Douglas Smith, MD
Otolaryngology · Tempe, AZNPI 1881669885
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 48 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 10 manufacturers reported payments, led by Regeneron Healthcare Solutions, Inc. at 34.9% of the total. 2025 is the largest year on record at $418, 3.9 times the $108 reported in 2019. That places this record below the midpoint for otolaryngology clinicians in AZ, where the typical reported total is $1,230.
Across 48 payments — averaging $26.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron Healthcare Solutions, Inc.$449
- Sanofi$299
- Optinose US, Inc.$222
- Musculoskeletal Transplant Foundation Inc.$97
- KARL Storz Endoscopy-america$69
- GSK$67
- plus $87 from 4 others
What the payments were for
- Food & beverage$1,289100%
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 |
|---|---|---|
| Regeneron Healthcare Solutions, Inc. | 12 | $449 |
| Sanofi | 13 | $299 |
| Optinose US, Inc. | 12 | $222 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $97 |
| KARL Storz Endoscopy-america | 1 | $69 |
| GSK | 3 | $67 |
| Aerin Medical Inc. | 3 | $43 |
| Hill Dermaceuticals, Inc. | 1 | $17 |
| Merck | 1 | $14 |
| Stryker | 1 | $13 |
How this compares
$1,289 in reported general payments places this provider in the 50th percentile of 150 otolaryngology providers in Arizona.
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 |
|---|---|---|
| Azelastine Hcl | 466 | $10,672 |
| Ipratropium Bromide | 258 | $6,940 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 31 | $3,690 |
| Nystatin | 158 | $2,393 |
| Clotrimazole | 77 | $1,820 |
| Neomycin-Polymyxin-HydrocortNeomycin/Polymyxin B/Hydrocort | 34 | $1,767 |
| Montelukast Sodium | 139 | $1,528 |
| Prednisolone | 21 | $1,043 |
| Doxycycline Hyclate | 140 | $998 |
| Ofloxacin | 37 | $709 |
| Acetic Acid | 34 | $680 |
| Prednisone | 418 | $610 |
| Fluocinolone Acetonide Oil | 16 | $595 |
| Mometasone Furoate | 39 | $580 |
| Ciprofloxacin Hcl | 70 | $433 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Tempe
- Daniel CharousGoodyear$196K
- Jordan WeinerScottsdale$129K
- Lisa GrunebaumScottsdale$121K
- Peter KaiserPhoenix$114K
- Glenn RothmanMesa$51K
- Farhan TaghizadehPhoenix$46K
- Eugene ChangTucson$44K
- Shawn StevensPhoenix$33K
- Brandon FornwaltGlendale$13K
- Devin CunningLake Havasu City$11K
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.