Alexander Lipyansky, MD
Urology · Brooklyn, NYNPI 1922213032
Payments from drug & device makers
Across 276 payments — averaging $37.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$2K
- Axonics, Inc.$1K
- Astellas Pharma US Inc$1K
- Teleflex LLC$927
- Medtronic$903
- Sumitomo Pharma America, Inc.$598
- plus $4K from 30 others
Across 1 payment — averaging $355.00 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.
- Medtronic$355
What the payments were for
- Travel & lodging$2422%
- Food & beverage$9,41792%
- Education$5605%
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 |
|---|---|---|
| Boston Scientific | 41 | $1,567 |
| Axonics, Inc. | 32 | $1,340 |
| Astellas Pharma US Inc | 46 | $1,322 |
| Teleflex LLC | 22 | $927 |
| Medtronic(3 entities) | 18 | $903 |
| Sumitomo Pharma America, Inc. | 25 | $598 |
| Palette Life Sciences, Inc. | 2 | $323 |
| Urovant Sciences Inc | 11 | $261 |
| Calyxo, Inc. | 2 | $260 |
| Olympus Corporation Of The Americas | 1 | $242 |
| Bioprotect Medical, Inc. | 2 | $238 |
| Urogen Pharma, Inc. | 9 | $213 |
| Neotract Inc. | 4 | $178 |
| Tempus AI, Inc | 2 | $155 |
| Myovant Sciences Inc. | 2 | $146 |
| Baxter Healthcare | 1 | $142 |
| Endo USA, Inc. | 6 | $141 |
| Dendreon Pharmaceuticals LLC | 5 | $132 |
| Bayer | 1 | $120 |
| Blue Earth Diagnostics | 1 | $118 |
| Endo Pharmaceuticals Inc. | 6 | $117 |
| AbbVie | 5 | $116 |
| Myriad Genetic Laboratories, Inc. | 5 | $88 |
| Amgen | 4 | $88 |
| Pfizer | 4 | $83 |
| Progenics Pharmaceuticals, Inc. | 4 | $76 |
| Johnson & Johnson | 3 | $62 |
| Acerus Pharmaceuticals Corporation | 3 | $57 |
| Merck | 2 | $46 |
| Civco Medical Instruments | 1 | $39 |
| Antares Pharma, Inc. | 1 | $23 |
| Olympus America Inc. | 1 | $22 |
| Verity Pharmaceuticals Inc. | 1 | $20 |
| Tolmar Pharmaceuticals, Inc. | 1 | $20 |
| E.r. Squibb & Sons, L.L.C. | 1 | $18 |
| Tolmar, Inc. | 1 | $17 |
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.
- Soltive$483
- INTERSTIM$446
- Axonics$388
- Bulkamid$277
- UroLift System$273
- CVAC Aspiration System$260
- BIOPROTECT BALLOON IMPLANT SYSTEM$238
- GENERAL BPH$212
- Axonics r-SNM System$182
- LithoVue$150
- AMS 700 CXR RTE KIT$150
- Nubeqa$120
- Xofigo$120
- ORGOVYX$118
- POSLUMA$118
- UroLift$112
How this compares
$10,219 in reported general payments places this provider in the 75th 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 |
|---|---|---|
| Lupron DepotLeuprolide Acetate | 220 | $1,292,804 |
| ErleadaApalutamide | 11 | $246,101 |
| GemtesaVibegron | 346 | $179,102 |
| XtandiEnzalutamide | 11 | $153,553 |
| MyrbetriqMirabegron | 28 | $17,143 |
| PremarinEstrogens, Conjugated | 19 | $8,283 |
| Tamsulosin Hcl | 506 | $5,093 |
| Finasteride | 175 | $1,523 |
| Silodosin | 21 | $1,268 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 116 | $1,220 |
| Oxybutynin Chloride | 86 | $980 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 52 | $953 |
| Estradiol | 18 | $908 |
| Potassium Citrate ErPotassium Citrate | 26 | $838 |
| Bicalutamide | 68 | $803 |
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 |
|---|---|---|
| AbbVieLupron Depot | $116 | $1,292,804220 claims |
| Johnson & JohnsonErleada | $62 | $246,10111 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $598 | $179,102346 claims |
| Astellas Pharma US IncXtandi, Myrbetriq | $1,322 | $170,69639 claims |
| PfizerPremarin | $83 | $8,28319 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 952 urology providers in New York.
Other urology in Brooklyn
- William AtallahBrooklyn$191K
- Ivan GrunbergerBrooklyn$159K
- 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
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.