James Mikulsky
Medical · Buffalo, NYNPI 1801841598
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.6% of the total across 58 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 30 manufacturers, the largest accounting for just 11.3% — the pattern of someone who eats at a lot of different presentations. Among medical 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 58 payments — averaging $107.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Gilead$705
- Medical Device Business Services, Inc.$565
- Amgen$365
- Si-bone, Inc.$359
- Genentech USA, Inc.$294
- TG Therapeutics, Inc.$260
- plus $4K from 24 others
What the payments were for
- Food & beverage$5,97196%
- Education$2744%
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 |
|---|---|---|
| Gilead | 7 | $705 |
| Medical Device Business Services, Inc. | 6 | $565 |
| Amgen(2 entities) | 3 | $365 |
| Si-bone, Inc. | 4 | $359 |
| Genentech USA, Inc. | 3 | $294 |
| TG Therapeutics, Inc. | 2 | $260 |
| Sanofi | 2 | $258 |
| Grifols USA, LLC | 2 | $250 |
| Novo Nordisk | 2 | $250 |
| AstraZeneca(2 entities) | 2 | $247 |
| Teva Pharmaceuticals USA, Inc. | 2 | $221 |
| AbbVie | 2 | $218 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $209 |
| Bayer | 2 | $188 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $154 |
| Madrigal Pharmaceuticals | 1 | $147 |
| Pharmacosmos Therapeutics Inc. | 1 | $145 |
| Alnylam Pharmaceuticals Inc. | 1 | $135 |
| Hologic Sales And Service, LLC | 1 | $133 |
| CSL Behring | 1 | $125 |
| Mayne Pharma Commercial LLC | 1 | $125 |
| Edwards Lifesciences | 1 | $122 |
| Abbott | 1 | $122 |
| Biohaven Pharmaceuticals, Inc. | 1 | $120 |
| Neurocrine Biosciences, Inc. | 1 | $112 |
| Harmony Biosciences LLC | 1 | $102 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 1 | $100 |
| Johnson & Johnson | 1 | $100 |
| E.r. Squibb & Sons, L.L.C. | 1 | $94 |
| Stryker | 1 | $22 |
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.
- Descovy$325
- STRATAFIX$274
- BRIUMVI$260
- Prolastin-C Liquid$250
- NURTEC ODT$245
- KRYSTEXXA$240
- REZDIFFRA$147
- Monoferric$145
- GIVLAARI$135
- Aptima$133
- XOLAIR$126
- Kerendia$125
- DERMABOND$125
- AIMOVIG$125
- Wegovy$125
- Hizentra$125
- RYBELSUS$125
- Edwards SAPIEN 3 Ultra Transcatheter Heart Valve$122
- FreeStyle Libre 2$122
- LOKELMA$122
How this compares
$6,245 in reported general payments places this provider in the 90th percentile of 2,395 medical providers in New York.
Other medical in Buffalo
- Lauren WiatrowskiBuffalo$18K
- Rebecca EllwoodAlbany$565K
- Denisse SerranoCortlandt Manor$255K
- Michele Kissous-HuntNew York$246K
- Laura MaroldoNew York$126K
- Carl ClarkeBrooklyn$116K
- Maureen ThyneNew York$109K
- Gina FriesRochester$106K
- Ilse StraussSmithtown$87K
- Helen AdamsNew York$87K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.