Elyse Rafal, MD
Dermatology · Stony Brook, NYNPI 1477515781
Payments from drug & device makers
Across 807 payments — averaging $1801.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Incyte Corporation$351K
- AbbVie$296K
- Janssen Research & Development, LLC$185K
- Takeda Pharmaceuticals U.S.A., Inc.$163K
- E.r. Squibb & Sons, L.L.C.$120K
- Pfizer$104K
- plus $235K from 43 others
Across 2 payments — averaging $947.00 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.
- Eli Lilly$2K
What the payments were for
- Consulting fees$2,45012%
- Speaking & faculty fees$830%
- Travel & lodging$1101%
- Food & beverage$17,76987%
- Education$140%
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
$1,453,734 in reported general payments places this provider in the 95th percentile of 1,151 dermatology 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 |
|---|---|---|
| Calcipotriene | 11 | $19,368 |
| Oxiconazole Nitrate | 11 | $7,228 |
| Ketoconazole | 95 | $1,471 |
| Tavaborole | 11 | $1,456 |
| Clindamycin Phosphate | 34 | $617 |
| Ciclopirox | 15 | $491 |
| Doxycycline Hyclate | 18 | $259 |
| Nystatin | 11 | $113 |
| Mupirocin | 20 | $103 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Stony Brook
- Emma GuttmanNew York$35.3M
- Saakshi KhattriNew York$15.4M
- James KruegerNew York$6.3M
- Michael CameronNew York$5.8M
- Mark LebwohlNew York$5.8M
- Andrew AlexisNew York$5.7M
- John TuRochester$5.4M
- Jeffrey WeinbergKew Gardens$4.9M
- Neil SadickNew York$4.2M
- Alice GottliebSomers$3.8M
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.