Gregory Varjabedian, DO
Otolaryngology · Novi, MINPI 1861490856
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.5% of the total across 173 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 21 manufacturers, the largest accounting for just 19.9% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,523, 2.3 times the $666 reported in 2019.
Across 173 payments — averaging $39.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alk-abello, Inc$1K
- Integra Lifesciences Corporation$993
- Acclarent, Inc$820
- Medtronic$715
- Intersect ENT, Inc.$641
- Sanofi$624
- plus $2K from 15 others
What the payments were for
- Food & beverage$6,869100%
- Education$340%
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 |
|---|---|---|
| Alk-abello, Inc | 70 | $1,376 |
| Integra Lifesciences Corporation | 14 | $993 |
| Acclarent, Inc | 16 | $820 |
| Medtronic(2 entities) | 7 | $715 |
| Intersect ENT, Inc. | 6 | $641 |
| Sanofi | 13 | $624 |
| Regeneron Healthcare Solutions, Inc. | 14 | $281 |
| Stryker | 2 | $272 |
| GSK | 9 | $242 |
| Inspire Medical Systems, Inc. | 2 | $228 |
| Hologic Sales And Service, LLC | 2 | $199 |
| ARS Pharmaceuticals Operations, Inc. | 3 | $155 |
| Sanara Medtech Inc. | 1 | $128 |
| Aerin Medical Inc. | 6 | $62 |
| Optinose US, Inc. | 2 | $40 |
| Amgen | 1 | $34 |
| Smith+Nephew | 1 | $24 |
| Phathom Pharmaceuticals, Inc. | 1 | $20 |
| Hikma Pharmaceuticals USA | 1 | $18 |
| Paratek Pharmaceuticals, Inc. | 1 | $16 |
| Fortovia Therapeutics, Inc. | 1 | $14 |
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$948
- INTEGRA$784
- PRIMATRIX$396
- INTEGRA DERMAL REGENERATION TEMPLATE$396
- DUPIXENT$358
- Acclarent Navwire$280
- INTEGRA WOUND MATRIX (IWM)$235
- Inspire$228
- Acclarent Aera$172
- Inspira Air$172
- RELIEVA SPINPLUS NAV$172
- TruDi Probe$172
- XPRESS LOPROFILE$166
- SINUVA$143
- CoolSeal Generator$138
- INTEGRA MESHED BILAYER WOUND MATRIX$135
- INTEGRA FLOWABLE WOUND MATRIX$135
- CellerateRx$128
- NEFFY$115
- Odactra$108
How this compares
$6,903 in reported general payments places this provider in the 85th percentile of 257 otolaryngology providers in Michigan.
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 | 216 | $5,715 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 43 | $5,470 |
| Ipratropium Bromide | 162 | $4,251 |
| Cevimeline Hcl | 15 | $2,175 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 31 | $1,745 |
| Fluticasone Propionate | 91 | $1,517 |
| Cefdinir | 54 | $914 |
| Omeprazole | 50 | $526 |
| Flunisolide | 12 | $511 |
| Famotidine | 39 | $500 |
| Clotrimazole | 18 | $438 |
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 26 | $342 |
| Montelukast Sodium | 15 | $254 |
| Methylprednisolone | 26 | $126 |
| Mupirocin | 13 | $88 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Novi
- Shant KorkigianNovi$25K
- David SeelNovi$14K
- Matthew FarrugiaNovi$11K
- Mitchell ShecterNovi$9K
- Navdeep SayalNovi$9K
- Eytan KeidarNovi$7K
- Claire WaltersNovi$7K
- Charles BoydBirmingham$825K
- Jack KartushFarmington Hills$225K
- Robert StandringSouthfield$217K
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.