Spyros Siscos, MD
MOHS-Micrographic Surgery · Kansas City, MONPI 1154826204
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.6% of the total across 65 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 15 manufacturers, the largest accounting for just 19.6% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $851 and has fallen 71.6% since, to $242 in 2025. That places this record below the midpoint for mohs-micrographic surgery clinicians in MO, where the typical reported total is $3,755.
Across 65 payments — averaging $45.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$575
- Lilly USA, LLC$434
- Amgen$426
- Johnson & Johnson$364
- Sanofi$343
- Solta Medical, A Division Of Bausch Health US, LLC$265
- plus $524 from 9 others
What the payments were for
- Food & beverage$2,83197%
- Education$1003%
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(2 entities) | 17 | $575 |
| Lilly USA, LLC | 4 | $434 |
| Amgen | 8 | $426 |
| Johnson & Johnson | 18 | $364 |
| Sanofi | 4 | $343 |
| Solta Medical, A Division Of Bausch Health US, LLC | 1 | $265 |
| Pfizer | 3 | $138 |
| Janssen Scientific Affairs, LLC | 1 | $119 |
| Kerecis Limited | 1 | $113 |
| LEO Pharma Inc. | 3 | $56 |
| Convatec Inc. | 1 | $23 |
| Novartis | 1 | $21 |
| Sun Pharmaceutical Industries Inc. | 1 | $20 |
| Braintree Laboratories, Inc. | 1 | $19 |
| Mayne Pharma Commercial LLC | 1 | $14 |
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.
- Kerecis SurgiClose$454
- Otezla$233
- Skyrizi$123
- Rinvoq$121
- Tremfya$119
- Kerecis GraftGuide$113
- EUCRISA$109
- OLUMIANT$106
How this compares
$2,931 in reported general payments places this provider in the 40th percentile of 27 mohs-micrographic surgery providers in Missouri.
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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 28 | $285,475 |
| Dupixent PenDupilumab | 51 | $194,310 |
| OtezlaApremilast | 29 | $133,123 |
| Clobetasol Propionate | 210 | $8,214 |
| Fluorouracil | 71 | $5,543 |
| Tretinoin | 77 | $4,483 |
| Triamcinolone Acetonide | 289 | $4,471 |
| Doxycycline Hyclate | 261 | $3,594 |
| Ketoconazole | 242 | $3,482 |
| Clindamycin Phosphate | 79 | $2,380 |
| Tacrolimus | 19 | $1,741 |
| Hydrocortisone | 107 | $1,024 |
| Metronidazole | 11 | $922 |
| Minoxidil | 70 | $549 |
| Betamethasone Valerate | 11 | $332 |
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 |
|---|---|---|
| AmgenOtezla | $426 | $133,12329 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 40th percentile of 27 mohs-micrographic surgery providers in Missouri.
Other mohs-micrographic surgery in Kansas City
- Mark CohenKansas City$10K
- Mark KoryChesterfield$180K
- Ronald WheelandColumbia$109K
- Martha CouncilSaint Louis$38K
- Basia Michalski-McneelySaint Louis$12K
- Lindall PerryColumbia$11K
- Katherine GlaserHannibal$10K
- Andrew BasnettColumbia$10K
- Sino MehrmalSaint Louis$7K
- Michael SwannSpringfield$6K
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.