Annette Pham, MD
Otolaryngology · Rockville, MDNPI 1013991884
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (59.4%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Stryker at 43.1% of the total. Reporting peaked in 2019 at $1,506 and has fallen 58.2% since, to $630 in 2025.
Across 102 payments — averaging $61.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$3K
- Aerin Medical Inc.$907
- Inspire Medical Systems, Inc.$455
- Acclarent, Inc$446
- Medtronic$411
- Regeneron Healthcare Solutions, Inc.$328
- plus $1K from 11 others
What the payments were for
- Consulting fees$1603%
- Travel & lodging$2,24636%
- Food & beverage$3,72459%
- Education$1372%
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 |
|---|---|---|
| Stryker | 28 | $2,699 |
| Aerin Medical Inc. | 21 | $907 |
| Inspire Medical Systems, Inc. | 7 | $455 |
| Acclarent, Inc | 6 | $446 |
| Medtronic(2 entities) | 5 | $411 |
| Regeneron Healthcare Solutions, Inc. | 5 | $328 |
| Neurent Medical Limited | 6 | $256 |
| Sanofi | 4 | $182 |
| Optinose US, Inc. | 7 | $169 |
| Smith+Nephew | 2 | $146 |
| Galderma Laboratories, L.p. | 4 | $74 |
| Sanofi-aventis U.S. LLC | 1 | $53 |
| Integra Lifesciences Corporation | 2 | $40 |
| ZOLL Respicardia, Inc. | 1 | $36 |
| AstraZeneca | 1 | $32 |
| Paratek Pharmaceuticals, Inc. | 1 | $19 |
| Intersect ENT, Inc. | 1 | $14 |
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
$6,268 in reported general payments places this provider in the 85th percentile of 222 otolaryngology providers in Maryland.
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 |
|---|---|---|
| Montelukast Sodium | 28 | $917 |
| Ipratropium Bromide | 19 | $869 |
| Pantoprazole Sodium | 19 | $509 |
| Fluticasone Propionate | 18 | $470 |
| Methylprednisolone | 17 | $88 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Rockville
- Esther KimRockville$7K
- Michael MorrisRockville$5K
- John BosworthRockville$4K
- Martin SorensenRockville$4K
- Michael SiegelRockville$4K
- Andrew LeeRockville$3K
- Seth OringherChevy Chase$429K
- Marc DubinBaltimore$350K
- Douglas RehLutherville Timonium$231K
- Patrick HaBaltimore$41K
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.