Douglas Miller, DO
Otolaryngology/Facial Plastic Surgery · Monroe, GANPI 1073596193
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.1% of the total across 35 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 19 manufacturers reported payments, led by Spirair, Inc. at 26.6% of the total. 2025 is the largest year on record at $365, 6.9 times the $53 reported in 2019. That places this record below the midpoint for otolaryngology/facial plastic surgery clinicians in GA, where the typical reported total is $987.
Across 35 payments — averaging $27.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Spirair, Inc.$254
- Regeneron Healthcare Solutions, Inc.$155
- GSK$61
- Inspire Medical Systems, Inc.$48
- Integra Lifesciences Corporation$48
- Idorsia Pharmaceuticals US Inc$44
- plus $344 from 13 others
What the payments were for
- Food & beverage$93798%
- Education$182%
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 |
|---|---|---|
| Spirair, Inc. | 2 | $254 |
| Regeneron Healthcare Solutions, Inc. | 8 | $155 |
| GSK | 4 | $61 |
| Inspire Medical Systems, Inc. | 2 | $48 |
| Integra Lifesciences Corporation | 2 | $48 |
| Idorsia Pharmaceuticals US Inc | 2 | $44 |
| Boston Scientific | 2 | $43 |
| Cochlear Americas | 2 | $40 |
| Stryker | 1 | $36 |
| Aerin Medical Inc. | 1 | $33 |
| Medtronic | 1 | $25 |
| Acera Surgical, Inc. | 1 | $24 |
| Intersect ENT, Inc. | 1 | $24 |
| Acclarent, Inc | 1 | $23 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $22 |
| Scpharmaceuticals Inc. | 1 | $19 |
| Novo Nordisk | 1 | $19 |
| Davol Inc. | 1 | $19 |
| Ambu Inc. | 1 | $18 |
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
$955 in reported general payments places this provider in the 45th percentile of 21 otolaryngology/facial plastic surgery providers in Georgia.
See all otolaryngology/facial plastic surgery providers in Georgia →
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 PenDupilumab | 27 | $103,664 |
| Ipratropium Bromide | 186 | $4,331 |
| Pilocarpine Hcl | 28 | $1,371 |
| Fluticasone Propionate | 63 | $711 |
| Fluocinonide | 24 | $676 |
| Ciprofloxacin Hcl | 43 | $639 |
| Prednisolone Acetate | 13 | $541 |
| Doxycycline Hyclate | 31 | $316 |
| Levothyroxine Sodium | 34 | $305 |
| Amitriptyline Hcl | 16 | $189 |
| Prednisone | 36 | $188 |
| Nystatin | 11 | $165 |
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 13 | $152 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 13 | $80 |
| Mupirocin | 12 | $78 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology/facial plastic surgery in Monroe
- Bryan StringhamMarietta$5K
- Cang NguyenDouglasville$3K
- Timothy MintonSavannah$3K
- Aaron FletcherStockbridge$2K
- Julia KerolusAtlanta$2K
- Shivan AminAtlanta$2K
- Thomas WalkerAtlanta$2K
- Joseph BeeBrunswick$2K
- Karla HansenBrunswick$1K
- Joel AlexanderAtlanta$1K
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.