Garrett Casale, MD
Otolaryngology · Winston Salem, NCNPI 1265896906
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 25 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Cochlear Americas accounts for 79.0% of it on its own, with 4 other manufacturers making up the rest. Reporting peaked in 2023 at $526 and has fallen 51.7% since, to $254 in 2025. That places this record below the midpoint for otolaryngology clinicians in NC, where the typical reported total is $856.
Across 25 payments — averaging $35.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cochlear Americas$703
- Stryker$56
- Olympus America Inc.$51
- Advanced Bionics, LLC$47
- Integra Lifesciences Corporation$34
What the payments were for
- Food & beverage$890100%
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 |
|---|---|---|
| Cochlear Americas | 18 | $703 |
| Stryker | 1 | $56 |
| Olympus America Inc. | 3 | $51 |
| Advanced Bionics, LLC | 1 | $47 |
| Integra Lifesciences Corporation | 2 | $34 |
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.
How this compares
$890 in reported general payments places this provider in the 50th percentile of 362 otolaryngology providers in North Carolina.
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 |
|---|---|---|
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 57 | $6,618 |
| Ofloxacin | 59 | $1,373 |
| Prednisolone Acetate | 22 | $1,164 |
| Cephalexin | 63 | $962 |
| Fluocinolone Acetonide Oil | 12 | $514 |
| Mometasone Furoate | 14 | $370 |
| Ipratropium Bromide | 15 | $282 |
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 51 | $275 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 53 | $239 |
| Nortriptyline Hcl | 14 | $224 |
| Alprazolam | 17 | $114 |
| Mupirocin | 13 | $108 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 11 | $105 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Winston Salem
- Adam CampbellWinston Salem$47K
- William ScurryWinston Salem$19K
- James MimsWinston Salem$15K
- John BrittWinston Salem$4K
- Thomas FitzpatrickWinston Salem$4K
- David JangDurham$324K
- Robert FerrisRaleigh$258K
- Adam ZanationHickory$227K
- Brent SeniorChapel Hill$91K
- Charles EbertChapel Hill$57K
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.