Christopher Perro, MD
Otolaryngology/Facial Plastic Surgery · Tyler, TXNPI 1346462496
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,211 of the $1,606 with a category attached, or 75.4%. 13 manufacturers reported payments, led by Smith+Nephew at 34.8% of the total. Reporting peaked in 2024 at $561 and has fallen 96.7% since, to $19 in 2025. That places this record below the midpoint for otolaryngology/facial plastic surgery clinicians in TX, where the typical reported total is $1,846.
Across 45 payments — averaging $35.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$558
- Stryker$405
- AbbVie$216
- Galderma Laboratories, L.p.$134
- Inspire Medical Systems, Inc.$114
- Regeneron Healthcare Solutions, Inc.$39
- plus $141 from 7 others
What the payments were for
- Travel & lodging$39525%
- Food & beverage$1,21175%
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 |
|---|---|---|
| Smith+Nephew | 5 | $558 |
| Stryker | 7 | $405 |
| AbbVie(2 entities) | 21 | $216 |
| Galderma Laboratories, L.p. | 2 | $134 |
| Inspire Medical Systems, Inc. | 1 | $114 |
| Regeneron Healthcare Solutions, Inc. | 2 | $39 |
| KARL Storz Endoscopy-america | 1 | $34 |
| Ambu Inc. | 1 | $21 |
| Intersect ENT, Inc. | 1 | $21 |
| Novo Nordisk | 1 | $19 |
| Acera Surgical, Inc. | 1 | $18 |
| Misonix Inc | 1 | $15 |
| Acerus Pharmaceuticals Corporation | 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.
- Coblation$439
- TULA$439
- SCOPIS ENT$171
- Inspire Upper Airway Stimulation System$114
How this compares
$1,606 in reported general payments places this provider in the 40th percentile of 51 otolaryngology/facial plastic surgery providers in Texas.
See all otolaryngology/facial plastic surgery 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 | 455 | $10,734 |
| Azelastine Hcl | 216 | $5,639 |
| Fluticasone Propionate | 238 | $2,854 |
| Ofloxacin | 89 | $1,780 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 13 | $1,652 |
| Pantoprazole Sodium | 173 | $1,323 |
| Famotidine | 143 | $1,190 |
| Mometasone Furoate | 34 | $975 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 58 | $852 |
| Pilocarpine Hcl | 26 | $777 |
| Mupirocin | 78 | $650 |
| Nystatin | 13 | $297 |
| Levofloxacin | 19 | $184 |
| Methylprednisolone | 23 | $147 |
| Cephalexin | 11 | $117 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology/facial plastic surgery in Tyler
- Justin PyneTyler$2K
- Yula IndeyevaAustin$579K
- Manuel LopezSan Antonio$55K
- Michel SiegelHouston$23K
- Etai FunkHouston$18K
- Jamie KuHouston$18K
- James AndrewsHouston$11K
- Daniel LeemanGeorgetown$10K
- Anand ShahSan Antonio$9K
- Russell BriggsAustin$9K
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.