Howard Silk
Allergy & Immunology · Fayetteville, GANPI 1912944828
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 198 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 28 manufacturers, the largest accounting for just 12.3% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2020 at $1,238 and has fallen 94.9% since, to $64 in 2023. That places this record below the midpoint for allergy & immunology clinicians in GA, where the typical reported total is $4,504.
Across 198 payments — averaging $21.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Takeda Pharmaceuticals U.S.A., Inc.$513
- CSL Behring$419
- AstraZeneca$380
- GSK$356
- Pfizer$355
- Kaleo, Inc.$277
- plus $2K from 22 others
What the payments were for
- Food & beverage$4,165100%
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 |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 20 | $513 |
| CSL Behring | 17 | $419 |
| AstraZeneca | 22 | $380 |
| GSK | 19 | $356 |
| Pfizer | 24 | $355 |
| Kaleo, Inc. | 15 | $277 |
| Octapharma USA, Inc. | 2 | $221 |
| Regeneron Healthcare Solutions, Inc. | 8 | $185 |
| Sanofi | 6 | $166 |
| Grifols USA, LLC | 8 | $158 |
| Biocryst US Sales Co., LLC | 6 | $158 |
| AbbVie | 6 | $125 |
| Optinose US, Inc. | 7 | $117 |
| Covis Pharma GmbH | 5 | $110 |
| Novartis | 5 | $87 |
| Pharming Healthcare, Inc. | 4 | $81 |
| Shire North American Group Inc | 4 | $76 |
| Boehringer Ingelheim | 4 | $76 |
| Amgen | 3 | $61 |
| Genentech USA, Inc. | 3 | $48 |
| Alk-abello, Inc | 2 | $39 |
| Teva Pharmaceuticals USA, Inc. | 2 | $34 |
| Tersera Therapeutics LLC | 1 | $28 |
| ADMA Biomanufacturing LLC | 1 | $23 |
| Hikma Pharmaceuticals USA | 1 | $20 |
| Circassia Inc. | 1 | $19 |
| Eyevance Pharmaceuticals LLC | 1 | $18 |
| Biocryst Pharmaceuticals, Inc. | 1 | $16 |
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.
- CUTAQUIG$129
How this compares
$4,165 in reported general payments places this provider in the 45th percentile of 107 allergy & immunology providers in Georgia.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Montelukast Sodium | 12 | $44 |
Paid to pharmacies, not to this prescriber.
Other allergy & immunology in Fayetteville
- Michael BlaissRoswell$1.1M
- Deborah BirxAtlanta$470K
- Tracy BridgesAlbany$364K
- Jack EadesMacon$237K
- Stanley FinemanMarietta$186K
- Robert CartwrightColumbus$169K
- Robert ChrzanowskiColumbus$115K
- Belinda GrahamSmyrna$94K
- Lily HwangRoswell$88K
- Paul RabinowitzAtlanta$57K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.