Herbert Silverstein, MD
Otology & Neurotology · Sarasota, FLNPI 1295745305
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $18,162 of the $18,360 with a category attached, or 98.9%. Medtronic accounts for 98.9% of it on its own, with 3 other manufacturers making up the rest. Reporting peaked in 2019 at $5,292 and has fallen 83.3% since, to $886 in 2024.
Across 25 payments — averaging $734.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$18K
- Impulse Dynamics (USA) Inc.$143
- Johnson & Johnson$30
- Acclarent, Inc$26
Across 30 payments — averaging $115,986 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Otonomy, Inc.$3.5M
What the payments were for
- Royalty or licence$18,16299%
- Food & beverage$1981%
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 |
|---|---|---|
| Medtronic(2 entities) | 21 | $18,162 |
| Impulse Dynamics (USA) Inc. | 1 | $143 |
| Johnson & Johnson | 1 | $30 |
| Acclarent, Inc | 2 | $26 |
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
$18,360 in reported general payments places this provider in the 85th percentile of 25 otology & neurotology 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.
Other otology & neurotology in Sarasota
- Jack WazenSarasota$16K
- Andrew MarloweSarasota$12K
- Seth RosenbergSarasota$3K
- Thomas BalkanyMiami$534K
- Simon AngeliMiami$32K
- Fred TelischiMiami$29K
- Loren BartelsTampa$16K
- Kyle AllenTampa$14K
- Joshua LightBoynton Beach$12K
- James GreenJacksonville$10K
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.