Garry Jelen
Physician Assistant · Ashburn, VANPI 1619249950
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.1% of the total across 237 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 27 manufacturers, the largest accounting for just 10.8% — the pattern of someone who eats at a lot of different presentations. Among physician assistant clinicians in VA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 237 payments — averaging $26.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Galderma Laboratories, L.p.$669
- Incyte Corporation$539
- Sanofi$437
- Sun Pharmaceutical Industries Inc.$436
- Ortho Dermatologics, A Division Of Bausch Health US, LLC$401
- Pfizer$400
- plus $3K from 21 others
What the payments were for
- Food & beverage$5,98897%
- Education$1803%
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 |
|---|---|---|
| Galderma Laboratories, L.p. | 34 | $669 |
| Incyte Corporation | 26 | $539 |
| Sanofi | 12 | $437 |
| Sun Pharmaceutical Industries Inc. | 19 | $436 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 26 | $401 |
| Pfizer | 10 | $400 |
| E.r. Squibb & Sons, L.L.C. | 15 | $363 |
| AbbVie | 12 | $357 |
| Botanix SB Inc | 4 | $318 |
| Dermavant Sciences, Inc. | 5 | $311 |
| Novartis | 12 | $276 |
| Lilly USA, LLC | 8 | $267 |
| Almirall LLC | 11 | $196 |
| Journey Medical Corporation | 6 | $184 |
| Johnson & Johnson | 5 | $178 |
| Amgen | 7 | $175 |
| Arcutis Biotherapeutics, Inc. | 7 | $162 |
| Medimetriks Pharmaceuticals, Inc. | 5 | $122 |
| Sanofi-aventis U.S. LLC | 1 | $85 |
| Organon | 2 | $60 |
| Revance Therapeutics, Inc. | 1 | $53 |
| Regeneron Healthcare Solutions, Inc. | 2 | $51 |
| EPI Health, LLC | 3 | $48 |
| Mayne Pharma Commercial LLC | 1 | $23 |
| Solta Medical, A Division Of Bausch Health US, LLC | 1 | $22 |
| LEO Pharma Inc. | 1 | $20 |
| Sebela Pharmaceuticals Inc. | 1 | $17 |
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
$6,168 in reported general payments places this provider in the 95th percentile of 3,376 physician assistant providers in Virginia.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Triamcinolone Acetonide | 20 | $265 |
| Ketoconazole | 14 | $233 |
| Mupirocin | 13 | $151 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Ashburn
- Julie JohnsonAshburn$22K
- Taylor RehfussAshburn$17K
- John DalessandroSalem$160K
- Jalal AlghabraFredericksburg$119K
- Jamie GiovanelliVirginia Beach$118K
- John CarterStaunton$90K
- Melissa AlcoxNorfolk$73K
- Lindsay TomReston$71K
- Robert HigginsonRichmond$66K
- Jameka McElroy-BrooklynArlington$65K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.