Thomas Polascik, MD
Urology · Durham, NCNPI 1083798979
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $35,140 of the $53,812 with a category attached, or 65.3%. It is spread thinly across 15 manufacturers, the largest accounting for just 20.4%. 2025 is the largest year on record at $15,840, 3.7 times the $4,273 reported in 2019. Among urology clinicians in NC with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 54 payments — averaging $996.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Angiodynamics, Inc.$11K
- Boston Scientific$11K
- Pfizer$10K
- Varian Medical Systems, Inc.$6K
- Intuitive Surgical$6K
- EDAP Technomed Inc$4K
- plus $6K from 9 others
Across 58 payments — averaging $79,361 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.
- Janssen Research & Development, LLC$2M
- Merck$1.8M
- AstraZeneca$533K
- Bayer$96K
- Angiodynamics, Inc.$82K
- Pfizer$38K
- plus $913 from 1 others
What the payments were for
- Consulting fees$35,14065%
- Speaking & faculty fees$6,60012%
- Travel & lodging$5,93511%
- Food & beverage$1,4673%
- Education$4,5008%
- Gifts$1700%
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 |
|---|---|---|
| Angiodynamics, Inc. | 4 | $10,958 |
| Boston Scientific | 10 | $10,663 |
| Pfizer | 2 | $9,683 |
| Varian Medical Systems, Inc. | 6 | $6,414 |
| Intuitive Surgical | 15 | $6,193 |
| EDAP Technomed Inc | 7 | $3,635 |
| Progenics Pharmaceuticals, Inc. | 1 | $2,600 |
| Janssen Scientific Affairs, LLC | 2 | $2,028 |
| Ethicon Endo-surgery Inc. | 1 | $1,013 |
| Clinical Laserthermia Systems Americas Inc. | 1 | $174 |
| Dendreon Pharmaceuticals LLC | 1 | $141 |
| Medical Device Business Services, Inc. | 1 | $108 |
| Comsort, Inc | 1 | $100 |
| Profound Medical Corp. | 1 | $79 |
| Blue Earth Diagnostics | 1 | $24 |
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.
- Nanoknife$10,911
- GENERAL - THERAPIES$9,926
- XTANDI$9,683
- DA VINCI SP$4,500
- PYLARIFY$2,600
- Erleada$2,028
- Da Vinci Surgical System$1,458
- ACCOLADE SR$633
- MOBILE LASER UNIT$174
- PROVENGE$141
- KEYTRUDA$100
How this compares
$53,812 in reported general payments places this provider in the 90th percentile of 434 urology providers in North Carolina.
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 |
|---|---|---|
| Finasteride | 72 | $1,030 |
| Tamsulosin Hcl | 18 | $215 |
Paid to pharmacies, not to this prescriber.
Other urology in Durham
- Judd MoulDurham$1M
- Daniel GeorgeDurham$1M
- Glenn PremingerDurham$736K
- Michael LipkinDurham$293K
- Jay KimDurham$202K
- Andrew PetersonDurham$124K
- Cary RobertsonDurham$76K
- Brant InmanDurham$55K
- Robert MedairosDurham$27K
- Edward HouserDurham$16K
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.