Brian Deutsch, MD
Otolaryngology/Facial Plastic Surgery · Norfolk, VANPI 1881695252
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,997 of the $2,370 with a category attached, or 84.3%. It is spread thinly across 15 manufacturers, the largest accounting for just 20.6% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,021, 6.7 times the $153 reported in 2019.
Across 62 payments — averaging $38.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$488
- Regeneron Healthcare Solutions, Inc.$364
- GSK$344
- Medtronic$218
- Integra Lifesciences Corporation$203
- Aerin Medical Inc.$165
- plus $587 from 9 others
What the payments were for
- Travel & lodging$37316%
- Food & beverage$1,99784%
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 | 5 | $488 |
| Regeneron Healthcare Solutions, Inc. | 13 | $364 |
| GSK | 19 | $344 |
| Medtronic | 4 | $218 |
| Integra Lifesciences Corporation | 2 | $203 |
| Aerin Medical Inc. | 2 | $165 |
| Intersect ENT, Inc. | 3 | $136 |
| AbbVie | 1 | $130 |
| Sanofi | 3 | $84 |
| Olympus America Inc. | 2 | $62 |
| Genentech USA, Inc. | 2 | $56 |
| Novartis | 2 | $38 |
| Alk-abello, Inc | 2 | $35 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $25 |
| Kaleo, Inc. | 1 | $23 |
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$373
- Acclarent Aera$170
- Inspira Air$170
- RELIEVA SPINPLUS NAV$170
- TruDi Probe$170
- VIVAER STYLUS$152
- RHINAER STYLUS$152
- NIM Vital$131
How this compares
Too few otolaryngology/facial plastic surgery providers in Virginiato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 14 | $1,601 |
| Fluocinolone Acetonide Oil | 26 | $1,050 |
| Azelastine Hcl | 50 | $672 |
| Ipratropium Bromide | 22 | $424 |
| Cephalexin | 65 | $394 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 34 | $150 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 12 | $26 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology/facial plastic surgery in Norfolk
- Michael ArmstrongRichmond$11K
- Michael AbidinAlexandria$5K
- Christopher TsangFairfax$4K
- Matthew HubbardAbingdon$3K
- Stephen BaneWoodbridge$2K
- Nariman DashFredericksburg$2K
- Nima VahidiRichmond$2K
- John LieserFredericksburg$1K
- Alan BurkeRichmond$1K
- Jacob KuperstockFairfax$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.