Afser Shariff, MD
Otolaryngology · Toledo, OHNPI 1114920378
Payments from drug & device makers
Across 192 payments — averaging $22.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$726
- Sanofi$681
- Optinose US, Inc.$579
- Regeneron Healthcare Solutions, Inc.$527
- Stryker$348
- Inspire Medical Systems, Inc.$224
- plus $1K from 20 others
What the payments were for
- Food & beverage$4,27699%
- Education$521%
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 |
|---|---|---|
| AbbVie | 45 | $726 |
| Sanofi | 22 | $681 |
| Optinose US, Inc. | 23 | $579 |
| Regeneron Healthcare Solutions, Inc. | 31 | $527 |
| Stryker | 8 | $348 |
| Inspire Medical Systems, Inc. | 3 | $224 |
| Pfizer | 11 | $185 |
| GSK | 10 | $178 |
| Aerin Medical Inc. | 5 | $135 |
| Acclarent, Inc | 3 | $99 |
| Smith+Nephew | 5 | $91 |
| Medtronic | 2 | $85 |
| Amgen | 3 | $66 |
| Grifols USA, LLC | 2 | $58 |
| Integra Lifesciences Corporation | 3 | $52 |
| AstraZeneca | 2 | $49 |
| Alk-abello, Inc | 2 | $38 |
| Axogen | 2 | $35 |
| Phadia US Inc. | 2 | $35 |
| Lilly USA, LLC | 2 | $35 |
| Johnson & Johnson | 1 | $20 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $19 |
| Kowa Pharmaceuticals America, Inc. | 1 | $18 |
| Vertex | 1 | $16 |
| Hikma Pharmaceuticals USA | 1 | $14 |
| Hologic Sales And Service, LLC | 1 | $13 |
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
$4,328 in reported general payments places this provider in the 80th percentile of 380 otolaryngology providers in Ohio.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Azelastine Hcl | 143 | $3,572 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 30 | $3,175 |
| Ipratropium Bromide | 108 | $2,883 |
| Famotidine | 290 | $1,772 |
| Fluticasone Propionate | 109 | $1,406 |
| Fluocinolone Acetonide Oil | 26 | $1,017 |
| Budesonide | 13 | $764 |
| Nortriptyline Hcl | 43 | $432 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 27 | $424 |
| Tobramycin-DexamethasoneTobramycin/Dexamethasone | 12 | $421 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 78 | $386 |
| Omeprazole | 73 | $345 |
| Clindamycin Hcl | 19 | $150 |
| RizatriptanRizatriptan Benzoate | 18 | $149 |
| Topiramate | 27 | $147 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Toledo
- Christopher PerryToledo$11K
- Vincent TomaToledo$9K
- Oliver AdunkaColumbus$1M
- Raj SindwaniCleveland$626K
- Mark MehleCleveland$403K
- Cameron WickCleveland$401K
- Troy WoodardCleveland$392K
- Ahmad SedaghatCincinnati$270K
- Eugene ChioColumbus$247K
- Subinoy DasColumbus$142K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.