Douglas Vandaele, MD
Otolaryngology/Facial Plastic Surgery · Iowa City, IANPI 1821082587
Payments from drug & device makers
What this record shows
Inspire Medical Systems, Inc. accounts for 96.0% of it on its own, with 1 other manufacturer making up the rest. 2025 is the largest year on record at $1,263, more than ten times the $114 reported in 2023.
Across 13 payments — averaging $119.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$1K
- Checkpoint Surgical, Inc$62
Across 65 payments — averaging $4879.48 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.
- Inspire Medical Systems, Inc.$317K
What the payments were for
- Travel & lodging$85855%
- Food & beverage$69445%
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. | 12 | $1,490 |
| Checkpoint Surgical, Inc | 1 | $62 |
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$1,168
How this compares
Too few otolaryngology/facial plastic surgery providers in Iowato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Gabapentin | 37 | $291 |
| Azithromycin | 17 | $117 |
| Azelastine Hcl | 14 | $96 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology/facial plastic surgery in Iowa City
- Thomas SimpsonIowa City$2K
- Jeremy VosIowa City$1K
- Daniel OlneyIowa City$1K
- Dwayne CapperIowa City$595
- Thomas VinerIowa City$371
- John CanadyIowa City$46
- Shane GailushasCedar Rapids$6K
- Melanie Giesler-SpellmanCedar Rapids$3K
- Marc PolaccoNorth Liberty$2K
- Jay BurmeisterDavenport$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.