Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

Covered recipient · General Payments record

NICHOLAS J SILVESTRI

Allopathic & Osteopathic Physicians Psychiatry & Neurology Neuromuscular Medicine

NPI: 1073783858
CMS profile: 321679
Location: BUFFALO, NY

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

General Payments · PY2019–2025

CMS publication 2026-06-30

Latest program year · PY2025

$98,619.30

90 records · 0 disputed

Other CMS categories — not shown on this page

Research Payments

CMS also publishes Research Payments as a separate dataset. This site does not currently mirror it, and no research figure is shown on this page. This provider appears in that dataset.

“If you are a physician who served as a principal investigator on a research study, you may see the payments associated with that research study listed under your name. This does not necessarily mean the payments are attributed to you. The dollar amount of the record corresponds to the total payment; the amounts are not attributed to each individual on the record.”
— Centers for Medicare & Medicaid Services, Open Payments Frequently Asked Questions, FAQ #12224

These records are published by CMS and can be viewed on this provider’s official CMS record. View this provider on CMS Open Payments ↗

“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”
— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated

This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. Nothing is estimated, weighted, or combined across categories.
General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
Featured-page threshold (a presentation gate, not a judgment): (records>=3 OR total>=100) AND records>=2 AND NPI identity (all years).
Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of payment	Amount	Records
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$50,300.00	20
Consulting Fee	$41,251.66	12
Travel and Lodging	$4,672.70	17
Food and Beverage	$2,394.94	41

By paying entity

PY2025 · sorted by reported total

Paying entity	Amount	Records
ARGENX US, INC.	$46,223.79	34
Alexion Pharmaceuticals, Inc.	$14,083.38	15
UCB, Inc.	$13,201.31	13
Janssen Biotech, Inc.	$12,918.96	13
Janssen Scientific Affairs, LLC	$3,330.00	2
UCB SA	$3,200.00	1
Merck KGaA	$2,480.00	1
Takeda Pharmaceuticals U.S.A., Inc.	$1,335.00	1
Janssen Global Services, LLC	$970.00	1
VERTEX PHARMACEUTICALS INCORPORATED	$716.66	2
Biogen, Inc.	$52.88	2
PFIZER INC.	$32.36	2
EISAI INC.	$28.27	1
ABBVIE INC.	$23.60	1
Grifols USA, LLC	$23.09	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2019	$11,684.84	26
PY2020	$23,169.24	11
PY2021	$26,882.45	19
PY2022	$123,505.00	107
PY2023	$191,249.08	198
PY2024	$219,824.14	176
PY2025	$98,619.30	90

Payment records · PY2025 (90)

