Guerin Smith, MD
Otolaryngology · Overland Park, KSNPI 1073907010
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $867 of the $1,100 with a category attached, or 78.9%. It is spread thinly across 14 manufacturers, the largest accounting for just 21.1% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2024 at $308 and has fallen 52.9% since, to $145 in 2025. That places this record below the midpoint for otolaryngology clinicians in KS, where the typical reported total is $1,279.
Across 35 payments — averaging $31.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$233
- Sanofi$213
- Optinose US, Inc.$155
- Medtronic$134
- Smith+Nephew$76
- AbbVie$66
- plus $224 from 8 others
What the payments were for
- Food & beverage$86779%
- Education$23321%
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 |
|---|---|---|
| Stryker | 1 | $233 |
| Sanofi | 8 | $213 |
| Optinose US, Inc. | 7 | $155 |
| Medtronic | 1 | $134 |
| Smith+Nephew | 3 | $76 |
| AbbVie | 4 | $66 |
| Inspire Medical Systems, Inc. | 2 | $59 |
| Acclarent, Inc | 2 | $45 |
| GSK | 2 | $36 |
| Merck | 1 | $22 |
| Hologic Sales And Service, LLC | 1 | $17 |
| Greer Laboratories, Inc. | 1 | $16 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $16 |
| Phathom Pharmaceuticals, Inc. | 1 | $13 |
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.
- UNIVERSAL MANDIBLE$233
- PROPEL$134
How this compares
$1,100 in reported general payments places this provider in the 45th percentile of 87 otolaryngology providers in Kansas.
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 |
|---|---|---|
| Omeprazole | 230 | $1,781 |
| Pantoprazole Sodium | 75 | $686 |
| Prednisolone Acetate | 23 | $610 |
| Fluticasone Propionate | 30 | $542 |
| Ipratropium Bromide | 23 | $420 |
| Azelastine Hcl | 14 | $274 |
| Clotrimazole | 13 | $252 |
| Ofloxacin | 14 | $248 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 15 | $156 |
| Famotidine | 32 | $148 |
| Sumatriptan Succinate | 13 | $129 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 18 | $93 |
| Prednisone | 12 | $16 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Overland Park
- David RudmanOverland Park$18K
- Bradley SeamanOverland Park$8K
- Jay DunfieldOverland Park$1K
- Scott KnappenbergerOverland Park$984
- Mitchell ChallisOverland Park$680
- Mark MaslanOverland Park$649
- Thomas EyenOverland Park$397
- Hinrich StaeckerKansas City$499K
- Stanley McClurgMerriam$133K
- Douglas CowanLeawood$32K
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.