Kristen Smyers, MD
Gynecology · Niagara Falls, NYNPI 1063652972
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 90.1% of the total across 294 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 33 manufacturers, the largest accounting for just 15.8% — the pattern of someone who eats at a lot of different presentations.
Across 294 payments — averaging $19.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$925
- Mayne Pharma Commercial LLC$906
- Pfizer$579
- AbbVie$375
- Exeltis, USA Inc.$316
- Agile Therapeutics, Inc.$308
- plus $2K from 27 others
What the payments were for
- Food & beverage$5,28090%
- Education$58310%
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 | 28 | $925 |
| Mayne Pharma Commercial LLC | 39 | $906 |
| Pfizer | 32 | $579 |
| AbbVie(2 entities) | 22 | $375 |
| Exeltis, USA Inc. | 16 | $316 |
| Agile Therapeutics, Inc. | 20 | $308 |
| Therapeuticsmd, Inc. | 27 | $283 |
| Shield Therapeutics Inc | 17 | $282 |
| Millicent US Inc | 11 | $273 |
| Novo Nordisk | 7 | $221 |
| Scynexis, Inc. | 7 | $164 |
| Exact Sciences | 7 | $145 |
| Mylan Pharmaceuticals Inc. | 8 | $143 |
| Daiichi Sankyo Inc. | 7 | $118 |
| Coopersurgical, Inc. | 5 | $111 |
| Organon | 6 | $111 |
| Amgen | 5 | $85 |
| Avion Pharmaceuticals | 5 | $81 |
| Merck | 4 | $69 |
| Sumitomo Pharma America, Inc. | 3 | $61 |
| Roche Diagnostics Corporation | 3 | $53 |
| Hologic Sales And Service, LLC | 2 | $38 |
| Bayer | 2 | $31 |
| Aspira Women's Health Inc | 1 | $30 |
| BD | 1 | $26 |
| AMAG Pharmaceuticals, Inc. | 2 | $24 |
| Biohaven Pharmaceuticals, Inc. | 1 | $18 |
| Evofem Biosciences, Inc. | 1 | $17 |
| Vertical Pharmaceuticals, LLC | 1 | $16 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $15 |
| Medtronic | 1 | $15 |
| Duchesnay USA Incorporated | 1 | $12 |
| Covidien LP | 1 | $11 |
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.
- Saxenda$122
How this compares
$5,862 in reported general payments places this provider in the 85th percentile of 240 gynecology 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 |
|---|---|---|
| Estradiol | 142 | $8,431 |
| Clobetasol Propionate | 20 | $565 |
| Risedronate Sodium | 13 | $562 |
| Nystatin | 26 | $524 |
| ValacyclovirValacyclovir Hcl | 21 | $507 |
| Alendronate Sodium | 45 | $483 |
| Medroxyprogesterone Acetate | 20 | $139 |
| Fluconazole | 37 | $135 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 14 | $132 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 18 | $39 |
Paid to pharmacies, not to this prescriber.
Other gynecology in Niagara Falls
- Arnold AdvinculaNew York$2.1M
- Stephen CohenSyracuse$204K
- Susan KhalilStaten Island$115K
- Diane SutterKenmore$95K
- Tamara KolevNew York$91K
- Shane SoppSyracuse$84K
- Charles Ascher-WalshNew York$43K
- Paula CastanoNew York$31K
- David KurssWilliamsville$25K
- Navpriya OberoiFayetteville$25K
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.