David Gilley, MD
Otolaryngology · Springfield, MONPI 1003336843
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,355 of the $5,714 with a category attached, or 76.2%. Inspire Medical Systems, Inc. accounts for 85.2% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2022 at $1,999 and has fallen 64.0% since, to $719 in 2025. Among otolaryngology clinicians in MO 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 49 payments — averaging $116.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$5K
- Stryker$175
- Livanova USA, Inc.$123
- Olympus America Inc.$107
- Cochlear Americas$75
- Sumitomo Pharma America, Inc.$73
- plus $295 from 8 others
What the payments were for
- Travel & lodging$1,35924%
- Food & beverage$4,35576%
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. | 27 | $4,866 |
| Stryker | 3 | $175 |
| Livanova USA, Inc. | 3 | $123 |
| Olympus America Inc. | 1 | $107 |
| Cochlear Americas | 2 | $75 |
| Sumitomo Pharma America, Inc. | 3 | $73 |
| GSK | 2 | $68 |
| Polynovo North America LLC | 2 | $50 |
| Integra Lifesciences Corporation | 1 | $41 |
| Acclarent, Inc | 1 | $38 |
| Medtronic | 1 | $31 |
| Novartis | 1 | $28 |
| Intersect ENT, Inc. | 1 | $27 |
| Merck | 1 | $14 |
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
$5,714 in reported general payments places this provider in the 90th percentile of 210 otolaryngology providers in Missouri.
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 | 58 | $1,412 |
| Fluocinolone Acetonide Oil | 16 | $581 |
| Fluticasone Propionate | 52 | $524 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 89 | $517 |
| Dexamethasone Sodium Phosphate | 12 | $386 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 13 | $236 |
| Mupirocin | 16 | $124 |
| Lorazepam | 12 | $7 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Springfield
- Anthony BentleySpringfield$7K
- Daniel NguyenSpringfield$4K
- A PinheiroSpringfield$3K
- Talon ManingasJoplin$314K
- Ryan JacksonSaint Louis$284K
- Ravindra UppaluriSaint Louis$168K
- James GouldFestus$143K
- John SchneiderSaint Louis$74K
- Amit WaliaSaint Louis$21K
- Bharat PanugantiSaint Louis$19K
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.