Brian Gross, MD
Otolaryngology · Salem, VANPI 1831327089
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $6,742 of the $9,466 with a category attached, or 71.2%. 22 manufacturers reported payments, led by Inspire Medical Systems, Inc. at 59.5% of the total. Reporting peaked in 2022 at $2,632 and has fallen 63.1% since, to $970 in 2025. Among otolaryngology clinicians in VA 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 174 payments — averaging $54.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$6K
- Medical Device Business Services, Inc.$905
- Regeneron Healthcare Solutions, Inc.$602
- Sanofi$494
- Optinose US, Inc.$351
- Stryker$301
- plus $1K from 16 others
What the payments were for
- Travel & lodging$2,69528%
- Food & beverage$6,74271%
- Entertainment$290%
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. | 46 | $5,633 |
| Medical Device Business Services, Inc. | 3 | $905 |
| Regeneron Healthcare Solutions, Inc. | 31 | $602 |
| Sanofi | 27 | $494 |
| Optinose US, Inc. | 14 | $351 |
| Stryker | 9 | $301 |
| GSK | 14 | $279 |
| Intersect ENT, Inc. | 5 | $211 |
| Johnson & Johnson | 4 | $205 |
| Kaleo, Inc. | 5 | $93 |
| Merck | 3 | $79 |
| Itamar Medical Inc | 3 | $65 |
| Smith+Nephew | 1 | $49 |
| Ambu Inc. | 1 | $44 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $28 |
| Medtronic | 1 | $22 |
| Arbor Pharmaceuticals, Inc. | 1 | $22 |
| Kerecis Limited | 1 | $20 |
| Olympus America Inc. | 1 | $19 |
| AstraZeneca | 1 | $15 |
| Phadia US Inc. | 1 | $15 |
| Paratek Pharmaceuticals, 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.
- Inspire Upper Airway Stimulation System$2,516
- Inspire$2,259
- SPIROX - LATERA$168
- Xhance$113
- NA$104
How this compares
$9,466 in reported general payments places this provider in the 90th percentile of 241 otolaryngology providers in Virginia.
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 |
|---|---|---|
| Azelastine Hcl | 31 | $894 |
| Ofloxacin | 29 | $624 |
| Ipratropium Bromide | 26 | $582 |
| Doxycycline Hyclate | 17 | $190 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 16 | $122 |
| Cephalexin | 12 | $57 |
| Mupirocin | 12 | $56 |
| Prednisone | 21 | $49 |
| Tramadol Hcl | 15 | $36 |
| Chlorhexidine Gluconate | 14 | $31 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Salem
- Laurence OhalloranAnnandale$2.9M
- Joseph HanNorfolk$1.8M
- Ryan NordRichmond$454K
- Paul LenkowskiRoanoke$282K
- Nipun ChhabraLeesburg$178K
- Kent LamNorfolk$127K
- Spencer PayneCharlottesville$45K
- Jose MattosCharlottesville$24K
- Craig DerkayNorfolk$21K
- Heath DreyfussMc Lean$19K
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.