James Chmiel, MD
Sleep Medicine · E. Amherst, NYNPI 1508810581
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $23,250 of the $29,883 with a category attached, or 77.8%. Medical Device Business Services, Inc. accounts for 70.3% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2019 at $13,885 and has fallen 98.2% since, to $248 in 2025. Among sleep medicine clinicians in NY with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 86 payments — averaging $347.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$21K
- Acclarent, Inc$8K
- Integra Lifesciences Corporation$490
- Aerin Medical Inc.$197
- GSK$125
- Intersect ENT, Inc.$106
- plus $281 from 3 others
What the payments were for
- Consulting fees$23,25078%
- Travel & lodging$3,54312%
- Food & beverage$3,09010%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 18 | $21,023 |
| Acclarent, Inc | 51 | $7,661 |
| Integra Lifesciences Corporation | 6 | $490 |
| Aerin Medical Inc. | 5 | $197 |
| GSK | 1 | $125 |
| Intersect ENT, Inc. | 2 | $106 |
| Optinose US, Inc. | 1 | $99 |
| Smith+Nephew | 1 | $93 |
| Stryker | 1 | $89 |
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.
- TruDi Navigation System$7,303
- SpinPlus Navigation$6,004
- TruDi Nav Cable$1,421
- ACCLARENT NAVWIRE Sinus Navigation Guidewire$1,405
- TruDi Nav Suction$1,298
- Acclarent Aera$298
- Inspira Air$298
- RELIEVA SPINPLUS NAV$298
- TruDi Probe$298
- NUCALA$125
- ACCLARENT Balloon Inflation Device$117
How this compares
$29,883 in reported general payments places this provider in the 90th percentile of 81 sleep medicine providers in New York.
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 |
|---|---|---|
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 27 | $3,766 |
| Fluticasone Propionate | 75 | $1,149 |
| Ipratropium Bromide | 25 | $838 |
| Fluocinolone Acetonide Oil | 13 | $579 |
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 18 | $348 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 29 | $234 |
| Methylprednisolone | 20 | $141 |
| Omeprazole | 11 | $117 |
| Doxycycline Hyclate | 14 | $97 |
| Famotidine | 17 | $90 |
| Prednisone | 18 | $88 |
| Ciprofloxacin Hcl | 14 | $85 |
| Mupirocin | 11 | $72 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 21 | $72 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 14 | $44 |
Paid to pharmacies, not to this prescriber.
Other sleep medicine in E. Amherst
- David RapoportNew York$313K
- Ofer JacobowitzNew York$141K
- Qanta AhmedMineola$83K
- Andrew WestwoodNew York$82K
- Omar BurschtinNew York$71K
- Maha AhmadNew York$38K
- Daniel BaroneNew York$37K
- Vincent GrbachNew York$21K
- Andrew VargaNew York$19K
- Courtney ChouNew York$16K
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.