Elena Stybel, DO
Family Medicine · Amityville, NYNPI 1477638179
Payments from drug & device makers
Across 883 payments — averaging $33.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$7K
- AstraZeneca$3K
- GSK$3K
- Lilly USA, LLC$2K
- Amgen$2K
- Amarin Pharma, Inc.$1K
- plus $12K from 54 others
What the payments were for
- Consulting fees$1,2004%
- Food & beverage$27,98996%
- Education$620%
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.
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
$29,251 in reported general payments places this provider in the 95th percentile of 4,321 family medicine 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 |
|---|---|---|
| ZenpepLipase/Protease/Amylase | 119 | $362,512 |
| CreonLipase/Protease/Amylase | 146 | $325,177 |
| VascepaIcosapent Ethyl | 343 | $130,617 |
| MounjaroTirzepatide | 77 | $109,399 |
| JardianceEmpagliflozin | 123 | $98,235 |
| Diclofenac Sodium | 229 | $89,975 |
| FarxigaDapagliflozin Propanediol | 87 | $86,993 |
| EliquisApixaban | 131 | $86,989 |
| LinzessLinaclotide | 109 | $68,776 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 70 | $49,026 |
| OzempicSemaglutide | 51 | $47,963 |
| JanumetSitagliptin Phos/Metformin Hcl | 78 | $47,508 |
| RexultiBrexpiprazole | 24 | $45,691 |
| JubliaEfinaconazole | 32 | $44,928 |
| XifaxanRifaximin | 15 | $41,095 |
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 |
|---|---|---|
| AbbVieCreon, Linzess, Ubrelvy, Restasis | $6,650 | $459,656328 claims |
| Aimmune Therapeutics, Inc.Zenpep | $337 | $362,512119 claims |
| Boehringer IngelheimJardiance, Tradjenta, Synjardy Xr, Synjardy | $451 | $135,676176 claims |
| Lilly USA, LLCMounjaro, Trulicity | $1,732 | $125,66089 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Brilinta, Nexium | $2,983 | $121,837153 claims |
| PfizerEliquis | $691 | $86,989131 claims |
| MerckJanumet, Januvia | $156 | $77,906120 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $2,596 | $64,29596 claims |
| Novo NordiskOzempic | $373 | $47,96351 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $1,038 | $45,69124 claims |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLCXifaxan | $482 | $41,09515 claims |
| BayerKerendia | $1,185 | $37,97849 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 95th percentile of 4,321 family medicine providers in New York.
Other family medicine in Amityville
- Matthew DavisRochester$76.6M
- Frank EderBinghamton$46.2M
- Suchet PatelEndwell$23.3M
- James WildGowanda$2.2M
- Michael FedericoEndwell$1.4M
- Donald BrautigamWestfield$1.3M
- Kimberly DesantisEndwell$1.1M
- Michael TugetmanHartsdale$1M
- Richard RuhOrchard Park$769K
- Eric LorraineEndwell$740K
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.