Roger Lefevre, MD
Urogynecology and Reconstructive Pelvic Surgery · Boston, MANPI 1760690358
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (47.4%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 9 manufacturers reported payments, led by Medtronic at 57.9% of the total. Reporting peaked in 2022 at $2,428 and has fallen 90.7% since, to $226 in 2025.
Across 36 payments — averaging $133.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$3K
- Axonics, Inc.$601
- Coloplast$556
- Escala Medical Inc.$226
- Boston Scientific$212
- Caldera Medical, Inc$133
- plus $293 from 3 others
What the payments were for
- Consulting fees$1,55032%
- Travel & lodging$82817%
- Food & beverage$2,27147%
- Education$972%
- Gifts$491%
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 |
|---|---|---|
| Medtronic(2 entities) | 15 | $2,774 |
| Axonics, Inc. | 5 | $601 |
| Coloplast | 5 | $556 |
| Escala Medical Inc. | 1 | $226 |
| Boston Scientific | 3 | $212 |
| Caldera Medical, Inc | 3 | $133 |
| Dilon Technologies, Inc. | 2 | $125 |
| Applied Medical Resources Corporation | 1 | $88 |
| Astellas Pharma US Inc | 1 | $80 |
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
$4,794 in reported general payments places this provider in the 60th percentile of 35 urogynecology and reconstructive pelvic surgery providers in Massachusetts.
See all urogynecology and reconstructive pelvic surgery 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 |
|---|---|---|
| GemtesaVibegron | 146 | $129,391 |
| MyrbetriqMirabegron | 72 | $50,401 |
| Estradiol | 274 | $17,621 |
| Clobetasol Propionate | 23 | $2,270 |
| Methenamine Hippurate | 26 | $1,619 |
| Trospium Chloride | 30 | $1,154 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 101 | $862 |
| Cefpodoxime Proxetil | 13 | $530 |
| Amitriptyline Hcl | 11 | $176 |
| Ibuprofen | 29 | $145 |
| Oxycodone Hcl | 21 | $58 |
| Ciprofloxacin Hcl | 25 | $47 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 11 | $33 |
| Tamsulosin Hcl | 11 | $32 |
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 |
|---|---|---|
| Astellas Pharma US IncMyrbetriq | $80 | $50,40172 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 60th percentile of 35 urogynecology and reconstructive pelvic surgery providers in Massachusetts.
Other urogynecology and reconstructive pelvic surgery in Boston
- Lori JonesBoston$22K
- John Al JamalBoston$15K
- Youngwu KimBoston$14K
- Tsung MouBoston$10K
- Evelyn HallBoston$6K
- May WakamatsuBoston$4K
- Milena WeinsteinBoston$4K
- Edward KimBoston$3K
- Mallika AnandBoston$443
- Gnankang NapoeBoston$28
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.