Brian Thomas
Otolaryngology · Great Falls, MTNPI 1518101443
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 49 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 31 manufacturers, the largest accounting for just 12.0% — the pattern of someone who eats at a lot of different presentations.
Across 49 payments — averaging $20.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron Healthcare Solutions, Inc.$121
- Dendreon Pharmaceuticals LLC$117
- Boston Scientific$74
- Stryker$59
- Johnson & Johnson$57
- Medtronic$38
- plus $538 from 25 others
What the payments were for
- Food & beverage$1,003100%
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.
How this compares
$1,003 in reported general payments places this provider in the 70th percentile of 34 otolaryngology providers in Montana.
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 |
|---|---|---|
| Dexlansoprazole DrDexlansoprazole | 13 | $1,440 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 12 | $774 |
| Ipratropium Bromide | 28 | $713 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 17 | $205 |
| Mupirocin | 14 | $143 |
| Omeprazole | 21 | $113 |
| Prednisone | 24 | $83 |
| Methylprednisolone | 13 | $54 |
| Nortriptyline Hcl | 11 | $45 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Great Falls
- David KlugeGreat Falls$558
- Jeffrey BakerGreat Falls$13
- Duncan WatleyMissoula$10K
- David CaiBillings$4K
- Jonathan FowlkesMissoula$3K
- Kyle TubbsKalispell$3K
- Brian PelczarBillings$3K
- Ryan StephensonBozeman$2K
- Amanda KullBozeman$2K
- Brennan DodsonBozeman$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.