Christopher Roxbury, MD
Otolaryngology · Cleveland, OHNPI 1497012694
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,350 of the $5,270 with a category attached, or 82.5%. 16 manufacturers reported payments, led by Stryker at 27.0% of the total. 2025 is the largest year on record at $1,659, 3.9 times the $429 reported in 2019.
Across 50 payments — averaging $105.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$1K
- Acclarent, Inc$1K
- Medtronic$710
- Integra Lifesciences Corporation$329
- Neurent Medical Limited$208
- GSK$195
- plus $1K from 10 others
Across 1 payment — averaging $2000.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- AstraZeneca$2K
What the payments were for
- Consulting fees$92017%
- Food & beverage$4,35083%
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 |
|---|---|---|
| Stryker | 10 | $1,424 |
| Acclarent, Inc | 14 | $1,273 |
| Medtronic | 4 | $710 |
| Integra Lifesciences Corporation | 4 | $329 |
| Neurent Medical Limited | 1 | $208 |
| GSK | 3 | $195 |
| Optinose US, Inc. | 2 | $189 |
| Regeneron Healthcare Solutions, Inc. | 2 | $152 |
| Baxter Healthcare | 1 | $144 |
| KARL Storz Endoscopy-america | 1 | $142 |
| Johnson & Johnson | 1 | $129 |
| Aerin Medical Inc. | 3 | $116 |
| Sanofi | 1 | $102 |
| Amgen | 1 | $101 |
| Regeneron | 1 | $37 |
| Phadia US Inc. | 1 | $18 |
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.
- TruDi Nav Cable$836
- N/A$263
- Acclarent Aera$220
- NEUROMARK Device$208
- NEUROMARK Radiofrequency Console$208
- DUPIXENT$205
- NSE - MIS BURS$174
- Inspira Air$168
- PROPEL$161
- CORE$154
- FLOSEAL$144
- CODMAN CERTAS$143
- CUSA CLARITY$143
- DURAGEN$143
- DURASEAL EXACT$143
- CODMAN HAKIM PRECISION VALVE$143
- HOPKINS II TELESCOPE 0, 2MM X 26CM$142
- MATRIXNEURO$129
- Acclarent Navwire$115
- TruDi Nav Suction$115
How this compares
$5,270 in reported general payments places this provider in the 85th percentile of 380 otolaryngology providers in Ohio.
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 |
|---|---|---|
| Azelastine Hcl | 73 | $1,932 |
| Ipratropium Bromide | 72 | $1,213 |
| Fluticasone Propionate | 52 | $514 |
| Mupirocin | 47 | $366 |
| Famotidine | 31 | $231 |
| Doxycycline Hyclate | 15 | $160 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Cleveland
- Raj SindwaniCleveland$598K
- Mark MehleCleveland$403K
- Troy WoodardCleveland$392K
- Sanjeet RangarajanCleveland$113K
- Rod RezaeeCleveland$54K
- Michael BenningerCleveland$32K
- Cameron WickCleveland$21K
- Kyra OsborneCleveland$14K
- Daniel AlamCleveland$11K
- Mohamad ChaabanCleveland$10K
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.