Natalie Cusano, MD
Endocrinology, Diabetes & Metabolism · New York, NYNPI 1568620425
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $60,111 of the $74,537 with a category attached, or 80.6%. 7 manufacturers reported payments, led by AstraZeneca at 52.8% of the total. Reporting peaked in 2019 at $33,699 and has fallen 99.6% since, to $150 in 2025. Among endocrinology, diabetes & metabolism 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 121 payments — averaging $616.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$39K
- Shire North American Group Inc$29K
- Ascendis Pharma Endocrinology Inc$5K
- Radius Health, Inc.$2K
- Amgen$143
- Novo Nordisk$43
- plus $21 from 1 others
Across 61 payments — averaging $2654.68 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.
- Takeda Pharmaceuticals U.S.A., Inc.$131K
- Ascendis Pharma Endocrinology Inc$31K
What the payments were for
- Consulting fees$5,3757%
- Speaking & faculty fees$60,11181%
- Travel & lodging$7,0179%
- Food & beverage$2,0353%
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 | 46 | $39,346 |
| Shire North American Group Inc | 63 | $28,605 |
| Ascendis Pharma Endocrinology Inc | 5 | $4,760 |
| Radius Health, Inc. | 2 | $1,620 |
| Amgen | 2 | $143 |
| Novo Nordisk | 2 | $43 |
| Lilly USA, LLC | 1 | $21 |
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
$74,537 in reported general payments places this provider in the 90th percentile of 804 endocrinology, diabetes & metabolism providers in New York.
See all endocrinology, diabetes & metabolism providers in New York →
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 |
|---|---|---|
| StrensiqAsfotase Alfa | 24 | $1,275,057 |
| MounjaroTirzepatide | 320 | $421,955 |
| OzempicSemaglutide | 127 | $247,638 |
| TrulicityDulaglutide | 91 | $149,221 |
| TymlosAbaloparatide | 49 | $146,950 |
| JardianceEmpagliflozin | 45 | $67,208 |
| FarxigaDapagliflozin Propanediol | 29 | $33,485 |
| RybelsusSemaglutide | 20 | $27,960 |
| JanuviaSitagliptin Phosphate | 19 | $18,874 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 27 | $10,498 |
| SynthroidLevothyroxine Sodium | 91 | $9,257 |
| Tresiba Flextouch U-100Insulin Degludec | 13 | $7,161 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 11 | $5,760 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 30 | $5,593 |
| Levothyroxine Sodium | 255 | $3,187 |
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 |
|---|---|---|
| AstraZenecaStrensiq, Farxiga | $39,346 | $1,308,54253 claims |
| Lilly USA, LLCMounjaro, Trulicity | $21 | $571,177411 claims |
| Novo NordiskOzempic, Rybelsus | $43 | $275,598147 claims |
| Radius Health, Inc.Tymlos | $1,620 | $146,95049 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 90th percentile of 804 endocrinology, diabetes & metabolism providers in New York.
Other endocrinology, diabetes & metabolism in New York
- John BilezikianNew York$809K
- Anastasios ManessisNew York$656K
- Jason BakerNew York$427K
- Brian LevyNew York$417K
- Stuart WeissNew York$275K
- Priya JaisinghaniNew York$239K
- Henry GinsbergNew York$161K
- Recaredo BerbanoNew York$146K
- Beverly TchangNew York$120K
- Shira EytanNew York$96K
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.