David Osterhus, MD
Otolaryngology · Kingsport, TNNPI 1619973047
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (53.7%), travel and lodging and education — rather than concentrated in one kind of arrangement. 14 manufacturers reported payments, led by Inspire Medical Systems, Inc. at 51.9% of the total. Reporting peaked in 2023 at $1,897 and has fallen 71.1% since, to $548 in 2025.
Across 96 payments — averaging $37.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$2K
- Regeneron Healthcare Solutions, Inc.$656
- Sanofi$456
- Stryker$163
- GSK$145
- Merck$92
- plus $234 from 8 others
What the payments were for
- Travel & lodging$1,57043%
- Food & beverage$1,95054%
- Education$1093%
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. | 23 | $1,884 |
| Regeneron Healthcare Solutions, Inc. | 27 | $656 |
| Sanofi | 22 | $456 |
| Stryker | 2 | $163 |
| GSK | 8 | $145 |
| Merck | 4 | $92 |
| Amgen | 2 | $52 |
| Medtronic | 1 | $42 |
| Olympus America Inc. | 2 | $38 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $29 |
| Optinose US, Inc. | 1 | $22 |
| AstraZeneca | 1 | $19 |
| Hikma Pharmaceuticals USA | 1 | $16 |
| Ambu Inc. | 1 | $16 |
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.
- Inspire$1,482
How this compares
$3,629 in reported general payments places this provider in the 75th percentile of 191 otolaryngology providers in Tennessee.
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 | 11 | $43,904 |
| Ofloxacin | 78 | $2,536 |
| Ipratropium Bromide | 64 | $2,144 |
| Azelastine Hcl | 26 | $801 |
| Fluticasone Propionate | 87 | $798 |
| Calcitriol | 25 | $677 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 24 | $589 |
| Levothyroxine Sodium | 71 | $377 |
| Fluocinonide | 13 | $337 |
| Mupirocin | 46 | $319 |
| Gabapentin | 13 | $174 |
| Omeprazole | 26 | $163 |
| Montelukast Sodium | 18 | $158 |
| Chlorhexidine Gluconate | 18 | $108 |
| Oxycodone Hcl | 38 | $53 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Kingsport
- David CowdenKingsport$3K
- Rakesh ChandraNashville$381K
- David FortuneHermitage$298K
- Grady BryantHermitage$74K
- Marion GillespieMemphis$67K
- Clyde MathisonFarragut$66K
- Dean KlugGermantown$37K
- Michael TopfNashville$36K
- John GleysteenMemphis$25K
- Allan RosenbaumPowell$21K
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.