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Program year 2025 2019 2020 2021 2022 2023 2024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
PFIZER INC.	$16.20	10/06/2025	Food and Beverage	No dispute reported	06/30/2026	1229678328	CMS
UCB SA	$3,200.00	09/26/2025	Consulting Fee	No dispute reported	06/30/2026	1224347248	CMS
ARGENX US, INC.	$23,750.00	09/25/2025	Consulting Fee	No dispute reported	06/30/2026	1240431938	CMS
UCB, Inc.	$130.19	08/18/2025	Food and Beverage	No dispute reported	06/30/2026	1224365324	CMS
PFIZER INC.	$16.16	08/12/2025	Food and Beverage	No dispute reported	06/30/2026	1231671070	CMS
UCB, Inc.	$200.00	08/05/2025	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	No dispute reported	06/30/2026	1224365322	CMS
VERTEX PHARMACEUTICALS INCORPORATED	$258.33	07/22/2025	Consulting Fee	No dispute reported	06/30/2026	1213878356	CMS
Alexion Pharmaceuticals, Inc.	$2,360.00	07/18/2025	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	No dispute reported	06/30/2026	1202982222	CMS
Janssen Biotech, Inc.	$38.30	07/12/2025	Travel and Lodging	No dispute reported	06/30/2026	1175331967	CMS
Janssen Biotech, Inc.	$37.08	07/12/2025	Food and Beverage	No dispute reported	06/30/2026	1175332135	CMS
Janssen Biotech, Inc.	$25.00	07/12/2025	Food and Beverage	No dispute reported	06/30/2026	1175336523	CMS
ARGENX US, INC.	$27.56	07/10/2025	Food and Beverage	No dispute reported	06/30/2026	1240430054	CMS
ARGENX US, INC.	$3,750.00	07/10/2025	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	No dispute reported	06/30/2026	1240430056	CMS
ARGENX US, INC.	$19.66	07/10/2025	Travel and Lodging	No dispute reported	06/30/2026	1240430058	CMS
ARGENX US, INC.	$22.97	07/10/2025	Food and Beverage	No dispute reported	06/30/2026	1240430060	CMS
ARGENX US, INC.	$31.21	07/10/2025	Travel and Lodging	No dispute reported	06/30/2026	1240430062	CMS
ARGENX US, INC.	$16.97	07/10/2025	Travel and Lodging	No dispute reported	06/30/2026	1240430066	CMS
ARGENX US, INC.	$21.46	07/10/2025	Travel and Lodging	No dispute reported	06/30/2026	1240430068	CMS
ARGENX US, INC.	$27.96	07/10/2025	Travel and Lodging	No dispute reported	06/30/2026	1240430222	CMS
Janssen Biotech, Inc.	$10,575.00	07/07/2025	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	No dispute reported	06/30/2026	1175336340	CMS
UCB, Inc.	$1,300.00	07/01/2025	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	No dispute reported	06/30/2026	1224365320	CMS
ABBVIE INC.	$23.60	06/27/2025	Food and Beverage	No dispute reported	06/30/2026	1204299029	CMS
Alexion Pharmaceuticals, Inc.	$3,540.00	06/26/2025	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	No dispute reported	06/30/2026	1202955296	CMS
Alexion Pharmaceuticals, Inc.	$133.74	06/25/2025	Food and Beverage	No dispute reported	06/30/2026	1202928784	CMS
Alexion Pharmaceuticals, Inc.	$42.55	06/25/2025	Food and Beverage	No dispute reported	06/30/2026	1202946594	CMS
Alexion Pharmaceuticals, Inc.	$1,180.00	06/19/2025	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	No dispute reported	06/30/2026	1202931748	CMS
Biogen, Inc.	$22.08	06/18/2025	Food and Beverage	No dispute reported	06/30/2026	1208351334	CMS
ARGENX US, INC.	$3,750.00	06/17/2025	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	No dispute reported	06/30/2026	1240428052	CMS
ARGENX US, INC.	$242.20	06/17/2025	Travel and Lodging	No dispute reported	06/30/2026	1240428290	CMS
Janssen Biotech, Inc.	$8.28	06/13/2025	Food and Beverage	No dispute reported	06/30/2026	1175330724	CMS
Janssen Biotech, Inc.	$10.92	06/12/2025	Food and Beverage	No dispute reported	06/30/2026	1175334456	CMS
Janssen Biotech, Inc.	$41.56	06/11/2025	Food and Beverage	No dispute reported	06/30/2026	1175336624	CMS
