Jacques Herzog, MD
Otology & Neurotology · Saint Louis, MONPI 1255330650
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (47.6%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Cochlear Americas accounts for 93.6% of it on its own, with 10 other manufacturers making up the rest. 2025 is the largest year on record at $32,630, 4.1 times the $8,056 reported in 2019.
Across 135 payments — averaging $460.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cochlear Americas$58K
- Cochlear Ltd$3K
- Grace Medical, Inc.$405
- Med-el Corporation$282
- Advanced Bionics, LLC$250
- Medtronic$141
- plus $417 from 5 others
Across 85 payments — averaging $5902.42 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.
- Cochlear Americas$502K
What the payments were for
- Consulting fees$29,60048%
- Travel & lodging$24,99040%
- Food & beverage$7,57412%
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 | 116 | $58,155 |
| Cochlear Ltd | 1 | $2,513 |
| Grace Medical, Inc. | 3 | $405 |
| Med-el Corporation | 3 | $282 |
| Advanced Bionics, LLC | 4 | $250 |
| Medtronic | 3 | $141 |
| Iotamotion, Inc. | 1 | $138 |
| Stryker | 1 | $131 |
| Oticon Medical, LLC | 1 | $110 |
| Pfizer | 1 | $21 |
| Olympus America Inc. | 1 | $18 |
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.
- Baha$53,319
- Cochlear Nucleus CI632 cochlear implant with Slim Modiolar electrode$46,827
- OSIA OSI300 IMPLANT$41,627
- Cochlear$9,024
- Nucleus$7,180
- Baha BI300 implant 4 mm$5,200
- Cochlear Osia OSI200 Implant$5,200
- Mi1250 SYNCHRONY 2 FLEXsoft$263
- BCI 602 Kit$138
- iotaSOFT$138
- ENTELLUS - XPRESS ENT DILATION SYSTEM$131
- HIRES ULTRA CI HIFOCUS MS ELECTRODE$125
- PONTO BONE ANCHORED HEARING SYSTEM$110
- ENDOSCOPIC SINUS SURGERY KIT$108
How this compares
Too few otology & neurotology providers in Missourito place this figure against a meaningful peer group, so we don't.
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 | 56 | $6,278 |
| Ofloxacin | 103 | $3,742 |
| Topiramate | 35 | $2,791 |
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 169 | $1,401 |
| Mometasone Furoate | 24 | $352 |
| Acetazolamide | 18 | $338 |
| Meclizine Hcl | 29 | $209 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 31 | $179 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 32 | $131 |
| Methylprednisolone | 24 | $131 |
| Ondansetron OdtOndansetron | 15 | $97 |
| Prednisone | 30 | $83 |
| Amoxicillin | 31 | $68 |
| Diazepam | 21 | $33 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 11 | $29 |
Paid to pharmacies, not to this prescriber.
Other otology & neurotology in Saint Louis
- Matthew ShewSaint Louis$9K
- Pawina JiramongkolchaiSaint Louis$3K
- James BeneckeSaint Louis$2K
- Peter SmithSaint Louis$150
- Richard CholeSaint Louis$18
- Nedim DurakovicCreve Coeur$26K
- Anthony MikulecSt. Louis$3K
- Arnaldo Rivera PerezColumbia$2K
- Mark van EssSpringfield$948
- Bradley ThedingerKansas City$585
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.