Justin Skripak, MD
Allergy · Paramus, NJNPI 1437205929
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 94.8% of the total across 25 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 12 manufacturers, the largest accounting for just 18.2% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $361 and has fallen 81.3% since, to $68 in 2025. That places this record below the midpoint for allergy clinicians in NJ, where the typical reported total is $4,027.
Across 25 payments — averaging $26.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$120
- Genentech USA, Inc.$116
- Optinose US, Inc.$96
- Inspire Medical Systems, Inc.$71
- Regeneron Healthcare Solutions, Inc.$44
- Sanofi$36
- plus $175 from 6 others
What the payments were for
- Food & beverage$62495%
- Education$345%
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 |
|---|---|---|
| Stryker | 3 | $120 |
| Genentech USA, Inc. | 1 | $116 |
| Optinose US, Inc. | 6 | $96 |
| Inspire Medical Systems, Inc. | 2 | $71 |
| Regeneron Healthcare Solutions, Inc. | 3 | $44 |
| Sanofi | 2 | $36 |
| Medtronic | 1 | $35 |
| Aerin Medical Inc. | 1 | $35 |
| Amgen | 1 | $34 |
| CSL Behring | 2 | $29 |
| Alk-abello, Inc | 2 | $27 |
| Hikma Pharmaceuticals USA | 1 | $14 |
How this compares
$658 in reported general payments places this provider in the 30th percentile of 35 allergy providers in New Jersey.
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 |
|---|---|---|
| Dupixent PenDupilumab | 28 | $126,412 |
| Azelastine Hcl | 80 | $2,047 |
| Fluticasone Propionate | 43 | $979 |
| Montelukast Sodium | 87 | $921 |
| Levocetirizine Dihydrochloride | 44 | $676 |
| Ipratropium Bromide | 20 | $642 |
| Amoxicillin | 14 | $52 |
| Prednisone | 12 | $31 |
Paid to pharmacies, not to this prescriber.
Other allergy in Paramus
- John OppenheimerCedar Knolls$922K
- Jeffrey WeissRiverdale$532K
- Jay KashkinFair Lawn$436K
- Gregory TociMarlton$317K
- Eugene GattiMarlton$43K
- Howard DruceSomerville$37K
- Shashank ShethVoorhees$33K
- Donatella GraffinoCedar Knolls$15K
- Maria Lania-HowarthVoorhees$12K
- Jamie ZachariasSewell$11K
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.