Mark Epstein
Surgery of the Hand · Hauppauge, NYNPI 1255393567
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $24,453 of the $34,438 with a category attached, or 71.0%. Motiva USA, LLC accounts for 66.1% of it on its own, with 10 other manufacturers making up the rest. 2025 is the largest year on record at $15,753, more than ten times the $698 reported in 2019. Among surgery of the hand clinicians in NY 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 122 payments — averaging $282.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Motiva USA, LLC$23K
- AbbVie$11K
- Merz North America, Inc.$274
- Davol Inc.$201
- Vertex$131
- Mentor Worldwide LLC$102
- plus $249 from 5 others
Across 24 payments — averaging $3513.38 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.
- AbbVie$48K
- Motiva USA, LLC$36K
What the payments were for
- Consulting fees$24,45371%
- Speaking & faculty fees$3,65511%
- Travel & lodging$3311%
- Food & beverage$5,91217%
- Gifts$870%
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 |
|---|---|---|
| Motiva USA, LLC | 32 | $22,753 |
| AbbVie(2 entities) | 73 | $10,727 |
| Merz North America, Inc. | 3 | $274 |
| Davol Inc. | 3 | $201 |
| Vertex | 1 | $131 |
| Mentor Worldwide LLC | 1 | $102 |
| Acelrx Pharmaceuticals, Inc. | 5 | $95 |
| Revance Therapeutics, Inc. | 1 | $87 |
| Sientra, Inc. | 1 | $26 |
| Solta Medical, A Division Of Bausch Health US, LLC | 1 | $25 |
| Pacira Pharmaceuticals Incorporated | 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.
- Motiva Implant Matrix$22,332
- NATRELLE$4,010
- REVOLVE$3,395
- NATRELLE SALINE-FILLED BREAST IMPLANTS$1,077
- BOTOX$271
- Phasix Mesh$144
- XEOMIN$141
- ASCLERA$141
- MENTOR CPX 2 Breast Tissue Expander$102
How this compares
$34,438 in reported general payments places this provider in the 90th percentile of 40 surgery of the hand providers in New York.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Mupirocin | 12 | $84 |
| Cephalexin | 11 | $51 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Hauppauge
- Melvin RosenwasserNew York$613K
- Benjamin PlucknetteRochester$123K
- Karan DuaNew York$49K
- Amnon SadehForest Hills$12K
- Sheel SharmaNew York$9K
- Benny SetoVestal$8K
- Rachel ThibodeauBrooklyn$7K
- Amy BirnbaumNew York$5K
- Nikhil AgrawalBrooklyn$5K
- Nadeem ChaudhryBrooklyn$4K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.