John Michalak, MD
Urology · Pinehurst, NCNPI 1295174928
Payments from drug & device makers
Across 437 payments — averaging $22.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$1K
- Dendreon Pharmaceuticals LLC$1K
- Endo Pharmaceuticals Inc.$885
- Pfizer$795
- AbbVie$742
- Sumitomo Pharma America, Inc.$689
- plus $4K from 32 others
What the payments were for
- Speaking & faculty fees$3704%
- Food & beverage$8,97892%
- Education$4394%
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 |
|---|---|---|
| Astellas Pharma US Inc | 59 | $1,247 |
| Dendreon Pharmaceuticals LLC | 46 | $1,054 |
| Endo Pharmaceuticals Inc. | 59 | $885 |
| Pfizer | 39 | $795 |
| AbbVie(2 entities) | 41 | $742 |
| Sumitomo Pharma America, Inc. | 34 | $689 |
| Teleflex LLC | 18 | $527 |
| Olympus America Inc. | 6 | $443 |
| Neotract Inc. | 10 | $427 |
| Johnson & Johnson(2 entities) | 19 | $409 |
| Myriad Genetic Laboratories, Inc. | 19 | $320 |
| Axonics, Inc. | 9 | $219 |
| Dornier Medtech America, Inc | 2 | $218 |
| Laborie Medical Technologies Corp. | 4 | $216 |
| Urovant Sciences Inc | 11 | $207 |
| Boston Scientific | 7 | $202 |
| Endo USA, Inc. | 8 | $166 |
| Procept Biorobotics Corporation | 5 | $152 |
| Healthtronics Stone Solutions, LLC | 1 | $119 |
| Dentsply IH Inc. | 7 | $114 |
| Sanofi | 1 | $86 |
| Urogen Pharma, Inc. | 5 | $84 |
| Aytu Biopharma, Inc. | 3 | $55 |
| Bayer | 3 | $53 |
| Photocure Inc | 3 | $50 |
| Coloplast | 3 | $48 |
| Myovant Sciences Inc. | 2 | $41 |
| Sun Pharmaceutical Industries Inc. | 2 | $35 |
| Progenics Pharmaceuticals, Inc. | 2 | $33 |
| Antares Pharma, Inc. | 1 | $23 |
| 180 Medical, Inc. | 1 | $19 |
| Smith+Nephew | 1 | $18 |
| Dentsply IH AB | 1 | $18 |
| Cook Medical LLC | 1 | $16 |
| AstraZeneca | 1 | $15 |
| Hollister Incorporated | 1 | $14 |
| Avadel Specialty Pharmaceuticals, LLC | 1 | $14 |
| Acerus Pharmaceuticals Corporation | 1 | $12 |
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.
- Dornier MedTech$631
- Olympus$370
- REZUM$120
- CVAC Aspiration System$119
- UroLift System$114
How this compares
$9,786 in reported general payments places this provider in the 75th percentile of 434 urology providers in North Carolina.
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 |
|---|---|---|
| XtandiEnzalutamide | 26 | $371,320 |
| GemtesaVibegron | 149 | $125,794 |
| MyrbetriqMirabegron | 145 | $106,048 |
| Tamsulosin Hcl | 512 | $6,845 |
| Methenamine Hippurate | 80 | $6,797 |
| Potassium Citrate ErPotassium Citrate | 33 | $3,610 |
| Testosterone | 15 | $3,330 |
| Solifenacin Succinate | 70 | $1,778 |
| Cephalexin | 41 | $1,519 |
| Finasteride | 107 | $1,514 |
| Cefdinir | 61 | $1,270 |
| Estradiol | 18 | $1,145 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 43 | $1,031 |
| Dutasteride | 21 | $975 |
| Ciprofloxacin Hcl | 176 | $936 |
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 |
|---|---|---|
| Astellas Pharma US IncXtandi, Myrbetriq | $1,247 | $477,369171 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $689 | $125,794149 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 75th percentile of 434 urology providers in North Carolina.
Other urology in Pinehurst
- Daniel GeorgeDurham$17.6M
- Robert LippittSmithfield$11.4M
- Thomas PolascikDurham$4.7M
- Judd MoulDurham$4.1M
- John WrennGreensboro$2.9M
- Michael KennellyCharlotte$1.4M
- John KasparRaleigh$1.1M
- Scott MacdiarmidGreensboro$882K
- Glenn PremingerDurham$736K
- Jonathan HamiltonGreenville$695K
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.