Thomas Smirniotopoulos
Pulmonary Disease · Alexandria, VANPI 1902979727
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.1% of the total across 111 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 17 manufacturers, the largest accounting for just 23.5% — the pattern of someone who eats at a lot of different presentations. That places this record below the midpoint for pulmonary disease clinicians in VA, where the typical reported total is $1,962.
Across 111 payments — averaging $18.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$475
- AstraZeneca$297
- Boehringer Ingelheim$238
- Insmed, Inc.$177
- Actelion Pharmaceuticals US, Inc.$144
- Mylan Specialty L.p.$137
- plus $549 from 11 others
What the payments were for
- Food & beverage$1,91895%
- Education$995%
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 |
|---|---|---|
| GSK | 33 | $475 |
| AstraZeneca | 18 | $297 |
| Boehringer Ingelheim | 12 | $238 |
| Insmed, Inc. | 5 | $177 |
| Actelion Pharmaceuticals US, Inc. | 7 | $144 |
| Mylan Specialty L.p. | 7 | $137 |
| Sunovion Pharmaceuticals Inc. | 6 | $110 |
| Merck | 5 | $93 |
| Grifols USA, LLC | 4 | $72 |
| Regeneron Healthcare Solutions, Inc. | 3 | $49 |
| Sanofi | 3 | $48 |
| Gilead | 2 | $47 |
| Resmed Corp | 1 | $33 |
| Philips North America LLC | 2 | $30 |
| Johnson & Johnson | 1 | $26 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $24 |
| Shire North American Group Inc | 1 | $19 |
How this compares
$2,017 in reported general payments places this provider in the 50th percentile of 317 pulmonary disease providers in Virginia.
Other pulmonary disease in Alexandria
- Steven NathanFalls Church$1.5M
- Omar MinaiHopewell$1.3M
- Rabih HalabiFalls Church$604K
- Eric LibreAnnandale$302K
- Sujoy GillRichmond$296K
- Imre NothCharlottesville$256K
- Carlos SilvaChesapeake$245K
- Vijay SubramaniamWilliamsburg$228K
- Ellen VolkerCharlottesville$177K
- Himanshu DesaiChesapeake$174K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.