Manish Gugnani, MD
Pulmonary Disease · Lawrenceville, NJNPI 1558327221
Payments from drug & device makers
Across 333 payments — averaging $17.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$2K
- GSK$2K
- Philips North America LLC$535
- Jazz Pharmaceuticals Inc.$288
- Boehringer Ingelheim$231
- Inari Medical, Inc.$209
- plus $997 from 22 others
What the payments were for
- Food & beverage$5,71099%
- Education$521%
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 |
|---|---|---|
| AstraZeneca | 101 | $1,859 |
| GSK | 98 | $1,644 |
| Philips North America LLC | 36 | $535 |
| Jazz Pharmaceuticals Inc. | 21 | $288 |
| Boehringer Ingelheim | 16 | $231 |
| Inari Medical, Inc. | 1 | $209 |
| Mylan Specialty L.p. | 11 | $170 |
| Mallinckrodt Hospital Products Inc. | 10 | $141 |
| Monaghan Medical Corporation | 3 | $85 |
| Veran Medical Technologies, Inc. | 1 | $63 |
| Regeneron Healthcare Solutions, Inc. | 4 | $63 |
| Harmony Biosciences LLC | 4 | $58 |
| Electromed, Inc. | 4 | $53 |
| Insmed, Inc. | 3 | $46 |
| Viatris Specialty LLC | 2 | $45 |
| Verona Pharma, Inc. | 2 | $37 |
| Johnson & Johnson | 2 | $33 |
| Genentech USA, Inc. | 2 | $27 |
| Pfizer | 2 | $26 |
| Circassia Inc. | 2 | $22 |
| Inogen, Inc. | 1 | $21 |
| Shionogi Inc | 1 | $20 |
| Amgen | 1 | $18 |
| United Therapeutics Corporation | 1 | $17 |
| Biomerieux Inc | 1 | $14 |
| Gilead | 1 | $14 |
| Axsome Therapeutics, Inc. | 1 | $14 |
| Merck | 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.
- TRELEGY ELLIPTA$250
- FLOWTRIEVER CATHETER, S$209
- CT THROMBECTOMY SYSTEM KIT$209
- TEZSPIRE$149
- AREXVY$125
How this compares
$5,762 in reported general payments places this provider in the 70th percentile of 472 pulmonary disease 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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 250 | $281,725 |
| OfevNintedanib Esylate | 11 | $143,270 |
| Breo ElliptaFluticasone/Vilanterol | 66 | $51,677 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 49 | $49,599 |
| EliquisApixaban | 16 | $14,897 |
| Spiriva RespimatTiotropium Bromide | 14 | $13,730 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 175 | $11,290 |
| SunosiSolriamfetol Hcl | 14 | $11,257 |
| Spiriva HandihalerTiotropium Bromide | 13 | $10,250 |
| Incruse ElliptaUmeclidinium Bromide | 24 | $8,830 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 26 | $7,957 |
| Ventolin HfaAlbuterol Sulfate | 38 | $4,068 |
| Roflumilast | 22 | $2,462 |
| Wixela InhubFluticasone Propion/Salmeterol | 14 | $2,002 |
| Promethazine Hcl | 51 | $660 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta, Incruse Ellipta | $1,644 | $342,233340 claims |
| Boehringer IngelheimOfev, Spiriva Respimat | $231 | $157,00025 claims |
| AstraZenecaBreztri Aerosphere | $1,859 | $49,59949 claims |
| PfizerEliquis | $26 | $14,89716 claims |
| Axsome Therapeutics, Inc.Sunosi | $14 | $11,25714 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 70th percentile of 472 pulmonary disease providers in New Jersey.
Other pulmonary disease in Lawrenceville
- Reynold PanettieriNew Brunswick$2.5M
- Vinay SikandToms River$1.8M
- Stanley FielMorristown$1.3M
- Joseph HoffmanPark Ridge$1.1M
- Robert SussmanSummit$645K
- Ronaldo GoHackensack$563K
- Deborah GossHackensack$558K
- Sabina HussainNew Brunswick$555K
- Manuel CunananMillville$489K
- Emanuele SantomauroHackensack$420K
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.