Ishrat Rafi
Obstetrics & Gynecology · Baltimore, MDNPI 1861451254
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (58.6%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. Astellas Pharma US Inc accounts for 75.4% of it on its own, with 19 other manufacturers making up the rest. Reporting peaked in 2023 at $12,203 and has fallen 64.4% since, to $4,346 in 2025. Among obstetrics & gynecology clinicians in MD 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 85 payments — averaging $346.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$22K
- Intuitive Surgical$2K
- Olympus Corporation Of The Americas$890
- Baxter Healthcare$675
- Applied Medical Resources Corporation$588
- Covidien LP$514
- plus $2K from 14 others
What the payments were for
- Consulting fees$4,48015%
- Speaking & faculty fees$17,25359%
- Travel & lodging$2,83210%
- Food & beverage$4,89017%
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 |
|---|---|---|
| Astellas Pharma US Inc | 22 | $22,218 |
| Intuitive Surgical | 13 | $2,335 |
| Olympus Corporation Of The Americas | 9 | $890 |
| Baxter Healthcare | 6 | $675 |
| Applied Medical Resources Corporation | 3 | $588 |
| Covidien LP | 3 | $514 |
| Hologic Sales And Service, LLC | 7 | $500 |
| Johnson & Johnson | 5 | $366 |
| Minerva Surgical, Inc | 2 | $259 |
| Conmed Corporation | 2 | $201 |
| Medtronic(2 entities) | 3 | $142 |
| Biogen | 1 | $125 |
| Pacira Pharmaceuticals Incorporated | 1 | $125 |
| E.r. Squibb & Sons, L.L.C. | 1 | $117 |
| Coopersurgical, Inc. | 2 | $111 |
| Sumitomo Pharma America, Inc. | 1 | $107 |
| Stryker | 1 | $106 |
| Mallinckrodt Enterprises LLC | 1 | $38 |
| Momentis Surgical Inc. | 1 | $26 |
| Acell, Inc. | 1 | $11 |
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.
- Veozah$17,318
- Da Vinci Surgical System$1,972
- ThunderBeat$632
- TISSEEL$529
- GELPOINT VPATH$476
- ACESSA PROVU SYSTEM$129
- Zurzuvae$125
- EXPAREL$125
- Enseal X1$119
- Sotyktu$117
- CoolSeal Generator$111
- AIRSEAL$108
- CONMED SMOKE EVACUATION$108
- MYFEMBREE$107
- SPY-PHI SYSTEM$106
- Endo GIA$105
- Uterine Manipulators & Injectors$100
How this compares
$29,454 in reported general payments places this provider in the 95th percentile of 842 obstetrics & gynecology providers in Maryland.
Other obstetrics & gynecology in Baltimore
- Danielle ShillerBaltimore$221K
- Karen WangBaltimore$91K
- Rebecca StoneBaltimore$88K
- Christina EnzmannBaltimore$63K
- Latasha MurphyBaltimore$41K
- Colleen McCormickBaltimore$29K
- Jenell ColemanBaltimore$18K
- David MatthewsBaltimore$12K
- Anne BurkeBaltimore$12K
- Michelle KushBaltimore$12K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.