Janssen Biotech, Inc.	$738.93	06/10/2025	Travel and Lodging	No dispute reported	06/30/2026	1175330595	CMS
Janssen Biotech, Inc.	$82.50	06/10/2025	Food and Beverage	No dispute reported	06/30/2026	1175331236	CMS
Janssen Biotech, Inc.	$567.66	06/10/2025	Travel and Lodging	No dispute reported	06/30/2026	1175334994	CMS
Janssen Biotech, Inc.	$17.22	06/10/2025	Food and Beverage	No dispute reported	06/30/2026	1175335689	CMS
Janssen Biotech, Inc.	$762.49	06/10/2025	Travel and Lodging	No dispute reported	06/30/2026	1175336484	CMS
Janssen Biotech, Inc.	$14.02	06/10/2025	Food and Beverage	No dispute reported	06/30/2026	1175337380	CMS
ARGENX US, INC.	$1,250.00	06/09/2025	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	No dispute reported	06/30/2026	1240426424	CMS
UCB, Inc.	$581.66	06/06/2025	Travel and Lodging	No dispute reported	06/30/2026	1224365314	CMS
UCB, Inc.	$676.36	06/06/2025	Travel and Lodging	No dispute reported	06/30/2026	1224365316	CMS
UCB, Inc.	$5,120.00	06/06/2025	Consulting Fee	No dispute reported	06/30/2026	1224365318	CMS
ARGENX US, INC.	$13.72	06/05/2025	Food and Beverage	No dispute reported	06/30/2026	1240440428	CMS
Janssen Global Services, LLC	$970.00	06/05/2025	Consulting Fee	No dispute reported	06/30/2026	1173805269	CMS
Eisai Inc.	$28.27	06/04/2025	Food and Beverage	No dispute reported	06/30/2026	1244502572	CMS
ARGENX US, INC.	$1,250.00	06/03/2025	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	No dispute reported	06/30/2026	1240426694	CMS
ARGENX US, INC.	$108.35	06/02/2025	Food and Beverage	No dispute reported	06/30/2026	1240430178	CMS
ARGENX US, INC.	$937.50	05/30/2025	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	No dispute reported	06/30/2026	1240428230	CMS
Alexion Pharmaceuticals, Inc.	$1,180.00	05/15/2025	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	No dispute reported	06/30/2026	1202941536	CMS
Alexion Pharmaceuticals, Inc.	$1,770.00	05/15/2025	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	No dispute reported	06/30/2026	1202942396	CMS
ARGENX US, INC.	$70.42	05/12/2025	Food and Beverage	No dispute reported	06/30/2026	1240432136	CMS
ARGENX US, INC.	$29.94	05/12/2025	Travel and Lodging	No dispute reported	06/30/2026	1240432200	CMS
ARGENX US, INC.	$125.00	05/08/2025	Food and Beverage	No dispute reported	06/30/2026	1240428286	CMS
Alexion Pharmaceuticals, Inc.	$88.06	05/06/2025	Food and Beverage	No dispute reported	06/30/2026	1202941822	CMS
ARGENX US, INC.	$55.00	05/06/2025	Travel and Lodging	No dispute reported	06/30/2026	1240430064	CMS
ARGENX US, INC.	$500.37	05/06/2025	Travel and Lodging	No dispute reported	06/30/2026	1240430070	CMS
ARGENX US, INC.	$149.73	05/06/2025	Travel and Lodging	No dispute reported	06/30/2026	1240430146	CMS
ARGENX US, INC.	$2,187.50	04/25/2025	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	No dispute reported	06/30/2026	1240425015	CMS
ARGENX US, INC.	$1,875.00	04/18/2025	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	No dispute reported	06/30/2026	1240432278	CMS
Alexion Pharmaceuticals, Inc.	$130.65	04/08/2025	Food and Beverage	No dispute reported	06/30/2026	1202951558	CMS
ARGENX US, INC.	$28.03	04/08/2025	Food and Beverage	No dispute reported	06/30/2026	1240424402	CMS
UCB, Inc.	$39.53	04/07/2025	Food and Beverage	No dispute reported	06/30/2026	1224365310	CMS
UCB, Inc.	$150.00	04/07/2025	Food and Beverage	No dispute reported	06/30/2026	1224365312	CMS
Alexion Pharmaceuticals, Inc.	$124.99	04/06/2025	Food and Beverage	No dispute reported	06/30/2026	1202976324	CMS
Biogen, Inc.	$30.80	04/05/2025	Food and Beverage	No dispute reported	06/30/2026	1208331099	CMS
