James Gaunt, DO
Otolaryngology · North Kansas City, MONPI 1245670637
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 94.8% of the total across 101 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 21.2% — the pattern of someone who eats at a lot of different presentations.
Across 101 payments — averaging $32.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intersect ENT, Inc.$702
- Aerin Medical Inc.$698
- Acclarent, Inc$449
- Integra Lifesciences Corporation$276
- Sanofi$181
- Optinose US, Inc.$164
- plus $838 from 15 others
What the payments were for
- Food & beverage$3,13795%
- Education$1715%
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 |
|---|---|---|
| Intersect ENT, Inc. | 12 | $702 |
| Aerin Medical Inc. | 23 | $698 |
| Acclarent, Inc | 6 | $449 |
| Integra Lifesciences Corporation | 6 | $276 |
| Sanofi | 8 | $181 |
| Optinose US, Inc. | 10 | $164 |
| Regeneron Healthcare Solutions, Inc. | 5 | $152 |
| GSK | 5 | $116 |
| Medtronic | 5 | $108 |
| Smith+Nephew | 3 | $92 |
| Ambu Inc. | 2 | $60 |
| Biocryst US Sales Co., LLC | 4 | $58 |
| Sanofi-aventis U.S. LLC | 1 | $57 |
| Stryker | 2 | $55 |
| Genentech USA, Inc. | 3 | $42 |
| KARL Storz Endoscopy-america | 1 | $20 |
| Baxter Healthcare | 1 | $18 |
| Olympus America Inc. | 1 | $16 |
| Cochlear Americas | 1 | $15 |
| Bard Access Systems, Inc. | 1 | $15 |
| Novartis | 1 | $15 |
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.
- Relieva Spinplus$171
- SINUVA$132
- Vivaer RF Stylus$127
- PROPEL$127
- Acclarent Navwire$122
- Acclarent Aera$102
- Inspira Air$102
- RELIEVA SPINPLUS NAV$102
- TruDi Probe$102
How this compares
$3,308 in reported general payments places this provider in the 80th percentile of 210 otolaryngology providers in Missouri.
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 |
|---|---|---|
| Ipratropium Bromide | 158 | $4,744 |
| Azelastine Hcl | 45 | $1,683 |
| Pilocarpine Hcl | 23 | $1,139 |
| Neomycin-Polymyxin-HydrocortNeomycin/Polymyxin B/Hydrocort | 20 | $927 |
| Fluticasone Propionate | 71 | $823 |
| Mupirocin | 102 | $764 |
| Ofloxacin | 27 | $608 |
| Nystatin | 33 | $441 |
| Levocetirizine Dihydrochloride | 46 | $396 |
| Methylprednisolone | 58 | $369 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 39 | $367 |
| Doxycycline Hyclate | 19 | $248 |
| Omeprazole | 28 | $239 |
| Cephalexin | 39 | $198 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 30 | $146 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in North Kansas City
- Talon ManingasJoplin$314K
- Ryan JacksonSaint Louis$284K
- Ravindra UppaluriSaint Louis$168K
- James GouldFestus$143K
- John SchneiderSaint Louis$74K
- Amit WaliaSaint Louis$21K
- Bharat PanugantiSaint Louis$19K
- Jeffrey SharonSt. Louis$18K
- Kelvin WallsLees Summit$14K
- Cristine Klatt-CromwellSaint Louis$13K
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.