James Williams, MD
Otolaryngology · Waterbury, CTNPI 1467404657
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.8% of the total across 127 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 22 manufacturers reported payments, led by Intersect ENT, Inc. at 26.3% of the total. 2025 is the largest year on record at $1,361, 2.5 times the $534 reported in 2019.
Across 127 payments — averaging $27.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intersect ENT, Inc.$933
- GSK$569
- Regeneron Healthcare Solutions, Inc.$412
- Genentech USA, Inc.$294
- Optinose US, Inc.$227
- Sanofi$157
- plus $951 from 16 others
What the payments were for
- Food & beverage$3,50099%
- Education$431%
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. | 13 | $933 |
| GSK | 37 | $569 |
| Regeneron Healthcare Solutions, Inc. | 18 | $412 |
| Genentech USA, Inc. | 7 | $294 |
| Optinose US, Inc. | 6 | $227 |
| Sanofi | 7 | $157 |
| Phathom Pharmaceuticals, Inc. | 6 | $131 |
| CSL Behring | 5 | $130 |
| Amgen | 6 | $119 |
| Stryker | 2 | $95 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $72 |
| Smith+Nephew | 2 | $69 |
| Pharming Healthcare, Inc. | 3 | $69 |
| Novartis | 4 | $61 |
| Aerin Medical Inc. | 1 | $48 |
| Sanofi-aventis U.S. LLC | 1 | $43 |
| Cycle Pharmaceuticals Inc | 1 | $32 |
| Teleflex LLC | 1 | $19 |
| Neurent Medical Limited | 1 | $18 |
| Acclarent, Inc | 1 | $15 |
| Kedrion Biopharma, Inc. | 1 | $15 |
| Hikma Pharmaceuticals USA | 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.
How this compares
$3,543 in reported general payments places this provider in the 70th percentile of 119 otolaryngology providers in Connecticut.
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 | 201 | $6,166 |
| Fluticasone Propionate | 407 | $4,790 |
| Famotidine | 241 | $2,809 |
| Levetiracetam | 26 | $2,179 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 17 | $1,814 |
| Omeprazole | 176 | $1,724 |
| Ofloxacin | 31 | $678 |
| Cefdinir | 40 | $648 |
| Finasteride | 13 | $518 |
| Levocetirizine Dihydrochloride | 47 | $392 |
| Mupirocin | 54 | $308 |
| Montelukast Sodium | 25 | $164 |
| CefuroximeCefuroxime Axetil | 11 | $136 |
| Pantoprazole Sodium | 31 | $128 |
| Esomeprazole Magnesium | 12 | $78 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Waterbury
- Mahesh BhayaWaterbury$11K
- Neil SchiffWaterbury$10K
- Raymond WinickiWaterbury$6K
- Sara PaiNew Haven$160K
- Richard ManesNew Haven$67K
- Howard StupakWestport$48K
- Belachew TessemaFarmington$45K
- Seth BrownFarmington$39K
- Howard BoeyNew Haven$19K
- Benjamin WycherlyFarmington$8K
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.