Mitchell Miglis, MD
Clinical Neurophysiology · Stanford, CANPI 1972779411
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $32,622 of the $51,186 with a category attached, or 63.7%. Jazz Pharmaceuticals Inc. accounts for 90.5% of it on its own, with 5 other manufacturers making up the rest. 2025 is the largest year on record at $21,981, more than ten times the $41 reported in 2019. Among clinical neurophysiology clinicians in CA 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 77 payments — averaging $664.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Jazz Pharmaceuticals Inc.$46K
- Lundbeck LLC$3K
- Argenx US, Inc.$696
- Pfizer$550
- Harmony Biosciences LLC$356
- Alnylam Pharmaceuticals Inc.$41
Across 351 payments — averaging $2206.74 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.
- Argenx US, Inc.$599K
- Regeneron$118K
- Biohaven Pharmaceuticals, Inc.$35K
- Biohaven Pharmaceutical Holding Company Ltd.$22K
What the payments were for
- Consulting fees$32,62264%
- Speaking & faculty fees$12,44024%
- Travel & lodging$2,1824%
- Food & beverage$3,9428%
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 |
|---|---|---|
| Jazz Pharmaceuticals Inc. | 57 | $46,344 |
| Lundbeck LLC | 1 | $3,200 |
| Argenx US, Inc. | 12 | $696 |
| Pfizer | 1 | $550 |
| Harmony Biosciences LLC | 5 | $356 |
| Alnylam Pharmaceuticals Inc. | 1 | $41 |
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
$51,186 in reported general payments places this provider in the 90th percentile of 49 clinical neurophysiology providers in California.
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 | 22 | $263,877 |
| Sodium Oxybate | 12 | $223,329 |
| Droxidopa | 83 | $169,359 |
| Gamunex-CImmune Globul G/Gly/Iga Avg 46 | 22 | $68,123 |
| BelsomraSuvorexant | 35 | $18,142 |
| NeuproRotigotine | 18 | $16,169 |
| Midodrine Hcl | 80 | $7,655 |
| Cromolyn Sodium | 20 | $5,342 |
| Modafinil | 70 | $2,845 |
| Pyridostigmine Bromide | 45 | $2,742 |
| Gabapentin | 114 | $1,846 |
| Carbidopa-LevodopaCarbidopa/Levodopa | 23 | $1,475 |
| Atomoxetine Hcl | 23 | $1,218 |
| Fludrocortisone Acetate | 39 | $977 |
| Carbamazepine | 26 | $802 |
Paid to pharmacies, not to this prescriber.
Other clinical neurophysiology in Stanford
- Christopher LockStanford$159K
- Srikanth MuppidiStanford$150K
- Safwan JaradehStanford$34K
- Margaret FerrisStanford$18K
- Kathleen PostonStanford$18K
- Helen Bronte-StewartStanford$7K
- Jaime LopezStanford$1K
- Sungho ChoStanford$1K
- Felix ChangStanford$974
- Laurice YangStanford$924
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.