Nicholas J. Silvestri, M.D.
NPI 1073783858ActiveIndividual· Psychiatry & Neurology, Neuromuscular Medicine· Buffalo, NY
Psychiatry & Neurology, Neuromuscular Medicine (M.D.) in Buffalo, New York, licensed in NY, with an NPI issued in March 2008. Their prescriptions cost Medicare Part D more than their services did: $4,189,552 for 1,679 claims, against $61,151 paid for services in 2024. Argenx US, Inc. was the largest of 15 companies reporting payments in 2025, $98,619 in all, mostly speaking and faculty fees.
Overview
| NPI | 1073783858 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Mar 7, 2008 |
| Last updated in NPPES | Mar 25, 2025 |
| Certified by provider | Mar 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Neuromuscular Medicine Primary | 2084N0008X | 252113 | NY |
| Psychiatry & Neurology, Neurology | 2084N0400X | 252113 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Neurology (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 93 |
|---|---|
| Services billed | 8,446 across 22 procedure codes |
| Paid by Medicare | $61,151 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,679 · 2,403 30-day fills |
|---|---|
| Patients | 142 |
| Total drug cost | $4,189,552 |
| Generic share | 85% of claims |
Industry payments (Open Payments)
- 2025$98,619 · 90 payments from 15 companies
- 2024$219,824 · 176 payments from 21 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Argenx US, Inc. | $46,224 | 34 |
| Alexion Pharmaceuticals, Inc. | $14,083 | 15 |
| Ucb, Inc. | $13,201 | 13 |
| Janssen Biotech, Inc. | $12,919 | 13 |
| Janssen Scientific Affairs, LLC | $3,330 | 2 |
What the 2025 payments were for
- 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 · 20 payments
- Consulting Fee$41,252 · 12 payments
- Travel and Lodging$4,673 · 17 payments
- Food and Beverage$2,395 · 41 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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