John Berk, MD
Pulmonary Disease · Boston, MANPI 1407831258
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $31,772 of the $33,076 with a category attached, or 96.1%. 6 manufacturers reported payments, led by Alnylam Pharmaceuticals Inc. at 57.7% of the total. Reporting peaked in 2023 at $24,572 and has fallen 99.9% since, to $19 in 2025. Among pulmonary disease clinicians in MA 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 22 payments — averaging $1503.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alnylam Pharmaceuticals Inc.$19K
- AstraZeneca$8K
- Akcea Therapeutics, Inc.$3K
- Merck$2K
- Astrazeneca UK Limited$1K
- Pfizer$934
Across 290 payments — averaging $20,415 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Alnylam Pharmaceuticals Inc.$5.5M
- Pfizer$305K
- AstraZeneca$83K
- Ionis Pharmaceuticals, Inc.$52K
- Eidos Therapeutics, Inc.$358
What the payments were for
- Consulting fees$31,77296%
- Speaking & faculty fees$1781%
- Travel & lodging$7552%
- Food & beverage$3701%
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 |
|---|---|---|
| Alnylam Pharmaceuticals Inc. | 4 | $19,071 |
| AstraZeneca(2 entities) | 6 | $7,933 |
| Akcea Therapeutics, Inc. | 2 | $2,518 |
| Merck | 7 | $1,620 |
| Astrazeneca UK Limited | 1 | $1,000 |
| Pfizer | 2 | $934 |
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
$33,076 in reported general payments places this provider in the 90th 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 |
|---|---|---|
| AmvuttraVutrisiran Sodium | 28 | $3,115,667 |
| VyndamaxTafamidis | 98 | $2,344,538 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 15 | $9,660 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 18 | $543 |
| Fluticasone Propionate | 13 | $288 |
| Azithromycin | 14 | $46 |
| Prednisone | 14 | $33 |
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 |
|---|---|---|
| Alnylam Pharmaceuticals Inc.Amvuttra | $19,071 | $3,115,66728 claims |
| PfizerVyndamax | $934 | $2,344,53898 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 90th percentile of 482 pulmonary disease providers in Massachusetts.
Other pulmonary disease in Boston
- Erik FolchBoston$543K
- Bartolome CelliBoston$536K
- Adnan MajidBoston$351K
- Nicholas HillBoston$293K
- Harrison FarberBoston$190K
- Tufik AssadBoston$132K
- Anthony FaugnoBoston$132K
- Hyun KimBoston$117K
- George WashkoBoston$101K
- Aaron WaxmanBoston$88K
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.