Physician profile
Larry E Siref
NPI 1043219546
$8,454.06
in general payments reported to CMS, 2019-2025
47 companies · $1,057 in 2025
The $1,057 reported for 2025 was more than what a typical Urology provider received nationally (typical 2025 total: $631).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $1,458 · 2020: $785 · 2021: $1,447 · 2022: $1,392 · 2023: $1,203 · 2024: $1,112 · 2025: $1,057.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $3,337 · Education: $35.06.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $3,336.71 |
| Education | $35.06 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Abbvie INC. | $922.98 | 2019-2025 | Botox, Lupron Depot |
| Boston Scientific Corporation | $723.92 | 2019-2025 | Lithovue, Rezum Generator, Spaceoar Vue System - 10ml |
| Astellas Pharma US INC | $723.25 | 2019-2025 | Xtandi |
| Coloplast Corp | $613.54 | 2020-2025 | Speedicath |
| Janssen Biotech, INC. | $534.83 | 2019-2025 | Erleada, Akeega |
| Teleflex LLC | $513.71 | 2023-2024 | Urolift |
| Karl Storz Endoscopy-America | $339.88 | 2019-2022 | |
| Bayer Healthcare Pharmaceuticals INC. | $338.74 | 2019-2024 | |
| Accord Healthcare, INC. | $273.59 | 2022-2024 | |
| Endo Pharmaceuticals INC. | $266.08 | 2019-2023 | Aveed, Xiaflex |
| Merck Sharp & Dohme LLC | $264.13 | 2020-2025 | Keytruda, Lynparza, Keytruda Qlex |
| Janssen Scientific Affairs, LLC | $238.42 | 2019-2024 | Balversa, Erleada, Pipeline |
| Travere Therapeutics, INC. | $210.18 | 2019-2022 | |
| Pfizer INC. | $205.06 | 2019-2025 | |
| 180 Medical, INC. | $201.57 | 2019-2025 | Gentlecath |
Show all 47 companies
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Larry Siref listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.