Has Shireen Guide, MD received payments from drug or device companies?

Yes. Drug and device makers reported $568,893 in general payments to Shireen Guide, MD across 386 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Shireen Guide, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Shireen Guide, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Shireen Guide, MD

Pediatric Dermatology · Palo Alto, CANPI 1033287180

Payments from drug & device makers

$568,893in general payments, 2019–2025

Across 386 payments — averaging $1473.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Krystal Biotech Inc$301K
Boehringer Ingelheim$93K
Sanofi US Services Inc.$73K
Pfizer$47K
Boehringer Ingelheim International GmbH$25K
Organon$13K
plus $17K from 33 others

$41,440in research payments, 2019–2025

Across 20 payments — averaging $2072.02 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

Arcutis Biotherapeutics, Inc.$41K

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
Krystal Biotech Inc	53	$301,479
Boehringer Ingelheim	23	$92,997
Sanofi US Services Inc.	17	$72,771
Pfizer	65	$47,130
Boehringer Ingelheim International GmbH	16	$24,759
Organon	4	$13,009
Arcutis Biotherapeutics, Inc.	6	$8,572
Novartis	32	$3,465
Sanofi	19	$634
Incyte Corporation	25	$593
AbbVie(2 entities)	26	$570
Regeneron Healthcare Solutions, Inc.	15	$445
Solta Medical, A Division Of Bausch Health US, LLC	3	$234
Chiesi USA, Inc.	5	$225
Galderma Laboratories, L.p.	6	$219
LEO Pharma Inc.	8	$211
Avita Medical Americas, LLC	1	$175
Sun Pharmaceutical Industries Inc.	8	$161
Merz North America, Inc.	2	$156
Lilly USA, LLC	8	$133
Sanofi-aventis U.S. LLC	6	$119
Johnson & Johnson	4	$116
Amgen	6	$115
Ortho Dermatologics, A Division Of Bausch Health US, LLC	5	$107
EPI Health, LLC	3	$74
Biofrontera Inc.	3	$58
UCB, Inc.	1	$46
Blueprint Medicines Corporation	2	$40
E.r. Squibb & Sons, L.L.C.	2	$37
Verrica Pharmaceuticals Inc.	2	$35
DUSA Pharmaceuticals, Inc.	2	$33
Takeda Pharmaceuticals U.S.A., Inc.	1	$31
Almirall LLC	1	$25
Dermira, Inc.	1	$24
Janssen Scientific Affairs, LLC	1	$22
Mayne Pharma Commercial LLC	1	$22
Helsinn Therapeutics (U.S.), Inc.	1	$17
Bristol Myers Squibb	1	$17
Sensus Healthcare, Inc.	1	$16

How this compares

$568,893 in reported general payments places this provider in the 90th percentile of 36 pediatric dermatology providers in California.

See all pediatric dermatology providers in California →

Medicare billing

Part B allowed, 2024

$268,173

Medicare patients

304

Services billed

5,156

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.

Other pediatric dermatology in Palo Alto

Joyce TengPalo Alto$10M
Ilka NetravaliPalo Alto$26K
Dawn SiegelPalo Alto$12K
Amy GilliamPalo Alto$3K
Ann MarquelingPalo Alto$243
Chaw-Ning LeePalo Alto$31
Lawrence EichenfieldSan Diego$3.4M
Wynnis TomSan Diego$533K
Dawn EichenfieldSan Diego$320K
Smita AwasthiSacramento$140K

See the full list for California →

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.

Is this you, or does something look wrong? →