Justin Smith
Acute Care · Manchester, NHNPI 1275041642
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.9% of the total across 31 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 13 manufacturers reported payments, led by Teleflex LLC at 53.3% of the total. 2025 is the largest year on record at $857, more than ten times the $65 reported in 2021. Among acute care clinicians in NH with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 31 payments — averaging $68.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Teleflex LLC$1K
- Myriad Genetic Laboratories, Inc.$378
- Johnson & Johnson$197
- Urogen Pharma, Inc.$106
- Astellas Pharma US Inc$65
- Neurocrine Biosciences, Inc.$50
- plus $189 from 7 others
What the payments were for
- Food & beverage$2,04697%
- Education$653%
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 |
|---|---|---|
| Teleflex LLC | 9 | $1,125 |
| Myriad Genetic Laboratories, Inc. | 3 | $378 |
| Johnson & Johnson | 8 | $197 |
| Urogen Pharma, Inc. | 2 | $106 |
| Astellas Pharma US Inc | 1 | $65 |
| Neurocrine Biosciences, Inc. | 1 | $50 |
| Gilead | 1 | $50 |
| Cycle Pharmaceuticals Inc | 1 | $30 |
| Progenics Pharmaceuticals, Inc. | 1 | $26 |
| Immunitybio, Inc. | 1 | $25 |
| Endo Pharmaceuticals Inc. | 1 | $25 |
| Endo USA, Inc. | 1 | $17 |
| Ferring Pharmaceuticals Inc. | 1 | $17 |
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
$2,111 in reported general payments places this provider in the 95th percentile of 44 acute care providers in New Hampshire.
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 |
|---|---|---|
| MyrbetriqMirabegron | 194 | $160,971 |
| GemtesaVibegron | 95 | $81,337 |
| Testosterone | 53 | $13,468 |
| Mirabegron ErMirabegron | 14 | $12,419 |
| Tamsulosin Hcl | 848 | $10,851 |
| Solifenacin Succinate | 133 | $4,742 |
| Finasteride | 423 | $4,722 |
| Trospium Chloride ErTrospium Chloride | 24 | $3,900 |
| Potassium Citrate ErPotassium Citrate | 38 | $3,710 |
| Oxybutynin Chloride ErOxybutynin Chloride | 117 | $3,285 |
| Testosterone Cypionate | 130 | $2,522 |
| Tadalafil | 13 | $2,265 |
| Estradiol | 30 | $1,890 |
| Trospium Chloride | 31 | $1,732 |
| Methenamine Hippurate | 27 | $1,716 |
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 IncMyrbetriq | $65 | $160,971194 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 95th percentile of 44 acute care providers in New Hampshire.
Other acute care in Manchester
- Jessica BelangerManchester$2K
- Meaghan OlearyManchester$870
- Natalie LampronManchester$434
- Rebecca MorleyManchester$397
- Jessica FellmanManchester$327
- Maria LangleyManchester$268
- Eric GrzybinskiManchester$179
- Erin McDonoughManchester$116
- Shannon WardManchester$77
- Molly MackeyManchester$75
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.