Payam Shakouri, MD
Nephrology · Poughkeepsie, NYNPI 1184963746
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $717,195 of the $929,881 with a category attached, or 77.1%. Amgen accounts for 65.4% of it on its own, with 32 other manufacturers making up the rest. Among nephrology clinicians in NY with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 1,708 payments — averaging $544.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$608K
- Bayer$144K
- Aurinia Pharma U.S., Inc.$52K
- ANI Pharmaceuticals, Inc.$51K
- Travere Therapeutics, Inc.$48K
- AstraZeneca$10K
- plus $16K from 27 others
What the payments were for
- Consulting fees$15,0252%
- Speaking & faculty fees$717,19577%
- Travel & lodging$163,76618%
- Food & beverage$32,8774%
- Education$1,0180%
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 |
|---|---|---|
| Amgen(2 entities) | 780 | $608,001 |
| Bayer | 194 | $144,154 |
| Aurinia Pharma U.S., Inc. | 131 | $52,492 |
| ANI Pharmaceuticals, Inc. | 118 | $50,913 |
| Travere Therapeutics, Inc. | 73 | $48,004 |
| AstraZeneca(2 entities) | 79 | $10,342 |
| Vifor Pharma, Inc. | 50 | $8,675 |
| GSK | 17 | $1,907 |
| Mallinckrodt Hospital Products Inc. | 55 | $1,289 |
| OPKO Pharmaceuticals, LLC | 36 | $550 |
| Calliditas Therapeutics US Inc. | 25 | $520 |
| Fresenius USA Marketing, Inc. | 21 | $443 |
| Novo Nordisk | 22 | $377 |
| Boehringer Ingelheim | 15 | $354 |
| Novartis | 17 | $352 |
| Otsuka America Pharmaceutical, Inc. | 18 | $350 |
| Mallinckrodt Enterprises LLC | 10 | $186 |
| Takeda Pharmaceuticals U.S.A., Inc. | 8 | $165 |
| Lilly USA, LLC | 9 | $163 |
| Alnylam Pharmaceuticals Inc. | 6 | $115 |
| Akebia Therapeutics Inc | 6 | $111 |
| Nxstage Medical, Inc. | 2 | $106 |
| Kyowa Kirin, Inc. | 4 | $92 |
| Sanofi | 2 | $36 |
| Abbott | 2 | $30 |
| Ardelyx, Inc. | 1 | $24 |
| UCB, Inc. | 1 | $24 |
| Apellis Pharmaceuticals, Inc. | 1 | $22 |
| Johnson & Johnson | 1 | $20 |
| Esperion Therapeutics, Inc. | 1 | $20 |
| Shire North American Group Inc | 1 | $18 |
| Ultragenyx Pharmaceutical Inc. | 1 | $14 |
| AbbVie | 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.
How this compares
$929,881 in reported general payments places this provider in the 95th percentile of 935 nephrology 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 |
|---|---|---|
| CortrophinCorticotropin | 59 | $3,425,835 |
| KrystexxaPegloticase | 46 | $2,509,328 |
| KerendiaFinerenone | 327 | $327,837 |
| FilspariSparsentan | 24 | $250,971 |
| FarxigaDapagliflozin Propanediol | 209 | $189,946 |
| OzempicSemaglutide | 61 | $73,974 |
| LokelmaSodium Zirconium Cyclosilicate | 75 | $60,352 |
| VeltassaPatiromer Calcium Sorbitex | 55 | $58,582 |
| RybelsusSemaglutide | 21 | $55,582 |
| TradjentaLinagliptin | 25 | $28,740 |
| Cinacalcet Hcl | 36 | $24,615 |
| DapagliflozinDapagliflozin Propanediol | 35 | $22,999 |
| RayaldeeCalcifediol | 16 | $21,326 |
| AuryxiaFerric Citrate | 15 | $21,043 |
| Mycophenolate Mofetil | 54 | $5,112 |
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 |
|---|---|---|
| AmgenKrystexxa | $608,001 | $2,509,32846 claims |
| BayerKerendia | $144,154 | $327,837327 claims |
| Travere Therapeutics, Inc.Filspari | $48,004 | $250,97124 claims |
| AstraZenecaFarxiga, Lokelma | $10,342 | $250,298284 claims |
| Novo NordiskOzempic, Rybelsus | $377 | $129,55682 claims |
| Boehringer IngelheimTradjenta | $354 | $28,74025 claims |
| OPKO Pharmaceuticals, LLCRayaldee | $550 | $21,32616 claims |
| Akebia Therapeutics IncAuryxia | $111 | $21,04315 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 95th percentile of 935 nephrology providers in New York.
Other nephrology in Poughkeepsie
- Gerald AppelNew York$842K
- Richard ChanNew York$514K
- Bruce SpinowitzBronx$465K
- Steven CocaNew York$445K
- Joseph RoglieriTroy$425K
- Jai RadhakrishnanNew York$369K
- Savneek ChughHawthorne$325K
- Gerard TepedinoManhasset$308K
- Frank CortazarAlbany$289K
- Girish NadkarniNew York$281K
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.