Rachel Meltzer, MD
Dermatology · Boston, MANPI 1346779600
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $31,875 of the $45,093 with a category attached, or 70.7%. Galderma Laboratories, L.p. accounts for 87.2% of it on its own, with 4 other manufacturers making up the rest. 2025 is the largest year on record at $30,119, more than ten times the $100 reported in 2021. Among dermatology clinicians in MA 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 30 payments — averaging $1503.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Galderma Laboratories, L.p.$39K
- Sun Pharmaceutical Industries Inc.$5K
- Johnson & Johnson$230
- Novartis$125
- AbbVie$32
What the payments were for
- Consulting fees$31,87571%
- Speaking & faculty fees$6,45014%
- Travel & lodging$9132%
- Food & beverage$1,2463%
- Education$4,60910%
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 |
|---|---|---|
| Galderma Laboratories, L.p. | 23 | $39,308 |
| Sun Pharmaceutical Industries Inc. | 3 | $5,397 |
| Johnson & Johnson | 2 | $230 |
| Novartis | 1 | $125 |
| AbbVie | 1 | $32 |
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
$45,093 in reported general payments places this provider in the 90th percentile of 552 dermatology providers in Massachusetts.
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 |
|---|---|---|
| Dupixent PenDupilumab | 52 | $242,169 |
| Dupixent SyringeDupilumab | 21 | $76,545 |
| Tacrolimus | 28 | $4,939 |
| Calcipotriene | 21 | $1,875 |
| Betamethasone Dipropionate | 42 | $1,827 |
| Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc | 32 | $1,696 |
| Clobetasol Propionate | 23 | $1,603 |
| Ketoconazole | 117 | $1,382 |
| Fluocinonide | 21 | $1,365 |
| Clotrimazole | 90 | $1,334 |
| Lidocaine | 25 | $1,181 |
| Metronidazole | 24 | $1,089 |
| Gabapentin | 53 | $1,001 |
| Tretinoin | 14 | $996 |
| Duloxetine Hcl | 44 | $995 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Boston
- Alexandra KimballBoston$680K
- Arash MostaghimiBoston$591K
- Brian HiblerBoston$498K
- Maryanne SennaBoston$430K
- Ruth Ann VleugelsBoston$368K
- Gabriela CobosBoston$343K
- Martina PorterBoston$220K
- Mathew AvramBoston$209K
- Emmy GraberBoston$159K
- Neelam VashiBoston$156K
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.