Christopher Rathfoot, MD
Otolaryngology · Powell, TNNPI 1497839757
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,809 of the $3,230 with a category attached, or 87.0%. It is spread thinly across 25 manufacturers, the largest accounting for just 21.4% — the pattern of someone who eats at a lot of different presentations.
Across 129 payments — averaging $25.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$692
- GSK$524
- Stryker$294
- Sanofi$270
- Aerin Medical Inc.$267
- Genentech USA, Inc.$238
- plus $945 from 19 others
What the payments were for
- Consulting fees$1705%
- Travel & lodging$2187%
- Food & beverage$2,80987%
- Education$341%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 14 | $692 |
| GSK | 31 | $524 |
| Stryker | 6 | $294 |
| Sanofi | 13 | $270 |
| Aerin Medical Inc. | 4 | $267 |
| Genentech USA, Inc. | 15 | $238 |
| Regeneron Healthcare Solutions, Inc. | 9 | $181 |
| Medtronic | 4 | $170 |
| Sun Pharmaceutical Industries Inc. | 5 | $77 |
| Livanova USA, Inc. | 5 | $70 |
| Acera Surgical, Inc. | 3 | $69 |
| Merck | 5 | $66 |
| Amgen | 2 | $52 |
| Davol Inc. | 1 | $38 |
| Optinose US, Inc. | 2 | $34 |
| Acclarent, Inc | 1 | $31 |
| Intersect ENT, Inc. | 1 | $21 |
| Integra Lifesciences Corporation | 1 | $20 |
| AstraZeneca | 1 | $19 |
| Axogen | 1 | $19 |
| Covidien LP | 1 | $18 |
| Smith+Nephew | 1 | $17 |
| Endogastric Solutions, Inc | 1 | $15 |
| Kowa Pharmaceuticals America, Inc. | 1 | $15 |
| Olympus America 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.
- Inspire$328
- VIVAER STYLUS$246
- RHINAER STYLUS$246
How this compares
$3,230 in reported general payments places this provider in the 70th percentile of 191 otolaryngology providers in Tennessee.
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 | 50 | $1,760 |
| Fluticasone Propionate | 79 | $1,125 |
| Neomycin-Polymyxin-HcNeomycin/Polymyxin B/Hydrocort | 12 | $652 |
| Clotrimazole | 16 | $553 |
| Famotidine | 28 | $405 |
| Clarithromycin | 24 | $395 |
| Montelukast Sodium | 40 | $386 |
| Prednisone | 95 | $375 |
| Doxycycline Hyclate | 78 | $367 |
| Omeprazole | 20 | $224 |
| Diazepam | 105 | $223 |
| Fluconazole | 58 | $220 |
| Oxycodone Hcl | 84 | $189 |
| Acyclovir | 13 | $106 |
| Mupirocin | 13 | $76 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Powell
- Allan RosenbaumPowell$21K
- Rakesh ChandraNashville$381K
- David FortuneHermitage$298K
- Grady BryantHermitage$74K
- Marion GillespieMemphis$67K
- Clyde MathisonFarragut$66K
- Dean KlugGermantown$37K
- Michael TopfNashville$36K
- John GleysteenMemphis$25K
- Jeffrey MarvelTullahoma$21K
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.