David Malis, MD
Pediatric Otolaryngology · Melbourne, FLNPI 1649242538
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (44.1%), food and beverage and gifts — rather than concentrated in one kind of arrangement. 14 manufacturers reported payments, led by Integra Lifesciences Corporation at 51.6% of the total. Reporting peaked in 2024 at $2,126 and has fallen 84.0% since, to $340 in 2025. Among pediatric otolaryngology clinicians in FL 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 46 payments — averaging $85.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Integra Lifesciences Corporation$2K
- AbbVie$932
- Optinose US, Inc.$395
- Acclarent, Inc$211
- Phadia US Inc.$70
- Novartis$49
- plus $255 from 8 others
What the payments were for
- Travel & lodging$1,74144%
- Food & beverage$1,27932%
- Gifts$93224%
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 |
|---|---|---|
| Integra Lifesciences Corporation | 9 | $2,040 |
| AbbVie | 1 | $932 |
| Optinose US, Inc. | 13 | $395 |
| Acclarent, Inc | 4 | $211 |
| Phadia US Inc. | 4 | $70 |
| Novartis | 3 | $49 |
| Aerin Medical Inc. | 3 | $48 |
| Regeneron Healthcare Solutions, Inc. | 1 | $47 |
| Stryker | 2 | $29 |
| Medtronic | 1 | $29 |
| Smith+Nephew | 2 | $28 |
| GSK | 1 | $25 |
| Johnson & Johnson | 1 | $24 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $24 |
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.
- Acclarent Aera$1,897
- Inspira Air$1,897
- BOTOX COSMETIC$932
- RELIEVA SPINPLUS NAV$155
- TruDi Probe$155
- Xhance$125
- TruDi Navigation System$108
How this compares
$3,952 in reported general payments places this provider in the 90th percentile of 53 pediatric otolaryngology providers in Florida.
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 |
|---|---|---|
| Fluocinolone Acetonide Oil | 73 | $4,280 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 26 | $2,785 |
| Fluticasone Propionate | 43 | $483 |
| Ipratropium Bromide | 19 | $437 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 11 | $145 |
| Prednisone | 15 | $16 |
Paid to pharmacies, not to this prescriber.
Other pediatric otolaryngology in Melbourne
- Zorik SpektorBoynton Beach$81K
- Javan NationOrlando$10K
- Rafael PortelaMiami$8K
- Cedric PritchettOrlando$7K
- Thomas SchrepferGainesville$4K
- Angela BlackJacksonville$3K
- Jacque LebeauPensacola$3K
- Cheyenne RoohaniJacksonville$3K
- Ramzi YounisMiami$2K
- Daniel WohlJacksonville$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.