Andrew Winkler, MD
Otolaryngology · Aurora, CONPI 1275621492
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $44,600 of the $68,133 with a category attached, or 65.5%. Stryker accounts for 99.2% of it on its own, with 3 other manufacturers making up the rest. 2025 is the largest year on record at $58,871, more than ten times the $347 reported in 2022. Among otolaryngology clinicians in CO with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 85 payments — averaging $801.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$68K
- Medtronic$175
- Johnson & Johnson$171
- Aerin Medical Inc.$168
What the payments were for
- Consulting fees$44,60065%
- Travel & lodging$21,38531%
- Food & beverage$2,1483%
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 |
|---|---|---|
| Stryker | 81 | $67,619 |
| Medtronic | 1 | $175 |
| Johnson & Johnson | 2 | $171 |
| Aerin Medical Inc. | 1 | $168 |
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.
- VSP SYSTEM, VSP CRANIAL$82,639
- NA$20,728
- MEDPOR$3,792
- SMARTLOCK$2,627
- PTEYE PARATHYROID DETECTION SYSTEM$175
- VIVAER STYLUS$168
- RHINAER STYLUS$168
- MATRIXMIDFACE$135
How this compares
$68,133 in reported general payments places this provider in the 95th percentile of 174 otolaryngology providers in Colorado.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 20 | $143 |
| Cephalexin | 20 | $86 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Aurora
- Vijay RamakrishnanAurora$128K
- Ashoke KhanwalkarAurora$28K
- Stephen CassAurora$11K
- Herman JenkinsAurora$5K
- Anne GetzAurora$5K
- Todd KingdomAurora$3K
- Geoffrey FerrilAurora$3K
- Brian CervenkaAurora$3K
- Joseph GonzalezAurora$2K
- Kimberly NelsonAurora$2K
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.