Ghazwan Acash, MD
Pulmonary Disease · Burlington, MANPI 1710187331
Payments from drug & device makers
Across 59 payments — averaging $46.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Gyrus ACMI, Inc.$825
- Pulmonx Corporation$742
- AstraZeneca$308
- GSK$230
- Inari Medical, Inc.$179
- Grifols USA, LLC$77
- plus $354 from 11 others
What the payments were for
- Consulting fees$82530%
- Travel & lodging$61323%
- Food & beverage$1,24246%
- Education$351%
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 |
|---|---|---|
| Gyrus ACMI, Inc. | 1 | $825 |
| Pulmonx Corporation | 4 | $742 |
| AstraZeneca | 15 | $308 |
| GSK | 19 | $230 |
| Inari Medical, Inc. | 1 | $179 |
| Grifols USA, LLC | 4 | $77 |
| Sanofi | 3 | $75 |
| Regeneron Healthcare Solutions, Inc. | 3 | $61 |
| Johnson & Johnson | 1 | $40 |
| Insmed, Inc. | 1 | $29 |
| United Therapeutics Corporation | 1 | $28 |
| Inspire Medical Systems, Inc. | 1 | $27 |
| Mylan Specialty L.p. | 1 | $22 |
| Jazz Pharmaceuticals Inc. | 1 | $21 |
| Novartis | 1 | $20 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $17 |
| Amgen | 1 | $15 |
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
$2,715 in reported general payments places this provider in the 70th percentile of 482 pulmonary disease 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 |
|---|---|---|
| OfevNintedanib Esylate | 28 | $359,175 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 103 | $74,693 |
| Breo ElliptaFluticasone/Vilanterol | 181 | $74,670 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 30 | $27,831 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 19 | $15,715 |
| Incruse ElliptaUmeclidinium Bromide | 21 | $9,697 |
| Pirfenidone | 15 | $9,071 |
| Spiriva HandihalerTiotropium Bromide | 16 | $8,343 |
| Spiriva RespimatTiotropium Bromide | 13 | $6,580 |
| SymbicortBudesonide/Formoterol Fumarate | 13 | $5,133 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 25 | $4,312 |
| Wixela InhubFluticasone Propion/Salmeterol | 33 | $4,083 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 35 | $3,615 |
| Roflumilast | 14 | $2,620 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 103 | $2,280 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Incruse Ellipta | $230 | $174,775324 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $308 | $32,96443 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 70th percentile of 482 pulmonary disease providers in Massachusetts.
Other pulmonary disease in Burlington
- Adam SmithBurlington$296K
- Carla LambBurlington$185K
- Timothy LieschingBurlington$147K
- Aaron WaxmanBoston$7.7M
- John BerkBoston$6M
- Darrell KottonBoston$5.3M
- Hilary GoldbergBoston$3.5M
- Ehab BillatosWinchester$2.7M
- Harrison FarberBoston$2.6M
- Elizabeth KlingsBoston$2.1M
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.