Elena Toschi, MD
Endocrinology, Diabetes & Metabolism · Boston, MANPI 1861651002
Payments from drug & device makers
Across 25 payments — averaging $829.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi-aventis U.S. LLC$8K
- Vertex$7K
- Medtronic$4K
- Eli Lilly$525
- Dexcom, Inc.$410
- Abbott$291
- plus $406 from 3 others
Across 5 payments — averaging $345.00 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.
- Takeda Pharmaceuticals U.S.A., Inc.$2K
What the payments were for
- Consulting fees$14,81273%
- Speaking & faculty fees$3,96019%
- Travel & lodging$5032%
- Food & beverage$1,0345%
- Education$250%
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 |
|---|---|---|
| Sanofi-aventis U.S. LLC | 4 | $8,089 |
| Vertex | 11 | $6,945 |
| Medtronic(2 entities) | 3 | $4,078 |
| Eli Lilly | 1 | $525 |
| Dexcom, Inc. | 1 | $410 |
| Abbott | 1 | $291 |
| Tandem Diabetes Care, Inc. | 2 | $264 |
| Insulet Corporation | 1 | $117 |
| Lilly USA, LLC | 1 | $25 |
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.
- SOLIQUA 100/33$8,089
- t:slim X2 Insulin Pump with Control-IQ$264
- MINIMED 780G$118
- Omnipod$117
How this compares
$20,744 in reported general payments places this provider in the 80th percentile of 360 endocrinology, diabetes & metabolism providers in Massachusetts.
See all endocrinology, diabetes & metabolism providers in Massachusetts →
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 |
|---|---|---|
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 45 | $62,365 |
| OzempicSemaglutide | 15 | $32,614 |
| Tresiba Flextouch U-100Insulin Degludec | 20 | $17,963 |
| JardianceEmpagliflozin | 16 | $17,402 |
| NovologInsulin Aspart | 40 | $15,207 |
| HumalogInsulin Lispro | 33 | $12,190 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 12 | $6,094 |
| Nano 2nd Gen Pen NeedlePen Needle, Diabetic | 41 | $4,933 |
| Humalog Kwikpen U-100Insulin Lispro | 15 | $3,626 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 16 | $2,300 |
| SynthroidLevothyroxine Sodium | 11 | $671 |
| Atorvastatin Calcium | 38 | $644 |
| Levothyroxine Sodium | 38 | $235 |
| Glipizide ErGlipizide | 13 | $167 |
| Metformin Hcl ErMetformin Hcl | 13 | $148 |
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 |
|---|---|---|
| Lilly USA, LLCHumalog | $25 | $12,19033 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 360 endocrinology, diabetes & metabolism providers in Massachusetts.
Other endocrinology, diabetes & metabolism in Boston
- David NathanBoston$9M
- Vanita ArodaBoston$4.2M
- George KingBoston$3.7M
- Karen MillerBoston$2.9M
- Steven GrinspoonBoston$2.7M
- Jason GagliaBoston$2.5M
- Elaine YuBoston$1.3M
- Osama HamdyBoston$1.1M
- Steven RussellBoston$1.1M
- Christos MantzorosBoston$983K
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.