Michael Macdonald, MD
Urology · Livonia, MINPI 1588744270
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.0% of the total across 34 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 16 manufacturers reported payments, led by Dornier Medtech America, Inc at 41.7% of the total. 2025 is the largest year on record at $706, more than ten times the $60 reported in 2019. That places this record below the midpoint for urology clinicians in MI, where the typical reported total is $2,586.
Across 34 payments — averaging $34.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Dornier Medtech America, Inc$486
- Myriad Genetic Laboratories, Inc.$220
- Boston Scientific$112
- Johnson & Johnson$45
- Teleflex LLC$41
- AbbVie$41
- plus $220 from 10 others
What the payments were for
- Food & beverage$1,13197%
- Education$353%
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 |
|---|---|---|
| Dornier Medtech America, Inc | 1 | $486 |
| Myriad Genetic Laboratories, Inc. | 15 | $220 |
| Boston Scientific | 2 | $112 |
| Johnson & Johnson | 2 | $45 |
| Teleflex LLC | 1 | $41 |
| AbbVie(2 entities) | 3 | $41 |
| AstraZeneca | 1 | $35 |
| Averitas Pharma Inc. | 1 | $34 |
| Rochester Medical Corporation | 1 | $25 |
| Urogen Pharma, Inc. | 1 | $23 |
| Laborie Medical Technologies Corp. | 1 | $22 |
| Cook Medical LLC | 1 | $19 |
| Smith+Nephew | 1 | $17 |
| Endo Pharmaceuticals Inc. | 1 | $16 |
| Dentsply IH AB | 1 | $16 |
| Coloplast | 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.
- Dornier MedTech$486
How this compares
$1,166 in reported general payments places this provider in the 35th percentile of 400 urology providers in Michigan.
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 | 155 | $3,307 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 127 | $2,218 |
| Oxybutynin Chloride ErOxybutynin Chloride | 37 | $1,183 |
| Finasteride | 60 | $902 |
| NitrofurantoinNitrofurantoin Macrocrystal | 21 | $759 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 78 | $587 |
| Cephalexin | 55 | $424 |
| CefuroximeCefuroxime Axetil | 15 | $109 |
| Doxycycline Hyclate | 16 | $83 |
| Ciprofloxacin Hcl | 21 | $55 |
Paid to pharmacies, not to this prescriber.
Other urology in Livonia
- William JohnstonLivonia$675K
- John HarbLivonia$21K
- Ashok ReddySterling Heights$4.9M
- William RobertsAnn Arbor$973K
- Kenneth KernenTroy$910K
- Jason HafronWest Bloomfield$490K
- Khurshid GhaniAnn Arbor$413K
- Richard BennettRoyal Oak$361K
- Ryan NelsonUtica$296K
- Casey DauwAnn Arbor$188K
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.