Gary Fialk
Urology · Reston, VANPI 1376518670
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.4% of the total across 105 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 24 manufacturers, the largest accounting for just 15.7% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $970 and has fallen 97.5% since, to $24 in 2024. That places this record below the midpoint for urology clinicians in VA, where the typical reported total is $2,551.
Across 105 payments — averaging $25.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$414
- Photocure Inc$286
- Neotract Inc.$257
- Urovant Sciences Inc$254
- Astellas Pharma US Inc$250
- Myovant Sciences Inc.$171
- plus $1K from 18 others
What the payments were for
- Food & beverage$2,59298%
- Education$432%
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 |
|---|---|---|
| Johnson & Johnson(2 entities) | 26 | $414 |
| Photocure Inc | 4 | $286 |
| Neotract Inc. | 2 | $257 |
| Urovant Sciences Inc | 11 | $254 |
| Astellas Pharma US Inc | 10 | $250 |
| Myovant Sciences Inc. | 6 | $171 |
| Axonics, Inc. | 2 | $152 |
| Pfizer | 5 | $145 |
| Blue Earth Diagnostics | 5 | $123 |
| Endo Pharmaceuticals Inc. | 6 | $95 |
| AbbVie(2 entities) | 5 | $86 |
| Ferring Pharmaceuticals Inc. | 3 | $60 |
| Myriad Genetic Laboratories, Inc. | 4 | $50 |
| Boston Scientific | 3 | $46 |
| Antares Pharma, Inc. | 2 | $40 |
| Tolmar Pharmaceuticals, Inc. | 2 | $38 |
| Convatec Inc. | 1 | $27 |
| Clarus Therapeutics Inc. | 2 | $25 |
| Avadel Specialty Pharmaceuticals, LLC | 1 | $23 |
| Urogen Pharma, Inc. | 1 | $22 |
| Abbott | 1 | $22 |
| Acerus Pharmaceuticals Corporation | 1 | $20 |
| Dendreon Pharmaceuticals LLC | 1 | $18 |
| Teleflex LLC | 1 | $13 |
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
$2,636 in reported general payments places this provider in the 50th percentile of 300 urology providers in Virginia.
Other urology in Reston
- Michael FabrizioVirginia Beach$1.5M
- Gregg EureVirginia Beach$1.4M
- Jessica DelongVirginia Beach$578K
- Robert GivenVirginia Beach$157K
- Michael WilliamsVirginia Beach$144K
- Nilay GandhiWoodbridge$138K
- Shawn MarhamatiWoodbridge$130K
- Patrick WhelanSuffolk$114K
- Jennifer Miles-ThomasVa Beach$101K
- Charles DanielRoanoke$94K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.