Laurence Epstein, MD
Clinical Cardiac Electrophysiology · Boston, MANPI 1457318859
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (49.8%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Medtronic at 43.1% of the total. Reporting peaked in 2019 at $46,899 and has fallen 85.8% since, to $6,651 in 2025. Among clinical cardiac electrophysiology clinicians in MA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 177 payments — averaging $973.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$74K
- Philips North America LLC$70K
- Boston Scientific$13K
- Abbott$12K
- Asahi Intecc USA, Inc.$1K
- Asahi Intecc CO., LTD.$1K
- plus $1K from 4 others
Across 105 payments — averaging $7254.93 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Boston Scientific$331K
- Medtronic$257K
- Abbott$174K
What the payments were for
- Consulting fees$85,88850%
- Speaking & faculty fees$70,78141%
- Travel & lodging$12,2567%
- Food & beverage$3,4212%
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 |
|---|---|---|
| Medtronic(2 entities) | 81 | $74,236 |
| Philips North America LLC | 41 | $70,367 |
| Boston Scientific | 22 | $12,748 |
| Abbott | 25 | $11,791 |
| Asahi Intecc USA, Inc. | 1 | $1,000 |
| Asahi Intecc CO., LTD. | 1 | $1,000 |
| ZOLL Respicardia, Inc. | 2 | $833 |
| Cordis US CORP. | 1 | $262 |
| Cardiva Medical, Inc. | 2 | $75 |
| Angiodynamics, Inc. | 1 | $35 |
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.
- (9520) IGT Devices Undivided$36,384
- Micra$22,554
- Bridge$11,650
- Spectranetics Undiv$9,836
- CVX-300$9,650
- CardioMEMS HF System$6,690
- SYNERGY$6,595
- Reveal LINQ$3,000
- GENERAL - THERAPIES$2,732
- Merlin Connectivity and Remote$2,500
- CLINICAL TRIAL PRODUCT$1,530
- S-ICD System Magnet$1,375
- IGT Devices Und$1,317
- TightRail$1,043
- Accent Pacemaker$1,000
- PERIPHERAL VASCULAR$1,000
- Asahi Peripheral Vascular Wires$1,000
- remede System$833
- Ensite Cardiac Mapping System$601
- S.M.A.R.T.$262
How this compares
$172,346 in reported general payments places this provider in the 90th percentile of 106 clinical cardiac electrophysiology providers in Massachusetts.
See all clinical cardiac electrophysiology providers in Massachusetts →
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 |
|---|---|---|
| EliquisApixaban | 57 | $60,475 |
| Dofetilide | 17 | $3,757 |
| Amiodarone Hcl | 43 | $1,789 |
| Metoprolol Succinate | 73 | $1,074 |
| Flecainide Acetate | 28 | $843 |
Paid to pharmacies, not to this prescriber.
Other clinical cardiac electrophysiology in Boston
- Elad AnterBoston$3.9M
- Jagmeet SinghBoston$619K
- Andre DavilaBoston$379K
- Daniel KramerBoston$247K
- Gregory MichaudBoston$244K
- Leon PtaszekBoston$168K
- Moussa MansourBoston$145K
- Andrew LockeBoston$145K
- Peter ZimetbaumBoston$144K
- Timothy MaherBoston$123K
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.