RxDoctor Payments Data

Thomas Guttuso, MD

Neurology · Buffalo, NYNPI 1134192404

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $15,700 of the $18,297 with a category attached, or 85.8%. Acorda Therapeutics, Inc accounts for 94.2% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2019 at $16,106 and has fallen 98.5% since, to $235 in 2025.

$18,297in general payments, 2019–2025

Across 68 payments — averaging $269.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Acorda Therapeutics, Inc$17K
  • MDD US Operations, LLC$278
  • AbbVie$179
  • Teva Pharmaceuticals USA, Inc.$166
  • Medtronic$158
  • Neurocrine Biosciences, Inc.$82
  • plus $206 from 6 others
$177,537in research payments, 2019–2025

Across 10 payments — averaging $17,754 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.

  • UCB SA$172K
  • Biogen$6K

What the payments were for

  • Speaking & faculty fees$15,70086%
  • Travel & lodging$8845%
  • Food & beverage$1,7029%
  • Education$110%

General payments by program year

19
20
21
22
23
24
25

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.

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.

How this compares

$18,297 in reported general payments places this provider in the 80th percentile of 1,623 neurology providers in New York.

See all neurology providers in New York →

Medicare billing

Part B allowed, 2024
$89,695
Medicare patients
95
Services billed
10,763

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

DrugClaimsCost to plans & patients
Gammagard LiquidImmun Glob G(Igg)/Gly/Iga Ov5013$82,985
Carbidopa-LevodopaCarbidopa/Levodopa780$63,473
Rasagiline Mesylate129$28,778
RytaryCarbidopa/Levodopa12$24,111
Selegiline Hcl92$10,451
AmantadineAmantadine Hcl144$5,584
Rivastigmine17$4,540
Carbidopa-Levodopa ErCarbidopa/Levodopa54$3,448
Fludrocortisone Acetate56$3,175
Primidone84$3,079
Gabapentin166$2,370
Propranolol Hcl ErPropranolol Hcl49$2,180
Pramipexole DihydrochloridePramipexole Di-Hcl72$2,068
Midodrine Hcl27$1,614
Donepezil Hcl133$1,536

Paid to pharmacies, not to this prescriber.

Other neurology in Buffalo

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Where these figures come from

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