Brian Affleck, MD
Otolaryngology · Nampa, IDNPI 1386633824
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,912 of the $4,719 with a category attached, or 61.7%. Inspire Medical Systems, Inc. accounts for 70.5% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2022 at $2,532 and has fallen 98.1% since, to $49 in 2025. Among otolaryngology clinicians in ID with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 51 payments — averaging $92.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$3K
- Stryker$991
- Regeneron Healthcare Solutions, Inc.$148
- Cochlear Americas$64
- Intersect ENT, Inc.$54
- Aerin Medical Inc.$27
- plus $111 from 6 others
What the payments were for
- Travel & lodging$1,78838%
- Food & beverage$2,91262%
- Education$80%
- Gifts$120%
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. | 11 | $3,325 |
| Stryker | 24 | $991 |
| Regeneron Healthcare Solutions, Inc. | 3 | $148 |
| Cochlear Americas | 3 | $64 |
| Intersect ENT, Inc. | 3 | $54 |
| Aerin Medical Inc. | 1 | $27 |
| Kls-martin L.p. | 1 | $24 |
| Livanova USA, Inc. | 1 | $24 |
| Arrinex, Inc. | 1 | $17 |
| GSK | 1 | $16 |
| Heron Therapeutics, Inc. | 1 | $16 |
| Ambu 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.
How this compares
$4,719 in reported general payments places this provider in the 90th percentile of 40 otolaryngology providers in Idaho.
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 |
|---|---|---|
| Pilocarpine Hcl | 11 | $1,106 |
| Fluticasone Propionate | 98 | $1,008 |
| Ipratropium Bromide | 26 | $990 |
| Omeprazole | 44 | $578 |
| Azelastine Hcl | 20 | $425 |
| Mupirocin | 15 | $200 |
| Pantoprazole Sodium | 15 | $198 |
| Levothyroxine Sodium | 16 | $127 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 23 | $120 |
| Naproxen | 24 | $119 |
| Montelukast Sodium | 18 | $86 |
| Clindamycin Hcl | 13 | $85 |
| Cephalexin | 27 | $67 |
| Cyclobenzaprine Hcl | 12 | $21 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Nampa
- Marshall SnowNampa$1K
- Eric WilkinsonMeridian$42K
- Donald BeasleyBoise$7K
- Ryan van de GraaffBoise$6K
- Scott HallIdaho Falls$3K
- Austin BakerIdaho Falls$3K
- H DobleTwin Falls$2K
- Alexander CatenPost Falls$2K
- Mark CapenerIdaho Falls$2K
- Tyson NielsenBoise$1K
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.