Carl Shermetaro, DO
Otolaryngology · Clarkston, MINPI 1700994530
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.2% of the total across 118 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 18 manufacturers reported payments, led by Acclarent, Inc at 32.8% of the total. Reporting peaked in 2022 at $1,113 and has fallen 54.3% since, to $509 in 2025.
Across 118 payments — averaging $46.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acclarent, Inc$2K
- Medtronic$1K
- Stryker$903
- Aerin Medical Inc.$259
- Intersect ENT, Inc.$253
- Ambu Inc.$157
- plus $1K from 12 others
What the payments were for
- Food & beverage$5,40899%
- Education$411%
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 |
|---|---|---|
| Acclarent, Inc | 65 | $1,788 |
| Medtronic(2 entities) | 12 | $1,038 |
| Stryker | 12 | $903 |
| Aerin Medical Inc. | 4 | $259 |
| Intersect ENT, Inc. | 3 | $253 |
| Ambu Inc. | 2 | $157 |
| Integra Lifesciences Corporation | 5 | $149 |
| ETS Wound Care LLC | 1 | $149 |
| Johnson & Johnson(2 entities) | 2 | $136 |
| Sanofi | 2 | $135 |
| Regeneron Healthcare Solutions, Inc. | 1 | $113 |
| Acera Surgical, Inc. | 1 | $110 |
| Optinose US, Inc. | 1 | $105 |
| Kls-martin L.p. | 1 | $62 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $41 |
| Cochlear Americas | 1 | $18 |
| Hikma Pharmaceuticals USA | 1 | $17 |
| GSK | 1 | $16 |
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.
- PROPEL$919
- Acclarent Navwire$369
- XPRESS ENT DILATION SYSTEM$297
- DUPIXENT$232
- Relieva Spinplus$171
- FUSION$156
- AUDION ET DILATION SYSTEM$150
- MIRRAGEN ADVANCED WOUND MATRIX$149
- VIVAER STYLUS$141
- RHINAER STYLUS$141
- ENTELLUS - OFFICE SINUS PROCEDURE PACK$133
- MINIFESS MAXILARY SEEKER SET$130
- MATRIXMANDIBLE$118
- Acclarent Aera$118
- TruDi Navigation System$113
- Restrata Wound Matrix$110
- Xhance$105
- Vivaer RF Stylus$105
- ACCLARENT NAVWIRE Sinus Navigation Guidewire$100
How this compares
$5,450 in reported general payments places this provider in the 80th percentile of 257 otolaryngology providers in Michigan.
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 | 27 | $3,143 |
| Fluticasone Propionate | 209 | $2,414 |
| Ipratropium Bromide | 79 | $2,390 |
| Azelastine Hcl | 55 | $1,349 |
| Ofloxacin | 36 | $426 |
| Doxycycline Hyclate | 33 | $381 |
| Omeprazole | 41 | $236 |
| Mometasone Furoate | 22 | $173 |
| Mupirocin | 23 | $156 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 12 | $116 |
| Methylprednisolone | 13 | $65 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 21 | $44 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Clarkston
- Charles BoydBirmingham$825K
- Jack KartushFarmington Hills$225K
- Robert StandringSouthfield$217K
- Robert StachlerWest Bloomfield$174K
- Giancarlo ZulianiBloomfield Hills$61K
- Lamont JonesDetroit$52K
- Gregory WolfAnn Arbor$46K
- Paul HoffAnn Arbor$44K
- Susan GaretzAnn Arbor$40K
- John CraigDetroit$39K
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.