Duncan Watley, MD
Otolaryngology · Missoula, MTNPI 1689023038
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $6,065 of the $9,711 with a category attached, or 62.5%. 13 manufacturers reported payments, led by Medtronic at 42.0% of the total. Reporting peaked in 2022 at $5,475 and has fallen 93.8% since, to $342 in 2025. Among otolaryngology clinicians in MT with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 55 payments — averaging $176.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$4K
- Medical Device Business Services, Inc.$3K
- Kls-martin L.p.$757
- Stryker$451
- Acclarent, Inc$358
- Sanofi$236
- plus $370 from 7 others
What the payments were for
- Travel & lodging$6,06562%
- Food & beverage$3,55737%
- Education$891%
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 |
|---|---|---|
| Medtronic | 19 | $4,079 |
| Medical Device Business Services, Inc. | 9 | $3,459 |
| Kls-martin L.p. | 5 | $757 |
| Stryker | 4 | $451 |
| Acclarent, Inc | 7 | $358 |
| Sanofi | 2 | $236 |
| Inspire Medical Systems, Inc. | 1 | $130 |
| Regeneron Healthcare Solutions, Inc. | 2 | $106 |
| Zimmer Biomet | 1 | $51 |
| Johnson & Johnson | 2 | $29 |
| Aerin Medical Inc. | 1 | $19 |
| Integra Lifesciences Corporation | 1 | $19 |
| Tactile Systems Technology Inc | 1 | $17 |
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.
- PROPEL$3,456
- DUPIXENT$236
- CLARIFIX CRYOTHERAPY DEVICE$158
- NASOPORE$158
- SINUVA$150
- Inspire$130
- NUVENT$121
- SPIROX - LATERA$121
- XEROGEL NASAL/EPISTAXIS 2 PACK$117
- TruDi$103
How this compares
$9,711 in reported general payments places this provider in the 95th percentile of 34 otolaryngology providers in Montana.
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 | 141 | $3,317 |
| Ipratropium Bromide | 85 | $2,789 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 14 | $2,045 |
| Budesonide | 11 | $1,558 |
| Mupirocin | 184 | $1,322 |
| Ondansetron OdtOndansetron | 61 | $478 |
| Famotidine | 29 | $370 |
| Doxycycline Hyclate | 22 | $293 |
| Cefdinir | 11 | $257 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 53 | $256 |
| Montelukast Sodium | 19 | $241 |
| Prednisone | 51 | $195 |
| Vancomycin Hcl | 16 | $154 |
| Methylprednisolone | 26 | $134 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 13 | $61 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Missoula
- Jonathan FowlkesMissoula$3K
- Jeffrey HallerMissoula$1K
- Peter VondoerstenMissoula$712
- Karen AhlstromMissoula$441
- Daniel BrabyMissoula$236
- David HayesMissoula$223
- Phillip GardnerMissoula$212
- David CaiBillings$4K
- Kyle TubbsKalispell$3K
- Brian PelczarBillings$3K
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.