David Otoole, MD
Pain Medicine · Kernersville, NCNPI 1659329811
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,216 of the $7,777 with a category attached, or 67.1%. 5 manufacturers reported payments, led by Boston Scientific at 46.3% of the total. Reporting peaked in 2023 at $2,572 and has fallen 65.9% since, to $878 in 2025.
Across 198 payments — averaging $39.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$4K
- Medtronic$3K
- SPR Therapeutics, Inc$600
- Abbott$157
- MML US, Inc.$15
Across 10 payments — averaging $1577.50 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Medtronic$16K
What the payments were for
- Travel & lodging$2,55133%
- Food & beverage$5,21667%
- Education$90%
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 |
|---|---|---|
| Boston Scientific | 114 | $3,603 |
| Medtronic(2 entities) | 72 | $3,402 |
| SPR Therapeutics, Inc | 6 | $600 |
| Abbott | 5 | $157 |
| MML US, Inc. | 1 | $15 |
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
$7,777 in reported general payments places this provider in the 70th percentile of 182 pain medicine providers in North Carolina.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 98 | $2,412 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 77 | $1,650 |
| Gabapentin | 167 | $1,463 |
| Pregabalin | 52 | $970 |
| Tizanidine Hcl | 91 | $948 |
| Methocarbamol | 53 | $588 |
| Tramadol Hcl | 71 | $518 |
| Tramadol Hcl ErTramadol Hcl | 11 | $509 |
| Baclofen | 22 | $330 |
| Oxycodone Hcl | 19 | $312 |
| Cephalexin | 38 | $239 |
| Duloxetine Hcl | 15 | $221 |
| Methylprednisolone | 26 | $164 |
| Ondansetron Hcl | 11 | $117 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Kernersville
- Carmen MayoKernersville$14K
- James NorthWinston Salem$721K
- Leonardo KapuralWinston Salem$523K
- Christopher GilmoreWinston Salem$457K
- Richard RauckWinston Salem$431K
- Courtney AumanJacksonville$186K
- Jacob WangCharlotte$162K
- Aashish KumarCharlotte$160K
- Javid BakshAsheville$116K
- David ZubLeland$97K
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.