RxDoctor Payments Data

David Book, MD

Otolaryngology · Colorado Springs, CONPI 1235128588

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $3,096 of the $5,089 with a category attached, or 60.8%. Inspire Medical Systems, Inc. accounts for 73.4% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2022 at $1,679 and has fallen 71.7% since, to $475 in 2025. Among otolaryngology clinicians in CO 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.

$5,089in general payments, 2019–2025

Across 64 payments — averaging $79.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Inspire Medical Systems, Inc.$4K
  • Neurent Medical Limited$526
  • Stryker$330
  • Sanofi$157
  • AstraZeneca$109
  • Regeneron Healthcare Solutions, Inc.$89
  • plus $143 from 4 others

What the payments were for

  • Travel & lodging$1,99339%
  • Food & beverage$3,09661%

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

19
20
21
22
23
24
25

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.

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.

How this compares

$5,089 in reported general payments places this provider in the 90th percentile of 174 otolaryngology providers in Colorado.

See all otolaryngology providers in Colorado

Medicare billing

Part B allowed, 2024
$78,557
Medicare patients
207
Services billed
531

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

DrugClaimsCost to plans & patients
Ipratropium Bromide99$4,026
Famotidine24$479
Omeprazole14$453
Mupirocin28$342
Doxycycline Hyclate14$221
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen28$157
Cephalexin20$100
Azithromycin14$55

Paid to pharmacies, not to this prescriber.

Other otolaryngology in Colorado Springs

See the full list for Colorado

Where these figures come from

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