Brian Mitchell, DO
Otolaryngology/Facial Plastic Surgery · Puyallup, WANPI 1942491196
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,881 of the $8,947 with a category attached, or 65.7%. 16 manufacturers reported payments, led by Medtronic at 44.5% of the total. Reporting peaked in 2022 at $3,405 and has fallen 92.7% since, to $249 in 2025.
Across 62 payments — averaging $144.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$4K
- Inspire Medical Systems, Inc.$3K
- Kls-martin L.p.$757
- Livanova USA, Inc.$429
- Stryker$339
- Aerin Medical Inc.$228
- plus $546 from 10 others
What the payments were for
- Travel & lodging$3,05434%
- Food & beverage$5,88166%
- 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 |
|---|---|---|
| Medtronic(2 entities) | 18 | $3,984 |
| Inspire Medical Systems, Inc. | 12 | $2,664 |
| Kls-martin L.p. | 5 | $757 |
| Livanova USA, Inc. | 6 | $429 |
| Stryker | 4 | $339 |
| Aerin Medical Inc. | 4 | $228 |
| Teleflex LLC | 1 | $137 |
| Ascendis Pharma Endocrinology Inc | 1 | $83 |
| E.r. Squibb & Sons, L.L.C. | 1 | $78 |
| GSK | 3 | $51 |
| Itamar Medical Inc | 1 | $41 |
| Regeneron Healthcare Solutions, Inc. | 1 | $40 |
| Sanofi | 2 | $33 |
| Baxter Healthcare | 1 | $32 |
| Smith+Nephew | 1 | $30 |
| Alk-abello, Inc | 1 | $21 |
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$2,469
- PROPEL$1,971
- SINUVA$1,140
- NUVENT$301
- VNS Therapy$205
- NA$150
- VSP SYSTEM, VSP CRANIAL$150
- ADHERUS AUTOSPRAY ET DURAL SEALANT$150
- PTEYE PARATHYROID DETECTION SYSTEM$138
- UroLift$137
- CUSTOMIZED MANDIBLE RECON$118
- NIM$109
- VIVAER STYLUS$103
- RHINAER STYLUS$103
How this compares
Too few otolaryngology/facial plastic surgery providers in Washingtonto 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 |
|---|---|---|
| Ipratropium Bromide | 25 | $707 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 36 | $574 |
| Doxycycline Hyclate | 12 | $179 |
| Chlorhexidine Gluconate | 20 | $178 |
| Fluticasone Propionate | 17 | $163 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 38 | $140 |
| Ondansetron OdtOndansetron | 26 | $79 |
| Cephalexin | 11 | $70 |
| Levothyroxine Sodium | 15 | $62 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology/facial plastic surgery in Puyallup
- Alexander SobelBellevue$9K
- Angelique BerensMarysville$4K
- Jacob ThurstonSeattle$3K
- Charles LlewellynTacoma$3K
- Rick GrossYakima$2K
- Mark HegewaldFederal Way$2K
- Amit BhranySeattle$1K
- Jordan MulderOlympia$1K
- Jonathan GrantMount Vernon$1K
- Mark EmeryFederal Way$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.