David Alexander, MD
Otolaryngology · Lexington, KYNPI 1619397890
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,843 of the $6,277 with a category attached, or 77.2%. 17 manufacturers reported payments, led by Stryker at 48.1% of the total. Reporting peaked in 2019 at $2,127 and has fallen 95.4% since, to $97 in 2025. Among otolaryngology clinicians in KY 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 96 payments — averaging $65.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$3K
- Inspire Medical Systems, Inc.$981
- Regeneron Healthcare Solutions, Inc.$631
- Intersect ENT, Inc.$256
- Smith+Nephew$243
- Osiris Therapeutics Inc.$211
- plus $934 from 11 others
What the payments were for
- Travel & lodging$93615%
- Food & beverage$4,84377%
- Education$4988%
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 | 30 | $3,021 |
| Inspire Medical Systems, Inc. | 26 | $981 |
| Regeneron Healthcare Solutions, Inc. | 8 | $631 |
| Intersect ENT, Inc. | 4 | $256 |
| Smith+Nephew | 2 | $243 |
| Osiris Therapeutics Inc. | 3 | $211 |
| Sanofi | 6 | $207 |
| GSK | 6 | $198 |
| Biotissue Holdings Inc. | 1 | $146 |
| AstraZeneca | 1 | $112 |
| Novo Nordisk | 1 | $109 |
| Sanofi-aventis U.S. LLC | 1 | $55 |
| Optinose US, Inc. | 3 | $43 |
| Kaleo, Inc. | 1 | $18 |
| Alk-abello, Inc | 1 | $16 |
| Merck | 1 | $15 |
| Integra Lifesciences Corporation | 1 | $15 |
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.
- DUPIXENT$657
- Inspire$650
- ENTELLUS - XPRESS ENT DILATION SYSTEM$611
- NSE - HIGH SPEED DRILLS$480
- XPRESS ENT DILATION SYSTEM$254
- UNIVERSAL MANDIBLE$232
- Coblation Wands$211
- FIAGON NAVIGATION UNIT$168
- SCOPIS ENT$166
- AUDION ET DILATION SYSTEM$165
- LATERA$146
- PROPEL$139
- Stravix$125
- Grafix$125
- GrafixPL$125
- FASENRA$112
- Ozempic$109
- NUCALA$104
How this compares
$6,277 in reported general payments places this provider in the 90th percentile of 137 otolaryngology providers in Kentucky.
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 | 100 | $3,306 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 34 | $3,103 |
| Azelastine Hcl | 128 | $2,236 |
| Fluticasone Propionate | 103 | $1,129 |
| Levocetirizine Dihydrochloride | 64 | $1,052 |
| Lidocaine Hcl ViscousLidocaine Hcl | 13 | $622 |
| Cefdinir | 33 | $495 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 31 | $448 |
| Famotidine | 101 | $443 |
| Omeprazole | 60 | $367 |
| Ondansetron OdtOndansetron | 58 | $326 |
| Ofloxacin | 17 | $316 |
| Nystatin | 14 | $295 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 53 | $237 |
| Pantoprazole Sodium | 12 | $188 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Lexington
- Thomas GalLexington$21K
- Brian HixonLexington$8K
- Sanford ArcherLexington$6K
- Quinn DunlapLexington$6K
- Ray van MetreLexington$5K
- Joseph ValentinoLexington$5K
- Kenneth HughesLexington$4K
- Greg OsetinskyLexington$3K
- Alberto LaureanoLexington$3K
- Benjamin LehmkuhlLexington$2K
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.