John Butsch, MD
Surgery · Buffalo, NYNPI 1396810172
Payments from drug & device makers
Across 84 payments — averaging $66.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$2K
- Johnson & Johnson$1K
- Next Science LLC$572
- AOP Health US, LLC$542
- AbbVie$401
- Novo Nordisk$267
- plus $1K from 15 others
What the payments were for
- Consulting fees$87516%
- Travel & lodging$1,05919%
- Food & beverage$3,65765%
- Gifts$90%
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 |
|---|---|---|
| Intuitive Surgical | 23 | $1,707 |
| Johnson & Johnson(2 entities) | 4 | $1,050 |
| Next Science LLC | 3 | $572 |
| AOP Health US, LLC | 1 | $542 |
| AbbVie(2 entities) | 16 | $401 |
| Novo Nordisk | 5 | $267 |
| Medtronic | 5 | $230 |
| Activ Surgical, Inc. | 2 | $186 |
| Medela LLC | 3 | $113 |
| Boston Scientific | 3 | $78 |
| Conmed Corporation | 1 | $70 |
| Lilly USA, LLC | 3 | $67 |
| Smith+Nephew | 3 | $56 |
| Davol Inc. | 3 | $56 |
| Covidien LP | 2 | $49 |
| Steris Corporation | 2 | $40 |
| Lucid Diagnostics Inc. | 1 | $33 |
| Bolton Medical Inc | 1 | $28 |
| Misonix Inc | 1 | $22 |
| Stryker | 1 | $20 |
| Mesh Suture Inc | 1 | $13 |
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.
- Da Vinci Surgical System$1,418
- Rapiblyk$1,085
- STRATAFIX$875
- SurgX$549
- Xperience$549
- BlastX$549
- ActivSight$144
- Saxenda$125
- LINX Reflux Management System$123
- LigaSure$118
How this compares
$5,600 in reported general payments places this provider in the 70th percentile of 1,596 surgery 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 |
|---|---|---|
| Oxycodone Hcl | 31 | $109 |
Paid to pharmacies, not to this prescriber.
Other surgery in Buffalo
- Thom LoreeBuffalo$1M
- Vinod BalachandranNew York$3M
- Stephanie GoffNew York$2.7M
- Alice WeiNew York$2.3M
- Cheguevara AfanehNew York$1.4M
- Ajay PanchalAmherst$893K
- Flavio Malcher Martins de OliveiraNew York$814K
- Bonnie LonzeNew York$650K
- Stephen GoldstoneNy$647K
- Yuri NovitskyNew York$548K
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.