Charles Grayson, DO
Otolaryngology/Facial Plastic Surgery · Ocala, FLNPI 1629076252
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,902 of the $2,474 with a category attached, or 76.9%. It is spread thinly across 23 manufacturers, the largest accounting for just 23.1% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2024 at $1,031 and has fallen 60.5% since, to $408 in 2025. That places this record below the midpoint for otolaryngology/facial plastic surgery clinicians in FL, where the typical reported total is $2,474.
Across 80 payments — averaging $30.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Photonicare Inc$571
- Sanofi$431
- GSK$296
- Aerin Medical Inc.$244
- Genmab U.S., Inc.$127
- Intersect ENT, Inc.$113
- plus $692 from 17 others
What the payments were for
- Food & beverage$1,90277%
- Other$57123%
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 |
|---|---|---|
| Photonicare Inc | 1 | $571 |
| Sanofi | 19 | $431 |
| GSK | 11 | $296 |
| Aerin Medical Inc. | 8 | $244 |
| Genmab U.S., Inc. | 2 | $127 |
| Intersect ENT, Inc. | 4 | $113 |
| Regeneron Healthcare Solutions, Inc. | 4 | $105 |
| Optinose US, Inc. | 5 | $89 |
| Stryker | 3 | $88 |
| Smith+Nephew | 5 | $74 |
| Merck | 3 | $65 |
| Inspire Medical Systems, Inc. | 2 | $60 |
| Hikma Pharmaceuticals USA | 2 | $40 |
| Acclarent, Inc | 2 | $30 |
| Boston Scientific | 1 | $25 |
| Amgen | 1 | $24 |
| Integra Lifesciences Corporation | 1 | $21 |
| Paratek Pharmaceuticals, Inc. | 1 | $15 |
| Cochlear Americas | 1 | $14 |
| Shire North American Group Inc | 1 | $14 |
| Novartis | 1 | $12 |
| Johnson & Johnson | 1 | $12 |
| Phathom Pharmaceuticals, Inc. | 1 | $6 |
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.
- OtoSight Middle Ear Scope$571
- NUCALA$125
How this compares
$2,474 in reported general payments places this provider in the 50th percentile of 48 otolaryngology/facial plastic surgery providers in Florida.
See all otolaryngology/facial plastic surgery providers in Florida →
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 | 317 | $10,041 |
| Azelastine Hcl | 148 | $4,351 |
| Ofloxacin | 39 | $2,836 |
| Famotidine | 233 | $2,552 |
| Fluticasone Propionate | 193 | $2,519 |
| Fluocinolone Acetonide Oil | 42 | $1,949 |
| Omeprazole | 109 | $1,087 |
| Neomycin-Polymyxin-HcNeomycin/Polymyxin B/Hydrocort | 18 | $1,049 |
| Baclofen | 103 | $630 |
| Amitriptyline Hcl | 36 | $430 |
| Triamcinolone Acetonide | 14 | $335 |
| Mupirocin | 42 | $297 |
| Methylprednisolone | 35 | $293 |
| Doxycycline Monohydrate | 12 | $289 |
| Montelukast Sodium | 29 | $243 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology/facial plastic surgery in Ocala
- Stephen ReynoldsOcala$5K
- Scott NadenikOcala$3K
- Jeffery MagnusonCelebration$37K
- Ryan GeggSanta Rosa Beach$11K
- Paul di PasqualeWesley Chapel$10K
- David GerthMiami$9K
- Michael SeidmanCelebration$9K
- Maria ComptonPort Charlotte$7K
- David CarlsonJacksonville$6K
- Janet LeeTampa$5K
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.