Chester Strunk, MD
Otology & Neurotology · Webster, TXNPI 1740281229
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $6,090 of the $8,138 with a category attached, or 74.8%. 27 manufacturers reported payments, led by Aerin Medical Inc. at 38.2% of the total. 2025 is the largest year on record at $2,536, more than ten times the $123 reported in 2019. Among otology & neurotology clinicians in TX 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 191 payments — averaging $42.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Aerin Medical Inc.$3K
- Integra Lifesciences Corporation$1K
- Sanofi$875
- Regeneron Healthcare Solutions, Inc.$545
- Optinose US, Inc.$459
- GSK$417
- plus $2K from 21 others
What the payments were for
- Consulting fees$4065%
- Travel & lodging$1,64120%
- Food & beverage$6,09075%
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 |
|---|---|---|
| Aerin Medical Inc. | 35 | $3,111 |
| Integra Lifesciences Corporation | 10 | $1,162 |
| Sanofi | 31 | $875 |
| Regeneron Healthcare Solutions, Inc. | 17 | $545 |
| Optinose US, Inc. | 19 | $459 |
| GSK | 19 | $417 |
| Lilly USA, LLC | 5 | $207 |
| Phathom Pharmaceuticals, Inc. | 3 | $165 |
| AstraZeneca | 3 | $150 |
| Alk-abello, Inc | 9 | $129 |
| Medtronic(2 entities) | 6 | $111 |
| Acclarent, Inc | 4 | $110 |
| Arbor Pharmaceuticals, Inc. | 8 | $102 |
| Itamar Medical Inc | 2 | $102 |
| Hikma Pharmaceuticals USA | 4 | $82 |
| Neurent Medical Limited | 2 | $77 |
| Intersect ENT, Inc. | 2 | $73 |
| Xoran Technologies LLC | 1 | $72 |
| ARS Pharmaceuticals Operations, Inc. | 2 | $40 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $23 |
| Olympus America Inc. | 1 | $21 |
| Novartis | 1 | $20 |
| Amgen | 1 | $20 |
| Eyevance Pharmaceuticals LLC | 1 | $20 |
| Merck | 1 | $18 |
| Phadia US Inc. | 1 | $15 |
| Stryker | 1 | $12 |
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.
- VIVAER STYLUS$1,137
- Acclarent Aera$904
- Inspira Air$904
- RELIEVA SPINPLUS NAV$904
- TruDi Probe$904
- DUPIXENT$480
- RHINAER STYLUS$251
- Xhance$136
- ZEPBOUND$122
- TEZSPIRE$100
- VOQUEZNA$100
How this compares
$8,138 in reported general payments places this provider in the 90th percentile of 33 otology & neurotology providers in Texas.
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 | 60 | $1,828 |
| Azelastine Hcl | 47 | $1,327 |
| Omeprazole | 90 | $1,043 |
| Ofloxacin | 37 | $783 |
| Famotidine | 59 | $669 |
| Fluticasone Propionate | 39 | $515 |
| Esomeprazole Magnesium | 16 | $473 |
| Pantoprazole Sodium | 30 | $467 |
| Mometasone Furoate | 28 | $379 |
| Mupirocin | 30 | $208 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 14 | $108 |
| Azithromycin | 12 | $40 |
Paid to pharmacies, not to this prescriber.
Other otology & neurotology in Webster
- Brandon IsaacsonDallas$98K
- Joe KutzDallas$95K
- Robert OwensPlano$7K
- James DanielsDallas$7K
- Vivian KaulHouston$6K
- Mark NicholsHouston$5K
- Jonathan ChoiAustin$4K
- Jason AdamsJbsa Ft Sam Houston$3K
- Susan KingSan Antonio$3K
- Cherie BoothMcKinney$3K
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.