Douglas Hoisington, DO
Otolaryngology · West Des Moines, IANPI 1184682189
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.6% of the total across 188 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 21 manufacturers reported payments, led by Aerin Medical Inc. at 36.0% of the total. Reporting peaked in 2023 at $1,784 and has fallen 63.1% since, to $658 in 2025. Among otolaryngology clinicians in IA 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 188 payments — averaging $40.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Aerin Medical Inc.$3K
- Acclarent, Inc$2K
- Intersect ENT, Inc.$1K
- Regeneron Healthcare Solutions, Inc.$351
- Sanofi$336
- Medtronic$325
- plus $926 from 15 others
What the payments were for
- Food & beverage$7,615100%
- Education$340%
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 |
|---|---|---|
| Aerin Medical Inc. | 43 | $2,751 |
| Acclarent, Inc | 37 | $1,592 |
| Intersect ENT, Inc. | 22 | $1,368 |
| Regeneron Healthcare Solutions, Inc. | 16 | $351 |
| Sanofi | 19 | $336 |
| Medtronic | 4 | $325 |
| Alk-abello, Inc | 9 | $153 |
| Optinose US, Inc. | 7 | $131 |
| GSK | 8 | $112 |
| Smith+Nephew | 2 | $72 |
| KARL Storz Endoscopy-america | 3 | $68 |
| Stryker | 2 | $67 |
| Neurent Medical Limited | 2 | $66 |
| Amgen | 2 | $55 |
| Paratek Pharmaceuticals, Inc. | 3 | $51 |
| Pfizer | 2 | $39 |
| Kaleo, Inc. | 2 | $33 |
| ARS Pharmaceuticals Operations, Inc. | 2 | $30 |
| AstraZeneca | 1 | $20 |
| Novartis | 1 | $16 |
| Olympus America Inc. | 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.
- VIVAER STYLUS$1,098
- RHINAER STYLUS$1,098
- PROPEL$744
- Vivaer RF Stylus$504
- SINUVA$399
- VivAer$386
- RhinAer$386
- STEALTHSTATION S8 PLATFORM$229
- TruDi Nav Cable$125
How this compares
$7,649 in reported general payments places this provider in the 90th percentile of 103 otolaryngology providers in Iowa.
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 |
|---|---|---|
| Epinephrine | 68 | $12,424 |
| Omeprazole | 199 | $2,238 |
| Ipratropium Bromide | 70 | $1,807 |
| Fluticasone Propionate | 132 | $1,652 |
| Pantoprazole Sodium | 111 | $1,560 |
| Azelastine Hcl | 45 | $1,310 |
| Esomeprazole Magnesium | 15 | $1,031 |
| Methylprednisolone | 91 | $672 |
| Mometasone Furoate | 18 | $533 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 24 | $413 |
| Fluconazole | 23 | $389 |
| Mupirocin | 27 | $181 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 11 | $131 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in West Des Moines
- Simon WrightWest Des Moines$21K
- Timothy SimplotWest Des Moines$6K
- Arun GuptaWest Des Moines$3K
- Eytan YoungWest Des Moines$2K
- Stephen GriffithWest Des Moines$2K
- Joseph BertrocheWest Des Moines$2K
- Danielle LiudahlWest Des Moines$2K
- Richard RinehartWest Des Moines$954
- Maher YounesWest Des Moines$749
- Douglas SchulteWest Des Moines$587
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.