Shelly Epstein, MD
Psychiatry · Smithtown, NYNPI 1255407987
Payments from drug & device makers
Across 427 payments — averaging $22.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Validus Pharmaceuticals LLC$1K
- AbbVie$986
- Otsuka America Pharmaceutical, Inc.$813
- Teva Pharmaceuticals USA, Inc.$808
- Sunovion Pharmaceuticals Inc.$805
- Alkermes, Inc.$769
- plus $4K from 26 others
What the payments were for
- Food & beverage$9,726100%
- Education$200%
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 |
|---|---|---|
| Validus Pharmaceuticals LLC | 13 | $1,436 |
| AbbVie(2 entities) | 53 | $986 |
| Otsuka America Pharmaceutical, Inc. | 43 | $813 |
| Teva Pharmaceuticals USA, Inc. | 35 | $808 |
| Sunovion Pharmaceuticals Inc. | 50 | $805 |
| Alkermes, Inc. | 26 | $769 |
| Lundbeck LLC | 37 | $731 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 34 | $606 |
| Merck | 21 | $371 |
| Neurocrine Biosciences, Inc. | 13 | $327 |
| Takeda Pharmaceuticals U.S.A., Inc. | 13 | $235 |
| Axsome Therapeutics, Inc. | 6 | $222 |
| Johnson & Johnson | 11 | $217 |
| Neuronetics, Inc. | 9 | $199 |
| Alfasigma USA, Inc. | 11 | $198 |
| Idorsia Pharmaceuticals US Inc | 9 | $172 |
| Bausch Health US, LLC | 6 | $123 |
| Indivior Inc. | 5 | $99 |
| Eisai Inc. | 5 | $89 |
| Vanda Pharmaceuticals Inc. | 4 | $80 |
| Novo Nordisk | 3 | $65 |
| Jazz Pharmaceuticals Inc. | 3 | $61 |
| Shire North American Group Inc | 3 | $58 |
| Ironshore Pharmaceuticals Inc. | 3 | $53 |
| Orexo US, Inc. | 3 | $48 |
| Corium, LLC | 2 | $37 |
| E.r. Squibb & Sons, L.L.C. | 1 | $30 |
| Bioxcel Therapeutics, Inc. | 1 | $26 |
| Almatica Pharma LLC | 1 | $25 |
| Supernus Pharmaceuticals, Inc. | 1 | $23 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 1 | $20 |
| Kaleo, Inc. | 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.
- Equetro$1,316
- LYBALVI$480
- ARISTADA$425
- SUNOSI$122
- ARISTADA INITIO$106
How this compares
$9,747 in reported general payments places this provider in the 90th percentile of 3,713 psychiatry 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 |
|---|---|---|
| VraylarCariprazine Hcl | 23 | $42,744 |
| BelsomraSuvorexant | 68 | $28,919 |
| Aripiprazole | 110 | $13,171 |
| Depakote ErDivalproex Sodium | 11 | $8,691 |
| Desvenlafaxine Succinate ErDesvenlafaxine Succinate | 160 | $8,307 |
| Bupropion XlBupropion Hcl | 166 | $2,589 |
| Duloxetine Hcl | 99 | $1,943 |
| Mirtazapine | 104 | $1,812 |
| Trazodone Hcl | 78 | $1,347 |
| Quetiapine Fumarate | 56 | $1,269 |
| Alprazolam | 191 | $1,240 |
| Lamotrigine | 137 | $1,152 |
| Clozapine | 38 | $1,131 |
| Clonazepam | 128 | $1,020 |
| Quetiapine Fumarate ErQuetiapine Fumarate | 16 | $1,014 |
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 |
|---|---|---|
| AbbVieVraylar | $986 | $42,74423 claims |
| MerckBelsomra | $371 | $28,91968 claims |
| Almatica Pharma LLCSertraline Hcl | $25 | $66763 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 3,713 psychiatry providers in New York.
Other psychiatry in Smithtown
- Elyssa BarronWhite Plains$12.8M
- Mark DibuonoStaten Island$11.9M
- Ronald BrennerHempstead$11.5M
- Anton PorsteinssonRochester$7.6M
- Michael LiebowitzNew York$7.1M
- Leslie CitromePomona$5.7M
- John KaneGlen Oaks$4M
- Inna Yuryev-GolgerBrooklyn$3M
- Subhdeep VirkBuffalo$3M
- Paul EderNew York$2.7M
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.