RxDoctor Payments Data

Alexander Gelfer, MD

Pulmonary Disease · Williamsville, NYNPI 1689638462

Payments from drug & device makers

$19,581in general payments, 2019–2025

Across 904 payments — averaging $21.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$3K
  • GSK$2K
  • Boehringer Ingelheim$2K
  • Actelion Pharmaceuticals US, Inc.$2K
  • Sanofi$1K
  • Mallinckrodt Hospital Products Inc.$831
  • plus $8K from 46 others

What the payments were for

  • Travel & lodging$180%
  • Food & beverage$19,42499%
  • Education$1391%

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

19
20
21
22
23
24
25

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.

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

$19,581 in reported general payments places this provider in the 85th percentile of 1,115 pulmonary disease providers in New York.

See all pulmonary disease providers in New York

Medicare billing

Part B allowed, 2024
$30,534
Medicare patients
131
Services billed
406

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

DrugClaimsCost to plans & patients
OfevNintedanib Esylate39$472,809
UptraviSelexipag13$177,132
Trelegy ElliptaFluticasone/Umeclidin/Vilanter200$174,705
OpsumitMacitentan12$152,730
NucalaMepolizumab38$133,363
Breztri AerosphereBudesonide/Glycopyr/Formoterol96$77,974
Breo ElliptaFluticasone/Vilanterol119$60,916
Dupixent PenDupilumab13$48,621
Tadalafil15$41,337
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr51$34,246
Spiriva RespimatTiotropium Bromide31$34,035
SymbicortBudesonide/Formoterol Fumarate67$21,216
Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate54$17,472
Stiolto RespimatTiotropium Br/Olodaterol Hcl18$16,295
Fluticasone-SalmeterolFluticasone Propion/Salmeterol58$15,502

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.

CompanyPaid to this providerPart D cost of their drugs
Boehringer IngelheimOfev, Spiriva Respimat, Stiolto Respimat, Combivent Respimat$1,959$530,033102 claims
GSKTrelegy Ellipta, Nucala, Breo Ellipta, Anoro Ellipta, Arnuity Ellipta$2,500$409,146424 claims
Actelion Pharmaceuticals US, Inc.Uptravi, Opsumit$1,658$329,86125 claims
AstraZenecaBreztri Aerosphere, Symbicort$3,101$99,190163 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 85th percentile of 1,115 pulmonary disease providers in New York.

Other pulmonary disease in Williamsville

See the full list for New York

Where these figures come from

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