Vladimir Zagrebelsky
Geriatric Medicine · Philadelphia, PANPI 1346287000
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 59 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 20 manufacturers, the largest accounting for just 16.0% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $2,700 and has fallen 86.1% since, to $375 in 2025. Among geriatric medicine clinicians in PA 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 59 payments — averaging $106.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$998
- Johnson & Johnson$949
- AbbVie$698
- Novo Nordisk$679
- Lilly USA, LLC$425
- E.r. Squibb & Sons, L.L.C.$419
- plus $2K from 14 others
What the payments were for
- Food & beverage$6,257100%
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 |
|---|---|---|
| AstraZeneca | 8 | $998 |
| Johnson & Johnson(2 entities) | 8 | $949 |
| AbbVie | 7 | $698 |
| Novo Nordisk | 6 | $679 |
| Lilly USA, LLC | 8 | $425 |
| E.r. Squibb & Sons, L.L.C. | 4 | $419 |
| Aimmune Therapeutics, Inc. | 2 | $250 |
| Amgen | 2 | $250 |
| Amarin Pharma, Inc. | 2 | $249 |
| GSK | 2 | $202 |
| Boston Scientific | 1 | $129 |
| Phathom Pharmaceuticals, Inc. | 1 | $125 |
| Nestle Healthcare Nutrition Inc. | 1 | $125 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $125 |
| Sanofi-aventis U.S. LLC | 1 | $125 |
| Intuity Medical Inc | 1 | $117 |
| Esperion Therapeutics, Inc. | 1 | $114 |
| Avanir Pharmaceuticals, Inc. | 1 | $103 |
| Daiichi Sankyo Inc. | 1 | $95 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $82 |
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
$6,257 in reported general payments places this provider in the 90th percentile of 217 geriatric medicine providers in Pennsylvania.
Other geriatric medicine in Philadelphia
- Richard StefanacciPhiladelphia$146K
- Michele ZaworaPhiladelphia$21K
- Jason KarlawishPhiladelphia$11K
- Ellen ZagrebelskyPhiladelphia$7K
- Katherine GalluzziPhiladelphia$7K
- Lesley CarsonPhiladelphia$3K
- Helen VolokhonskyPhiladelphia$3K
- Jerry JohnsonPhiladelphia$2K
- Nicol JosephPhiladelphia$528
- James LinErie$73K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.