Brandon Shepherd, MD
Otolaryngology · Germantown, TNNPI 1548614290
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,446 of the $7,127 with a category attached, or 76.4%. 21 manufacturers reported payments, led by Inspire Medical Systems, Inc. at 37.5% of the total. 2025 is the largest year on record at $2,206, 5.0 times the $440 reported in 2019.
Across 142 payments — averaging $50.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$3K
- Medtronic$1K
- Sanofi$658
- Intersect ENT, Inc.$460
- Integra Lifesciences Corporation$431
- Aerin Medical Inc.$387
- plus $1K from 15 others
What the payments were for
- Travel & lodging$1,55022%
- Food & beverage$5,44676%
- Education$1312%
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. | 36 | $2,674 |
| Medtronic(2 entities) | 21 | $1,384 |
| Sanofi | 24 | $658 |
| Intersect ENT, Inc. | 5 | $460 |
| Integra Lifesciences Corporation | 5 | $431 |
| Aerin Medical Inc. | 9 | $387 |
| GSK | 21 | $366 |
| Acclarent, Inc | 2 | $155 |
| Zimmer Biomet | 1 | $123 |
| Smith+Nephew | 2 | $112 |
| Neurent Medical Limited | 3 | $82 |
| Sanofi-aventis U.S. LLC | 1 | $57 |
| Merck | 2 | $34 |
| Genentech USA, Inc. | 2 | $30 |
| Regeneron Healthcare Solutions, Inc. | 1 | $30 |
| Advanced Bionics, LLC | 2 | $30 |
| Lilly USA, LLC | 1 | $29 |
| Hologic Sales And Service, LLC | 1 | $25 |
| Pentax Of America, Inc. | 1 | $24 |
| Baxter Healthcare | 1 | $23 |
| Livanova USA, Inc. | 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.
- Inspire Upper Airway Stimulation System$1,451
- Inspire$679
- PROPEL$366
- Acclarent Aera$272
- Inspira Air$272
- RELIEVA SPINPLUS NAV$272
- TruDi Probe$272
- Traumaone$123
- Relieva Spinplus$105
How this compares
$7,127 in reported general payments places this provider in the 85th percentile of 191 otolaryngology providers in Tennessee.
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 | 66 | $1,488 |
| Azelastine Hcl | 70 | $1,309 |
| Omeprazole | 109 | $722 |
| Famotidine | 77 | $613 |
| Doxycycline Hyclate | 47 | $451 |
| Fluticasone Propionate | 24 | $364 |
| Mupirocin | 49 | $340 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 28 | $304 |
| Montelukast Sodium | 13 | $196 |
| Ondansetron OdtOndansetron | 14 | $57 |
| Cephalexin | 17 | $54 |
| Prednisone | 14 | $38 |
| Ondansetron Hcl | 20 | $33 |
| Tramadol Hcl | 24 | $33 |
| Meclizine Hcl | 11 | $22 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Germantown
- Dean KlugGermantown$37K
- John TouliatosGermantown$5K
- Rakesh ChandraNashville$381K
- David FortuneHermitage$298K
- Grady BryantHermitage$74K
- Marion GillespieMemphis$67K
- Clyde MathisonFarragut$66K
- Michael TopfNashville$36K
- John GleysteenMemphis$25K
- Allan RosenbaumPowell$21K
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.