Felix Gonzales, MD
Otolaryngology · Fort Dodge, IANPI 1326006131
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,257 of the $1,888 with a category attached, or 66.6%. 13 manufacturers reported payments, led by Medical Device Business Services, Inc. at 33.4% of the total. Reporting peaked in 2021 at $1,089 and has fallen 87.8% since, to $133 in 2022.
Across 49 payments — averaging $38.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$631
- Acclarent, Inc$444
- Intersect ENT, Inc.$308
- Stryker$162
- KARL Storz Endoscopy-america$91
- Aerin Medical Inc.$66
- plus $185 from 7 others
What the payments were for
- Travel & lodging$63133%
- Food & beverage$1,25767%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 1 | $631 |
| Acclarent, Inc | 10 | $444 |
| Intersect ENT, Inc. | 12 | $308 |
| Stryker | 7 | $162 |
| KARL Storz Endoscopy-america | 4 | $91 |
| Aerin Medical Inc. | 1 | $66 |
| GSK | 5 | $60 |
| Smith+Nephew | 3 | $47 |
| Medtronic(2 entities) | 2 | $26 |
| Olympus America Inc. | 1 | $18 |
| Regeneron Healthcare Solutions, Inc. | 1 | $12 |
| Alk-abello, Inc | 1 | $12 |
| Sanofi | 1 | $11 |
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.
- SINUVA$113
How this compares
$1,888 in reported general payments places this provider in the 65th 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 |
|---|---|---|
| Azelastine Hcl | 164 | $4,092 |
| Dexamethasone Sodium Phosphate | 61 | $2,219 |
| Ofloxacin | 31 | $758 |
| Flunisolide | 20 | $733 |
| Tobramycin-DexamethasoneTobramycin/Dexamethasone | 15 | $718 |
| Montelukast Sodium | 76 | $628 |
| Prednisolone Sodium Phosphate | 18 | $602 |
| Ipratropium Bromide | 20 | $443 |
| Mupirocin | 43 | $410 |
| Doxycycline Hyclate | 30 | $407 |
| Fluticasone Propionate | 16 | $269 |
| Cephalexin | 23 | $169 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 15 | $75 |
| Prednisone | 19 | $71 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $49 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Fort Dodge
- Thomas HeinemanCedar Rapids$373K
- Bruce GantzIowa City$170K
- Nancy BaumanIowa City$31K
- Simon WrightWest Des Moines$21K
- Robert PettisOskaloosa$10K
- Brian AndrewsIowa City$9K
- Douglas HoisingtonWest Des Moines$8K
- Joseph WhitmanGrinnell$7K
- Douglas BennionIowa City$6K
- Timothy SimplotWest Des Moines$6K
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.