Cary Twyman
Neurology · Hershey, PANPI 1407803141
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $124,060 of the $172,284 with a category attached, or 72.0%. 10 manufacturers reported payments, led by Biogen at 37.5% of the total. Reporting peaked in 2019 at $110,935 and has fallen 99.9% since, to $127 in 2023. Among neurology clinicians in PA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 185 payments — averaging $931.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Biogen$65K
- Genentech USA, Inc.$21K
- Sanofi$21K
- AstraZeneca$19K
- Bristol Myers Squibb$19K
- EMD Serono, Inc.$18K
- plus $9K from 4 others
Across 3 payments — averaging $4213.33 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.
- F. Hoffmann-la Roche AG$9K
- Sanofi$4K
What the payments were for
- Consulting fees$30,58218%
- Speaking & faculty fees$124,06072%
- Travel & lodging$13,7988%
- Food & beverage$3,7012%
- Education$1430%
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 |
|---|---|---|
| Biogen | 45 | $64,521 |
| Genentech USA, Inc. | 15 | $20,906 |
| Sanofi | 24 | $20,726 |
| AstraZeneca | 34 | $19,367 |
| Bristol Myers Squibb | 23 | $19,198 |
| EMD Serono, Inc. | 27 | $18,386 |
| Novartis | 10 | $4,922 |
| E.r. Squibb & Sons, L.L.C. | 4 | $4,211 |
| Acorda Therapeutics, Inc | 2 | $34 |
| Mallinckrodt Hospital Products Inc. | 1 | $13 |
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
$172,284 in reported general payments places this provider in the 95th percentile of 941 neurology providers in Pennsylvania.
Other neurology in Hershey
- Thyagarajan SubramanianHershey$232K
- Daniel KremensPhiladelphia$1.8M
- Thomas LeistPhiladelphia$1.4M
- Jill Giordano FarmerPhiladelphia$1.2M
- Ravi DukkipatiYork$936K
- Brad KleinAbington$927K
- Stephanie Nahas-GeigerPhiladelphia$786K
- John KhouryAbington$686K
- Amit Bar-OrPhiladelphia$596K
- Behrang SaminejadAllentown$594K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.