David Foreman, MD
Otolaryngology · Lafayette, LANPI 1730158320
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.4% of the total across 289 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 29 manufacturers reported payments, led by Inspire Medical Systems, Inc. at 34.7% of the total. 2025 is the largest year on record at $1,282, 2.0 times the $632 reported in 2019.
Across 289 payments — averaging $18.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$2K
- Optinose US, Inc.$1K
- Axsome Therapeutics, Inc.$452
- Sanofi$415
- Hikma Pharmaceuticals USA$304
- GSK$205
- plus $1K from 23 others
What the payments were for
- Food & beverage$5,42099%
- 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. | 76 | $1,891 |
| Optinose US, Inc. | 90 | $1,036 |
| Axsome Therapeutics, Inc. | 17 | $452 |
| Sanofi | 19 | $415 |
| Hikma Pharmaceuticals USA | 20 | $304 |
| GSK | 11 | $205 |
| Stryker | 2 | $144 |
| Johnson & Johnson | 6 | $113 |
| Regeneron Healthcare Solutions, Inc. | 5 | $107 |
| Teva Pharmaceuticals USA, Inc. | 7 | $103 |
| AbbVie(2 entities) | 4 | $88 |
| Lundbeck LLC | 5 | $87 |
| Amgen | 3 | $73 |
| Lilly USA, LLC | 4 | $66 |
| Itamar Medical Inc | 2 | $51 |
| Aerin Medical Inc. | 2 | $37 |
| Paratek Pharmaceuticals, Inc. | 1 | $32 |
| Integra Lifesciences Corporation | 2 | $31 |
| Intersect ENT, Inc. | 1 | $29 |
| Novartis | 2 | $29 |
| Jazz Pharmaceuticals Inc. | 1 | $24 |
| Arbor Pharmaceuticals, Inc. | 2 | $23 |
| Acclarent, Inc | 1 | $20 |
| Medtronic | 1 | $19 |
| Alk-abello, Inc | 1 | $16 |
| Supernus Pharmaceuticals, Inc. | 1 | $16 |
| Kaleo, Inc. | 1 | $16 |
| Phathom Pharmaceuticals, Inc. | 1 | $15 |
| UCB, Inc. | 1 | $11 |
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
$5,454 in reported general payments places this provider in the 85th percentile of 218 otolaryngology providers in Louisiana.
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 |
|---|---|---|
| Dupixent SyringeDupilumab | 14 | $54,573 |
| Modafinil | 52 | $6,440 |
| Azelastine Hcl | 134 | $2,941 |
| Fluticasone Propionate | 192 | $2,247 |
| Omeprazole | 178 | $2,010 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 21 | $1,890 |
| Esomeprazole Magnesium | 64 | $1,776 |
| Famotidine | 156 | $1,380 |
| Mupirocin | 150 | $843 |
| Fluocinolone Acetonide Oil | 18 | $750 |
| Ondansetron OdtOndansetron | 145 | $745 |
| Ciprofloxacin Hcl | 94 | $485 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 86 | $403 |
| Gabapentin | 55 | $339 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 14 | $299 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Lafayette
- Jesse DuplechainLafayette$29K
- James WhiteLafayette$11K
- Jason DurelLafayette$4K
- Ryan ChastantLafayette$4K
- Maria DoucetLafayette$3K
- Donald GonzalesNew Orleans$351K
- Kevin McLaughlinCovington$186K
- Adil FatakiaMarrero$148K
- Edward McCoulNew Orleans$92K
- Michael YimShreveport$77K
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.