Douglas Galasko, MD
Neurology · la Jolla, CANPI 1336197730
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $64,245 of the $75,339 with a category attached, or 85.3%. Biogen accounts for 72.2% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2021 at $27,649 and has fallen 76.4% since, to $6,530 in 2023. Among neurology clinicians in CA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 41 payments — averaging $1837.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Biogen$54K
- Eisai Inc.$15K
- GE HealthCare$3K
- Roche Diagnostics International Ltd$3K
- Fujirebio Diagnostics, Incorporated$576
- Merz North America, Inc.$36
- plus $40 from 2 others
Across 120 payments — averaging $11,734 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.
- Roche Diagnostics Corporation$632K
- Eli Lilly$435K
- Biogen$289K
- Alnylam Pharmaceuticals Inc.$38K
- Roche Molecular Systems, Inc.$14K
What the payments were for
- Consulting fees$64,24585%
- Speaking & faculty fees$7,0669%
- Travel & lodging$3,6585%
- Food & beverage$3690%
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 | 19 | $54,398 |
| Eisai Inc. | 15 | $15,089 |
| GE HealthCare | 2 | $2,600 |
| Roche Diagnostics International Ltd | 1 | $2,600 |
| Fujirebio Diagnostics, Incorporated | 1 | $576 |
| Merz North America, Inc. | 1 | $36 |
| Adamas Pharmaceuticals, Inc. | 1 | $25 |
| Novartis | 1 | $15 |
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.
- ADUHELM$9,181
- Leqembi$5,730
- MD Research and Development$2,600
- VIZAMYL$1,800
- DATSCAN$800
How this compares
$75,339 in reported general payments places this provider in the 90th percentile of 1,996 neurology providers in California.
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 |
|---|---|---|
| Rivastigmine | 39 | $10,851 |
| Quetiapine Fumarate | 25 | $2,034 |
| Galantamine ErGalantamine Hbr | 19 | $1,721 |
| Memantine Hcl | 29 | $1,557 |
| Donepezil Hcl | 101 | $1,174 |
| Memantine Hcl ErMemantine Hcl | 14 | $625 |
| Sertraline Hcl | 40 | $368 |
| Trazodone Hcl | 19 | $148 |
Paid to pharmacies, not to this prescriber.
Other neurology in la Jolla
- Jody Corey-Bloomla Jolla$415K
- Charles Smithla Jolla$346K
- Andrew BlumenfeldCarlsbad$4.9M
- Khashayar DashtipourLoma Linda$3.3M
- Regina BerkovichWest Hollywood$3M
- Daniel BandariNewport Beach$2.6M
- Perry ShiehLos Angeles$2.4M
- Sandeep ThakkarIrvine$2M
- David LiebeskindLos Angeles$1.9M
- Jack SchimCarlsbad$1.7M
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.