UCB, Inc.	$20.95	04/05/2025	Food and Beverage	No dispute reported	06/30/2026	1224365308	CMS
ARGENX US, INC.	$74.67	04/04/2025	Food and Beverage	No dispute reported	06/30/2026	1240432138	CMS
ARGENX US, INC.	$86.55	04/04/2025	Food and Beverage	No dispute reported	06/30/2026	1240432176	CMS
ARGENX US, INC.	$19.69	04/04/2025	Food and Beverage	No dispute reported	06/30/2026	1240432210	CMS
ARGENX US, INC.	$19.69	04/04/2025	Food and Beverage	No dispute reported	06/30/2026	1240432212	CMS
Janssen Scientific Affairs, LLC	$1,665.00	04/03/2025	Consulting Fee	No dispute reported	06/30/2026	1174181672	CMS
Alexion Pharmaceuticals, Inc.	$175.00	03/27/2025	Consulting Fee	No dispute reported	06/30/2026	1202967112	CMS
Alexion Pharmaceuticals, Inc.	$885.00	03/24/2025	Consulting Fee	No dispute reported	06/30/2026	1202973966	CMS
VERTEX PHARMACEUTICALS INCORPORATED	$458.33	03/06/2025	Consulting Fee	No dispute reported	06/30/2026	1213863764	CMS
ARGENX US, INC.	$129.94	03/04/2025	Food and Beverage	No dispute reported	06/30/2026	1240421427	CMS
ARGENX US, INC.	$27.70	03/04/2025	Food and Beverage	No dispute reported	06/30/2026	1240421429	CMS
Alexion Pharmaceuticals, Inc.	$2,360.00	02/27/2025	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	No dispute reported	06/30/2026	1202969014	CMS
Grifols USA, LLC	$23.09	02/26/2025	Food and Beverage	No dispute reported	06/30/2026	1249538944	CMS
UCB, Inc.	$138.54	02/25/2025	Food and Beverage	No dispute reported	06/30/2026	1224365306	CMS
Janssen Scientific Affairs, LLC	$1,665.00	02/20/2025	Consulting Fee	No dispute reported	06/30/2026	1174205643	CMS
Merck KGaA	$2,480.00	02/14/2025	Consulting Fee	No dispute reported	06/30/2026	1234988870	CMS
UCB, Inc.	$212.80	02/11/2025	Travel and Lodging	No dispute reported	06/30/2026	1224365302	CMS
UCB, Inc.	$4,500.00	02/11/2025	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	No dispute reported	06/30/2026	1224365304	CMS
Alexion Pharmaceuticals, Inc.	$106.88	02/03/2025	Food and Beverage	No dispute reported	06/30/2026	1202957240	CMS
ARGENX US, INC.	$1,250.00	01/30/2025	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	No dispute reported	06/30/2026	1240423536	CMS
UCB, Inc.	$131.28	01/30/2025	Food and Beverage	No dispute reported	06/30/2026	1224365300	CMS
ARGENX US, INC.	$3,750.00	01/10/2025	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	No dispute reported	06/30/2026	1240416614	CMS
ARGENX US, INC.	$625.00	01/10/2025	Consulting Fee	No dispute reported	06/30/2026	1240417120	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$1,335.00	01/09/2025	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	No dispute reported	06/30/2026	1223794962	CMS
Alexion Pharmaceuticals, Inc.	$6.51	01/08/2025	Food and Beverage	No dispute reported	06/30/2026	1202915026	CMS

Source & provenance

Dataset: CMS Open Payments — General Payments
Publisher of source data: Centers for Medicare & Medicaid Services
CMS publication date: 2026-06-30
Program years on this page: 2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files: Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from: OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.

Cite this record.

Permalink https://industrypayments.org/provider/npi-1073783858

Plain: NICHOLAS J SILVESTRI, NPI 1073783858. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1073783858.
APA 7: IndustryPayments. (2026). NICHOLAS J SILVESTRI, NPI 1073783858 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1073783858
Bluebook: NICHOLAS J SILVESTRI, NPI 1073783858, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1073783858.

Source: Centers for Medicare & Medicaid Services, Open Payments.