Maciej Nowakowski, MD
Sleep Medicine · Binghamton, NYNPI 1952396210
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,945 of the $2,736 with a category attached, or 71.1%. 21 manufacturers reported payments, led by Inspire Medical Systems, Inc. at 38.8% of the total.
Across 77 payments — averaging $35.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$1K
- Jazz Pharmaceuticals Inc.$556
- Avadel CNS Pharmaceuticals, LLC$439
- Itamar Medical Inc$108
- Harmony Biosciences LLC$100
- Novo Nordisk$61
- plus $408 from 15 others
What the payments were for
- Travel & lodging$62323%
- Food & beverage$1,94571%
- Education$1676%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 16 | $1,063 |
| Jazz Pharmaceuticals Inc. | 16 | $556 |
| Avadel CNS Pharmaceuticals, LLC | 18 | $439 |
| Itamar Medical Inc | 4 | $108 |
| Harmony Biosciences LLC | 1 | $100 |
| Novo Nordisk | 3 | $61 |
| Fisher & Paykel Healthcare Inc | 2 | $46 |
| Resmed Corp | 1 | $45 |
| Sequel Med Tech, LLC | 2 | $41 |
| Lilly USA, LLC | 2 | $38 |
| Antares Pharma, Inc. | 2 | $38 |
| Radius Health, Inc. | 1 | $33 |
| Recordati_rare_diseases_inc. | 1 | $24 |
| Amarin Pharma, Inc. | 1 | $22 |
| Corcept Therapeutics | 1 | $20 |
| Amgen | 1 | $20 |
| Senseonics, Incorporated | 1 | $19 |
| Arbor Pharmaceuticals, Inc. | 1 | $18 |
| IBSA Pharma Inc. | 1 | $16 |
| Lifescan, Inc. | 1 | $15 |
| Mannkind Corporation | 1 | $13 |
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
$2,736 in reported general payments places this provider in the 70th percentile of 81 sleep medicine 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 |
|---|---|---|
| XywavSodium,calcium,mag,pot Oxybate | 12 | $240,423 |
| SunosiSolriamfetol Hcl | 24 | $20,047 |
| NeuproRotigotine | 12 | $16,471 |
| Modafinil | 52 | $2,087 |
| Gabapentin | 141 | $1,123 |
| Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine | 24 | $978 |
| Doxepin Hcl | 29 | $931 |
| Ropinirole Hcl | 54 | $643 |
| Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine | 12 | $605 |
| Temazepam | 21 | $470 |
| Trazodone Hcl | 51 | $458 |
| Armodafinil | 12 | $396 |
| Hydroxyzine Hcl | 14 | $218 |
| Clonazepam | 20 | $91 |
| Lorazepam | 15 | $85 |
Paid to pharmacies, not to this prescriber.
Other sleep medicine in Binghamton
- Shayan MakvandiBinghamton$1K
- David RapoportNew York$313K
- Ofer JacobowitzNew York$141K
- Qanta AhmedMineola$83K
- Andrew WestwoodNew York$82K
- Omar BurschtinNew York$71K
- Maha AhmadNew York$38K
- Daniel BaroneNew York$37K
- James ChmielE. Amherst$30K
- Vincent GrbachNew York$21K
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.