Daniel Rontal, MD
Otolaryngology · Royal Oak, MINPI 1831152610
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $7,635 of the $11,600 with a category attached, or 65.8%. Intersect ENT, Inc. accounts for 85.5% of it on its own, with 21 other manufacturers making up the rest. Reporting peaked in 2019 at $9,888 and has fallen 98.3% since, to $171 in 2025. Among otolaryngology clinicians in MI 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 79 payments — averaging $146.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intersect ENT, Inc.$10K
- Optinose US, Inc.$321
- Organogenesis Inc.$238
- Stryker$194
- Hologic Sales And Service, LLC$164
- GSK$121
- plus $640 from 16 others
Across 3 payments — averaging $13,455 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.
- Neurent Medical Limited$40K
What the payments were for
- Consulting fees$751%
- Speaking & faculty fees$7,63566%
- Travel & lodging$1,0369%
- Food & beverage$2,85425%
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. | 15 | $9,923 |
| Optinose US, Inc. | 15 | $321 |
| Organogenesis Inc. | 6 | $238 |
| Stryker | 5 | $194 |
| Hologic Sales And Service, LLC | 4 | $164 |
| GSK | 6 | $121 |
| Neurent Medical Limited | 1 | $115 |
| Acclarent, Inc | 3 | $94 |
| Hikma Pharmaceuticals USA | 4 | $62 |
| Acera Surgical, Inc. | 3 | $61 |
| Xoran Technologies LLC | 2 | $59 |
| Smith+Nephew | 3 | $52 |
| Johnson & Johnson | 2 | $38 |
| Inspire Medical Systems, Inc. | 1 | $26 |
| Integra Lifesciences Corporation | 1 | $24 |
| Pinnacle, Inc | 1 | $21 |
| Regeneron Healthcare Solutions, Inc. | 1 | $21 |
| Merck | 1 | $16 |
| Axogen | 1 | $15 |
| Fortovia Therapeutics, Inc. | 1 | $13 |
| Aerin Medical Inc. | 2 | $12 |
| Checkpoint Surgical, Inc | 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.
- PROPEL$1,503
- SINUVA$951
- NEUROMARK Device$115
- NEUROMARK Radiofrequency Generator$115
How this compares
$11,600 in reported general payments places this provider in the 90th percentile of 257 otolaryngology 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 |
|---|---|---|
| Mometasone Furoate | 243 | $18,849 |
| Olopatadine Hcl | 41 | $4,362 |
| Azelastine Hcl | 112 | $3,195 |
| Cevimeline Hcl | 15 | $2,756 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 23 | $2,555 |
| Ipratropium Bromide | 75 | $2,442 |
| Omeprazole | 92 | $1,789 |
| Pantoprazole Sodium | 66 | $1,503 |
| Fluticasone Propionate | 85 | $1,455 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 98 | $893 |
| Famotidine | 28 | $580 |
| Fluocinolone Acetonide Oil | 19 | $517 |
| Montelukast Sodium | 13 | $431 |
| Triamcinolone Acetonide | 37 | $377 |
| Clotrimazole | 12 | $360 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Royal Oak
- Adam FolbeRoyal Oak$7K
- Zaid ShareefRoyal Oak$6K
- Jared JohnsonRoyal Oak$5K
- Charles BoydBirmingham$825K
- Jack KartushFarmington Hills$225K
- Robert StandringSouthfield$217K
- Robert StachlerWest Bloomfield$174K
- Giancarlo ZulianiBloomfield Hills$61K
- Lamont JonesDetroit$52K
- Gregory WolfAnn Arbor$46K
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.