Armen Kirakosyan, MD
Urogynecology and Reconstructive Pelvic Surgery · Amherst, NYNPI 1043489586
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (56.5%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. 38 manufacturers reported payments, led by Coloplast at 25.0% of the total. Reporting peaked in 2020 at $3,043 and has fallen 68.0% since, to $975 in 2025.
Across 185 payments — averaging $52.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Coloplast$2K
- Boston Scientific$2K
- Johnson & Johnson$1K
- Intuitive Surgical$778
- Astellas Pharma US Inc$541
- AbbVie$401
- plus $3K from 32 others
What the payments were for
- Consulting fees$1,22513%
- Travel & lodging$2,74329%
- Food & beverage$5,43656%
- Education$1952%
- Gifts$230%
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 |
|---|---|---|
| Coloplast | 17 | $2,407 |
| Boston Scientific | 10 | $1,619 |
| Johnson & Johnson | 1 | $1,225 |
| Intuitive Surgical | 8 | $778 |
| Astellas Pharma US Inc | 20 | $541 |
| AbbVie | 19 | $401 |
| Exact Sciences | 5 | $218 |
| Sumitomo Pharma America, Inc. | 11 | $214 |
| Therapeuticsmd, Inc. | 11 | $209 |
| Pfizer | 12 | $187 |
| Merz North America, Inc. | 1 | $178 |
| Medtronic | 6 | $178 |
| Caldera Medical, Inc | 3 | $154 |
| Amgen | 4 | $152 |
| Exeltis, USA Inc. | 5 | $100 |
| Axonics, Inc. | 3 | $81 |
| Meditrina | 3 | $79 |
| Millicent US Inc | 4 | $78 |
| Mayne Pharma Commercial LLC | 4 | $75 |
| Bayer | 4 | $69 |
| Urovant Sciences Inc | 4 | $67 |
| Organon | 4 | $66 |
| Merck | 4 | $58 |
| Agile Therapeutics, Inc. | 3 | $49 |
| Avation Medical, Inc. | 1 | $49 |
| Scynexis, Inc. | 2 | $44 |
| Coopersurgical, Inc. | 2 | $44 |
| Avanos Medical | 1 | $43 |
| Biogen | 2 | $42 |
| Hologic Sales And Service, LLC | 2 | $39 |
| Contura, Inc. | 1 | $34 |
| Shield Therapeutics Inc | 2 | $33 |
| Laborie Medical Technologies Corp. | 1 | $32 |
| Valencia Technologies Corporation | 1 | $24 |
| Ascend Therapeutics US, LLC | 1 | $19 |
| GSK | 1 | $13 |
| Pacira Pharmaceuticals Incorporated | 1 | $13 |
| AMAG Pharmaceuticals, Inc. | 1 | $11 |
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.
- ALTIS$2,019
- SOLYX$1,401
- STRATAFIX$1,225
- Da Vinci Surgical System$491
- XEOMIN$178
- The Cologuard Plus Collection Kit$119
- EVENITY$101
How this compares
$9,621 in reported general payments places this provider in the 80th 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 | 98 | $85,061 |
| GemtesaVibegron | 70 | $54,177 |
| Trospium Chloride ErTrospium Chloride | 150 | $25,798 |
| Estradiol | 93 | $8,510 |
| PremarinEstrogens, Conjugated | 23 | $7,261 |
| Darifenacin ErDarifenacin Hydrobromide | 13 | $2,192 |
| Oxybutynin Chloride ErOxybutynin Chloride | 66 | $1,217 |
| Solifenacin Succinate | 11 | $605 |
| NitrofurantoinNitrofurantoin Macrocrystal | 19 | $583 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 62 | $575 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 93 | $252 |
| Ciprofloxacin Hcl | 24 | $79 |
| Fluconazole | 15 | $72 |
| Cephalexin | 11 | $29 |
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 | $541 | $85,06198 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $214 | $54,17770 claims |
| PfizerPremarin | $187 | $7,26123 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 80th percentile of 90 urogynecology and reconstructive pelvic surgery providers in New York.
Other urogynecology and reconstructive pelvic surgery in Amherst
- Jason KimStony Brook$346K
- Dara ShalomGreat Neck$94K
- Harvey WinklerGreat Neck$81K
- Robert MoldwinNew Hyde Park$35K
- Nitya AbrahamBronx$24K
- Cornelius VerhoestPoughkeepsie$21K
- Abeer EddibCheektowaga$19K
- Wai LeeNew Hyde Park$17K
- Doreen ChungNew Hyde Park$14K
- Jennifer HillRiverhead$13K
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.