Christopher Metz, DO
Facial Plastic Surgery · Madison Heights, MINPI 1215349915
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 90.5% of the total across 134 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 20 manufacturers, the largest accounting for just 19.5% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $1,943 and has fallen 74.4% since, to $498 in 2025.
Across 134 payments — averaging $54.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intersect ENT, Inc.$1K
- Stryker$1K
- Acclarent, Inc$1K
- Medical Device Business Services, Inc.$806
- Medtronic$597
- Integra Lifesciences Corporation$591
- plus $2K from 14 others
What the payments were for
- Travel & lodging$5988%
- Food & beverage$6,55690%
- Other$921%
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 |
|---|---|---|
| Intersect ENT, Inc. | 16 | $1,415 |
| Stryker | 24 | $1,222 |
| Acclarent, Inc | 34 | $1,078 |
| Medical Device Business Services, Inc. | 9 | $806 |
| Medtronic(2 entities) | 10 | $597 |
| Integra Lifesciences Corporation | 6 | $591 |
| Aerin Medical Inc. | 3 | $303 |
| Regeneron Healthcare Solutions, Inc. | 4 | $271 |
| Inspire Medical Systems, Inc. | 1 | $221 |
| Optinose US, Inc. | 5 | $189 |
| Hologic Sales And Service, LLC | 2 | $162 |
| Alk-abello, Inc | 9 | $134 |
| Baxter Healthcare | 1 | $92 |
| GSK | 2 | $37 |
| Kaleo, Inc. | 3 | $36 |
| Merck | 1 | $33 |
| Smith+Nephew | 1 | $17 |
| Hikma Pharmaceuticals USA | 1 | $17 |
| AstraZeneca | 1 | $14 |
| Fortovia Therapeutics, Inc. | 1 | $13 |
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$835
- Acclarent Aera$569
- Inspira Air$569
- RELIEVA SPINPLUS NAV$569
- TruDi Probe$569
- SINUVA$562
- ENTELLUS - ENTELLUS MEDICAL SHAVER SYSTEM$269
- Vivaer RF Stylus$265
- Inspire$221
- CoolSeal Generator$142
- TruDi Nav Cable$140
- ENTELLUS - OFFICE SINUS PROCEDURE PACK$133
- VSP SYSTEM, VSP CRANIAL$127
- DUPIXENT$125
- CLARIFIX$124
- Xhance$116
- STEALTHSTATION S8 PLATFORM$104
- ACCLARENT NAVWIRE Sinus Navigation Guidewire$103
How this compares
$7,246 in reported general payments places this provider in the 85th percentile of 30 facial plastic surgery 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 | 51 | $5,903 |
| Ipratropium Bromide | 94 | $2,380 |
| Fluticasone Propionate | 97 | $1,559 |
| Dexamethasone Sodium Phosphate | 13 | $502 |
| Azelastine Hcl | 14 | $406 |
| Mupirocin | 57 | $335 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 35 | $331 |
| Omeprazole | 20 | $157 |
| Montelukast Sodium | 23 | $151 |
| Cefdinir | 12 | $125 |
| Cephalexin | 30 | $117 |
| Famotidine | 14 | $117 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 30 | $94 |
| Doxycycline Hyclate | 13 | $49 |
Paid to pharmacies, not to this prescriber.
Other facial plastic surgery in Madison Heights
- Emily JohnsonMadison Heights$894
- Arthur MoellerMadison Heights$117
- Ahmed MakiPontiac$24K
- Casey AshbyFarmington Hills$15K
- Andrew BehlerGrand Rapids$10K
- John UlrichGrand Blanc$7K
- Laura Garcia RodriguezDetroit$6K
- Anthony HowardGrand Rapids$4K
- Noah SternDetroit$4K
- Adam RourkeSterling Heights$4K
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.