Christopher Starks, MD
Payments from drug & device makers
Across 122 payments — averaging $23.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$359
- Coloplast$296
- Endo USA, Inc.$250
- Johnson & Johnson$222
- Endo Pharmaceuticals Inc.$222
- Procept Biorobotics Corporation$218
- plus $1K from 28 others
What the payments were for
- Food & beverage$2,906100%
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 |
|---|---|---|
| Astellas Pharma US Inc | 13 | $359 |
| Coloplast | 9 | $296 |
| Endo USA, Inc. | 11 | $250 |
| Johnson & Johnson | 12 | $222 |
| Endo Pharmaceuticals Inc. | 12 | $222 |
| Procept Biorobotics Corporation | 3 | $218 |
| Myovant Sciences Inc. | 7 | $118 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $112 |
| Olympus America Inc. | 4 | $104 |
| Urovant Sciences Inc | 5 | $83 |
| Sumitomo Pharma America, Inc. | 4 | $80 |
| Pfizer | 4 | $73 |
| Hollister Incorporated | 3 | $68 |
| Tactile Systems Technology Inc | 1 | $56 |
| Convatec Inc. | 2 | $54 |
| Antares Pharma, Inc. | 3 | $52 |
| Bayer | 3 | $49 |
| Blue Earth Diagnostics | 2 | $47 |
| Dendreon Pharmaceuticals LLC | 3 | $47 |
| Halozyme Inc | 2 | $42 |
| Ambu Inc. | 2 | $37 |
| Ferring Pharmaceuticals Inc. | 2 | $36 |
| Teleflex LLC | 2 | $35 |
| Boston Scientific | 2 | $34 |
| Genentech USA, Inc. | 1 | $32 |
| Progenics Pharmaceuticals, Inc. | 1 | $29 |
| Novo Nordisk | 1 | $24 |
| Amgen | 1 | $22 |
| Spectrum Pharmaceuticals Inc. | 1 | $22 |
| Urogen Pharma, Inc. | 1 | $20 |
| Tolmar, Inc. | 1 | $18 |
| Aytu Biopharma, Inc. | 1 | $18 |
| Merck | 1 | $15 |
| Axonics, Inc. | 1 | $14 |
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.
- AquaBeam Robotic System$131
- SPEEDICATH$119
- XIFAXAN$112
How this compares
$2,906 in reported general payments places this provider in the 50th percentile of 300 urology providers in Virginia.
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 |
|---|---|---|
| GemtesaVibegron | 50 | $39,344 |
| MyrbetriqMirabegron | 32 | $21,486 |
| Tamsulosin Hcl | 574 | $6,689 |
| Finasteride | 436 | $6,132 |
| Oxybutynin Chloride ErOxybutynin Chloride | 219 | $5,452 |
| Testosterone | 43 | $4,712 |
| Testosterone Cypionate | 93 | $1,254 |
| Solifenacin Succinate | 24 | $671 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 94 | $613 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 30 | $301 |
| Pentoxifylline | 19 | $175 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 11 | $156 |
| Sildenafil Citrate | 13 | $122 |
| Ciprofloxacin Hcl | 38 | $121 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 13 | $59 |
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 | $80 | $39,34450 claims |
| Astellas Pharma US IncMyrbetriq | $359 | $21,48632 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 50th percentile of 300 urology providers in Virginia.
Other urology in Salem
- Robert GivenVirginia Beach$8.7M
- Michael WilliamsVirginia Beach$2.7M
- Michael FabrizioVirginia Beach$1.6M
- Gregg EureVirginia Beach$1.5M
- Nilay GandhiWoodbridge$1.3M
- Jessica DelongVirginia Beach$644K
- Eugene KramolowskyRichmond$594K
- Nicolas OrtizCharlottesville$331K
- Stephen CulpCharlottesville$284K
- Michael FranksRichmond$136K
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.