Physician profile
Thomas A Genco
NPI 1497714398
$540.10
in general payments reported to CMS, 2019-2025
6 companies · $224 in 2025
The $224 reported for 2025 was more than what 77% of Pediatrics providers received nationally (typical 2025 total: $96.93).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $105 · 2020: $56.18 · 2021: $52.33 · 2022: $26.35 · 2023: $12.88 · 2024: $63.79 · 2025: $224.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $300.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $300.23 |
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 |
|---|---|---|---|
| Sanofi Pasteur INC. | $251.29 | 2019-2025 | |
| Merck Sharp & Dohme LLC | $135.31 | 2019-2024 | Vaxneuvance, Gardasil 9, Gardasil |
| Pfizer INC. | $77.36 | 2019-2025 | |
| Kaleo, INC. | $41.63 | 2019-2020 | |
| Ars Pharmaceuticals Operations, INC. | $18.73 | 2025 | Neffy |
| Ironshore Pharmaceuticals INC. | $15.78 | 2019 |
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 Thomas Genco 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.