Alan Cowan, MD
Otolaryngology · Olympia, WANPI 1013111673
Payments from drug & device makers
Across 53 payments — averaging $24.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$459
- Stryker$212
- Regeneron Healthcare Solutions, Inc.$179
- Sanofi$161
- Intersect ENT, Inc.$52
- Phadia US Inc.$44
- plus $189 from 9 others
What the payments were for
- Food & beverage$1,294100%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 19 | $459 |
| Stryker | 6 | $212 |
| Regeneron Healthcare Solutions, Inc. | 8 | $179 |
| Sanofi | 6 | $161 |
| Intersect ENT, Inc. | 2 | $52 |
| Phadia US Inc. | 2 | $44 |
| Virtus Pharmaceuticals LLC | 2 | $38 |
| Aerin Medical Inc. | 1 | $31 |
| Smith+Nephew | 1 | $29 |
| Acclarent, Inc | 1 | $18 |
| AbbVie | 1 | $18 |
| Agile Therapeutics, Inc. | 1 | $16 |
| Itamar Medical Inc | 1 | $15 |
| Medtronic | 1 | $12 |
| Bayer | 1 | $11 |
How this compares
$1,294 in reported general payments places this provider in the 70th percentile of 254 otolaryngology providers in Washington.
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 |
|---|---|---|
| Ipratropium Bromide | 93 | $2,974 |
| Prednisone | 16 | $1,016 |
| Fluticasone Propionate | 48 | $951 |
| Omeprazole | 42 | $678 |
| Azelastine Hcl | 28 | $534 |
| Clobetasol Propionate | 12 | $347 |
| Triamcinolone Acetonide | 17 | $220 |
| Montelukast Sodium | 15 | $199 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Olympia
- Sung-Won KimOlympia$3K
- Nathan SautterOlympia$3K
- Matthew JungOlympia$3K
- Greg DavisPuyallup$951K
- Alan PokornySpokane$302K
- Richard CannonSeattle$69K
- John ParkerEdmonds$48K
- Ian HumphreysSeattle$43K
- Douglas BackousPuyallup$37K
- Craig MillerSeattle$24K
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.