Stanley Librach
Plastic Surgery · Chesterfield, MONPI 1346342920
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 114 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 18 manufacturers reported payments, led by Merz North America, Inc. at 28.0% of the total. Reporting peaked in 2019 at $4,546 and has fallen 98.9% since, to $52 in 2024.
Across 114 payments — averaging $49.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merz North America, Inc.$2K
- Integra Lifesciences Corporation$2K
- Axogen$812
- Organogenesis Inc.$481
- Orexo US, Inc.$260
- Smith+Nephew$253
- plus $763 from 12 others
What the payments were for
- Food & beverage$5,697100%
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 |
|---|---|---|
| Merz North America, Inc. | 12 | $1,597 |
| Integra Lifesciences Corporation | 20 | $1,531 |
| Axogen | 2 | $812 |
| Organogenesis Inc. | 29 | $481 |
| Orexo US, Inc. | 13 | $260 |
| Smith+Nephew | 20 | $253 |
| TEI Medical Inc. | 6 | $200 |
| Davol Inc. | 1 | $125 |
| KCI USA, Inc. | 1 | $122 |
| Celularity Inc. | 1 | $76 |
| Apyx Medical Corporation | 1 | $60 |
| Sonex Health, Inc. | 1 | $52 |
| AbbVie | 2 | $32 |
| Indivior Inc. | 1 | $25 |
| Galderma Laboratories, L.p. | 1 | $20 |
| Acell, Inc. | 1 | $19 |
| Acera Surgical, Inc. | 1 | $17 |
| Aroa Biosurgery Incorporated | 1 | $16 |
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.
- XEOMIN$1,252
- AMNIOEXCEL$1,124
- BILAYER WOUND MATRIX (BWM)$997
- INTEGRA WOUND MATRIX (IWM)$997
- IDRT$997
- FLOWABLE$997
- AxoGuard Nerve Connector$788
- AxoGuard Nerve Protector$788
- PRIMATRIX$127
- TCC-EZ$127
- PHASIX$125
- SNAP$122
How this compares
$5,697 in reported general payments places this provider in the 70th percentile of 88 plastic surgery providers in Missouri.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 65 | $13,333 |
| SuboxoneBuprenorphine Hcl/Naloxone Hcl | 11 | $6,972 |
| Buprenorphine Hcl | 20 | $348 |
| Ibuprofen | 17 | $200 |
| Vitamin D2Ergocalciferol (Vitamin D2) | 11 | $30 |
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 |
|---|---|---|
| Indivior Inc.Suboxone | $25 | $6,97211 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 70th percentile of 88 plastic surgery providers in Missouri.
Other plastic surgery in Chesterfield
- Deniz SarhaddiChesterfield$6K
- Scott GeigerChesterfield$2K
- Gerald LionelliChesterfield$2K
- Donald BuckSaint Louis$945K
- Amber LeisSaint Louis$133K
- Nicholas CalottaSaint Louis$47K
- Justin SacksSaint Louis$36K
- Rachel AnolikSaint Louis$33K
- Dennis NguyenSaint Louis$32K
- Alexander LinSaint Louis$31K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.