Gale Tuper, MD
Otolaryngology · Eglin Afb, FLNPI 1598834426
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,924 of the $4,700 with a category attached, or 83.5%. Inspire Medical Systems, Inc. accounts for 67.6% of it on its own, with 10 other manufacturers making up the rest. 2025 is the largest year on record at $1,297, 3.4 times the $378 reported in 2019.
Across 83 payments — averaging $56.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$3K
- Acclarent, Inc$366
- Intersect ENT, Inc.$247
- Regeneron Healthcare Solutions, Inc.$215
- Stryker$189
- Medtronic$157
- plus $350 from 5 others
What the payments were for
- Travel & lodging$75916%
- Food & beverage$3,92483%
- Education$180%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 51 | $3,176 |
| Acclarent, Inc | 6 | $366 |
| Intersect ENT, Inc. | 4 | $247 |
| Regeneron Healthcare Solutions, Inc. | 5 | $215 |
| Stryker | 4 | $189 |
| Medtronic | 1 | $157 |
| Aerin Medical Inc. | 4 | $128 |
| Sanofi | 4 | $122 |
| Integra Lifesciences Corporation | 2 | $48 |
| Cochlear Americas | 1 | $31 |
| Smith+Nephew | 1 | $21 |
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 Upper Airway Stimulation System$1,191
- Inspire$816
- PROPEL$273
- Relieva Spinplus$126
- Acclarent Aera$117
- SINUVA$115
How this compares
$4,700 in reported general payments places this provider in the 75th percentile of 586 otolaryngology providers in Florida.
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 | 77 | $2,155 |
| Ipratropium Bromide | 84 | $2,077 |
| Fluticasone Propionate | 80 | $1,499 |
| Fluocinolone Acetonide Oil | 16 | $576 |
| Montelukast Sodium | 17 | $172 |
| Tramadol Hcl | 11 | $22 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Eglin Afb
- Cecelia DamaskOrlando$707K
- Ralph TufanoSarasota$469K
- Franklin RimellFort Myers$314K
- David BrodnerBoynton Beach$209K
- Maria SuurnaMiami$189K
- Jane DillonOrmond Beach$180K
- Jeb JusticeGainesville$142K
- Indranil DebnathWinter Park$109K
- Agustin ArrietaMiami$95K
- John WestineGainesville$86K
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.