Shannon Smiley, PA
Physician Assistant · Poughkeepsie, NYNPI 1326678426
Payments from drug & device makers
Across 193 payments — averaging $20.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$584
- Pfizer$429
- Lilly USA, LLC$333
- Exact Sciences$283
- Novo Nordisk$277
- Otsuka America Pharmaceutical, Inc.$231
- plus $2K from 21 others
What the payments were for
- Food & beverage$4,003100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| AbbVie | 34 | $584 |
| Pfizer | 19 | $429 |
| Lilly USA, LLC | 22 | $333 |
| Exact Sciences | 9 | $283 |
| Novo Nordisk | 20 | $277 |
| Otsuka America Pharmaceutical, Inc. | 9 | $231 |
| AstraZeneca | 10 | $225 |
| Bayer | 14 | $199 |
| GSK | 6 | $155 |
| Lundbeck LLC | 6 | $153 |
| Sanofi-aventis U.S. LLC | 5 | $150 |
| Si-bone, Inc. | 1 | $124 |
| Boehringer Ingelheim | 5 | $109 |
| Merck | 6 | $107 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 5 | $107 |
| Kyowa Kirin, Inc. | 3 | $85 |
| Amgen | 4 | $83 |
| Coloplast | 1 | $58 |
| Axsome Therapeutics, Inc. | 2 | $47 |
| Amneal Pharmaceuticals LLC | 2 | $44 |
| Esperion Therapeutics, Inc. | 2 | $42 |
| Boston Scientific | 2 | $38 |
| Sumitomo Pharma America, Inc. | 2 | $35 |
| CSL Behring | 1 | $31 |
| Eisai Inc. | 1 | $26 |
| Abbott | 1 | $24 |
| Insulet Corporation | 1 | $24 |
How this compares
$4,003 in reported general payments places this provider in the 90th percentile of 11,358 physician assistant 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 |
|---|---|---|
| Gabapentin | 49 | $440 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 19 | $148 |
| Azithromycin | 27 | $116 |
| Methylprednisolone | 15 | $106 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 11 | $92 |
| Ciprofloxacin Hcl | 14 | $85 |
| Tizanidine Hcl | 11 | $53 |
| Cyclobenzaprine Hcl | 17 | $51 |
| Amoxicillin | 16 | $51 |
| Meloxicam | 22 | $43 |
| Prednisone | 17 | $34 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Poughkeepsie
- Henry YuBronx$1M
- Michael AsbachAmherst$962K
- Janelle BunceJamestown$565K
- Kristyl Cuenca-SiskoNew York$478K
- Melissa WhiteGarden City$320K
- Lawrence HermanHolbrook$315K
- Kaitlyn NelsonBrooklyn$289K
- Sari KatzGarden City$271K
- Julius NwosuBronx$256K
- Cameron KiserNew York$225K
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.