Meredith Metcalf, MD
Urology · Saint Louis, MONPI 1841618337
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $20,150 of the $26,036 with a category attached, or 77.4%. Urogen Pharma, Inc. accounts for 89.9% of it on its own, with 12 other manufacturers making up the rest. 2025 is the largest year on record at $25,064, more than ten times the $199 reported in 2022. Among urology clinicians in MO 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 51 payments — averaging $510.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Urogen Pharma, Inc.$23K
- Janssen Scientific Affairs, LLC$2K
- Calyxo, Inc.$322
- Histosonics, Inc.$194
- Integra Lifesciences Corporation$129
- Ferring Pharmaceuticals Inc.$125
- plus $355 from 7 others
What the payments were for
- Consulting fees$1,1504%
- Speaking & faculty fees$20,15077%
- Travel & lodging$1,6526%
- Food & beverage$3,04912%
- Education$350%
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 |
|---|---|---|
| Urogen Pharma, Inc. | 31 | $23,405 |
| Janssen Scientific Affairs, LLC | 4 | $1,505 |
| Calyxo, Inc. | 2 | $322 |
| Histosonics, Inc. | 1 | $194 |
| Integra Lifesciences Corporation | 1 | $129 |
| Ferring Pharmaceuticals Inc. | 1 | $125 |
| Johnson & Johnson | 1 | $89 |
| Novo Nordisk | 5 | $76 |
| Endo Pharmaceuticals Inc. | 1 | $51 |
| Medtronic | 1 | $48 |
| Boston Scientific | 1 | $40 |
| AstraZeneca | 1 | $35 |
| Merck | 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.
- ZUSDURI$22,429
- JELMYTO$689
- INTEGRA$387
- CVAC Aspiration System$322
- Erleada$236
- INTEGRA DERMAL REGENERATION TEMPLATE$129
- PRIMATRIX$129
- ADSTILADRIN$125
How this compares
$26,036 in reported general payments places this provider in the 90th percentile of 250 urology providers in Missouri.
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 |
|---|---|---|
| Tamsulosin Hcl | 44 | $380 |
| Oxybutynin Chloride ErOxybutynin Chloride | 11 | $308 |
| Finasteride | 37 | $280 |
Paid to pharmacies, not to this prescriber.
Other urology in Saint Louis
- Travis BullockSaint Louis$201K
- Michael JohnsonSaint Louis$160K
- Gurdarshan SandhuSaint Louis$101K
- Gregory McLennanSaint Louis$89K
- Gerald AndrioleSaint Louis$64K
- Charles JonesSaint Louis$55K
- Maung Htein ThuSaint Louis$22K
- Alexander ChowSaint Louis$20K
- Jonathan WeeseSaint Louis$19K
- Woodson SmelserSaint Louis$19K
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.