595%
- Education$2974%
- Gifts$1272%
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 |
|---|---|---|
| Johnson & Johnson | 62 | $1,443 |
| Sumitomo Pharma America, Inc. | 47 | $1,050 |
| Astellas Pharma US Inc | 27 | $693 |
| Teleflex LLC | 13 | $452 |
| AbbVie | 18 | $435 |
| Boston Scientific | 11 | $432 |
| Coloplast | 20 | $402 |
| Myovant Sciences Inc. | 19 | $337 |
| Tolmar, Inc. | 17 | $325 |
| Urovant Sciences Inc | 20 | $312 |
| Bayer | 12 | $298 |
| Pfizer | 14 | $254 |
| Telix Pharmaceuticals | 12 | $214 |
| Dentsply IH AB | 7 | $143 |
| Neotract Inc. | 4 | $143 |
| Endo Pharmaceuticals Inc. | 8 | $141 |
| Caldera Medical, Inc | 2 | $127 |
| Antares Pharma, Inc. | 7 | $126 |
| Endo USA, Inc. | 4 | $102 |
| Blue Earth Diagnostics | 3 | $81 |
| Myriad Genetic Laboratories, Inc. | 4 | $77 |
| Olympus America Inc. | 3 | $72 |
| Acerus Pharmaceuticals Corporation | 4 | $70 |
| Axonics, Inc. | 3 | $70 |
| Dentsply IH Inc. | 3 | $60 |
| Clarus Therapeutics Inc. | 2 | $41 |
| Calyxo, Inc. | 1 | $37 |
| Ferring Pharmaceuticals Inc. | 1 | $24 |
| Verity Pharmaceuticals Inc. | 1 | $21 |
| 180 Medical, Inc. | 1 | $19 |
| Halozyme Inc | 1 | $16 |
| Hollister Incorporated | 1 | $16 |
| ABC Home Medical Supply, Inc. | 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
$8,049 in reported general payments places this provider in the 70th percentile of 952 urology 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 | 498 | $293,827 |
| ErleadaApalutamide | 17 | $267,715 |
| NubeqaDarolutamide | 17 | $221,529 |
| GemtesaVibegron | 305 | $206,910 |
| OrgovyxRelugolix | 31 | $105,099 |
| TrelstarTriptorelin Pamoate | 13 | $37,776 |
| CialisTadalafil | 89 | $34,738 |
| AvodartDutasteride | 17 | $30,496 |
| Tamsulosin Hcl | 986 | $13,020 |
| Tadalafil | 64 | $10,379 |
| Finasteride | 647 | $6,324 |
| RapafloSilodosin | 22 | $6,132 |
| Trospium Chloride | 123 | $5,255 |
| Dutasteride | 166 | $5,069 |
| UloricFebuxostat | 12 | $3,731 |
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 |
|---|---|---|
| Sumitomo Pharma America, Inc.Gemtesa, Orgovyx | $1,050 | $312,009336 claims |
| Astellas Pharma US IncMyrbetriq | $693 | $293,827498 claims |
| Johnson & JohnsonErleada | $1,443 | $267,71517 claims |
| BayerNubeqa | $298 | $221,52917 claims |
| Verity Pharmaceuticals Inc.Trelstar | $21 | $37,77613 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 70th percentile of 952 urology providers in New York.
Other urology in Rego Park
- Christopher PieczonkaSyracuse$31.2M
- Guarionex DecastroNew York$5.7M
- Mitchell EfrosGarden City$4.2M
- James McKiernanNew York$4.1M
- William HuangNew York$3.9M
- Jed KaminetskyMiddle Village$3.5M
- Evan GoldfischerPoughkeepsie$3.1M
- Gennady BratslavskySyracuse$2.5M
- Ashutosh TewariNew York$2.5M
- Manish ViraNew Hyde Park$2.1M
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.