Has Brent Senior, MD received payments from drug or device companies?

Yes. Drug and device makers reported $90,727 in general payments to Brent Senior, MD across 143 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Brent Senior, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Brent Senior, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Brent Senior, MD

Otolaryngology · Chapel Hill, NCNPI 1477654069

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $69,350 of the $90,727 with a category attached, or 76.4%. Stryker accounts for 62.4% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2022 at $35,794 and has fallen 77.6% since, to $8,004 in 2025. Among otolaryngology clinicians in NC 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.

$90,727in general payments, 2019–2025

Across 143 payments — averaging $634.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Stryker$57K
Neurent Medical Limited$23K
Medtronic$4K
Spirair, Inc.$4K
Aerin Medical Inc.$959
Integra Lifesciences Corporation$639
plus $2K from 8 others

What the payments were for

Consulting fees$69,35076%
Speaking & faculty fees$1,9002%
Travel & lodging$12,22213%
Food & beverage$7,2558%

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	64	$56,620
Neurent Medical Limited	14	$23,033
Medtronic(2 entities)	19	$3,903
Spirair, Inc.	3	$3,895
Aerin Medical Inc.	9	$959
Integra Lifesciences Corporation	6	$639
Acclarent, Inc	7	$515
GSK	6	$475
Intersect ENT, Inc.	2	$254
AstraZeneca	2	$119
Optinose US, Inc.	5	$109
Novartis	2	$94
Regeneron Healthcare Solutions, Inc.	2	$70
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC	2	$43

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.

SCOPIS ENT$37,561
CLARIFIX CRYOTHERAPY DEVICE$32,700
XPRESS ENT DILATION SYSTEM$23,904
NEUROMARK Device$22,712
NEUROMARK Radiofrequency Console$22,604
LATERA$20,556
XPRESS LOPROFILE$13,630
SHAVER SYSTEM$12,300
ENTELLUS MEDICAL FOCESS SINUSCOPE$12,300
ORTHOMAP$11,700
SeptAlign$7,790
TURBALIGN$7,139
TGS GUIDEWIRE$3,000
STRAIGHTSHOT$1,900
FOCESS$1,500
NASOPORE$1,500
PROPEL$1,301
XEROGEL NASAL/EPISTAXIS 2 PACK$600
CLARIFIX$600
Acclarent Aera$559

How this compares

$90,727 in reported general payments places this provider in the 95th percentile of 362 otolaryngology providers in North Carolina.

See all otolaryngology providers in North Carolina →

Medicare billing

Part B allowed, 2024

$146,727

Medicare patients

215

Services billed

934

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
Dupixent SyringeDupilumab	13	$48,453
Mometasone Furoate	24	$5,296
Ipratropium Bromide	99	$3,416
Doxycycline Hyclate	96	$1,506
Azithromycin	71	$1,165
Montelukast Sodium	47	$538
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav	23	$391
Mupirocin	17	$312
Fluticasone Propionate	27	$260
Prednisone	46	$114

Paid to pharmacies, not to this prescriber.

Other otolaryngology in Chapel Hill

Charles EbertChapel Hill$57K
Harold PillsburyChapel Hill$42K
Nicholas ThompsonChapel Hill$24K
Anne SelleckChapel Hill$7K
Daniel AliceaChapel Hill$5K
Matthew MillerChapel Hill$5K
Trevor HackmanChapel Hill$4K
Justin MillerChapel Hill$4K
Carlton ZdanskiChapel Hill$4K
Doris LinChapel Hill$4K

See the full list for North Carolina →

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.

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