Jared Langerman, MD
Otolaryngology · Jupiter, FLNPI 1376961946
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (50.9%), travel and lodging and education — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Intersect ENT, Inc. at 38.2% of the total. Reporting peaked in 2019 at $1,737 and has fallen 86.4% since, to $236 in 2025.
Across 42 payments — averaging $90.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intersect ENT, Inc.$1K
- Inspire Medical Systems, Inc.$965
- Aerin Medical Inc.$332
- Smith+Nephew$281
- Medtronic$242
- Integra Lifesciences Corporation$127
- plus $391 from 7 others
What the payments were for
- Travel & lodging$1,60642%
- Food & beverage$1,92551%
- Education$2497%
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. | 4 | $1,443 |
| Inspire Medical Systems, Inc. | 4 | $965 |
| Aerin Medical Inc. | 7 | $332 |
| Smith+Nephew | 4 | $281 |
| Medtronic(2 entities) | 5 | $242 |
| Integra Lifesciences Corporation | 4 | $127 |
| Medical Device Business Services, Inc. | 3 | $101 |
| Fisher & Paykel Healthcare Inc | 2 | $83 |
| Stryker | 3 | $78 |
| Acclarent, Inc | 3 | $68 |
| Optinose US, Inc. | 1 | $23 |
| Resmed Corp | 1 | $20 |
| GSK | 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.
- SINUVA$1,436
- PROPEL$1,242
- Inspire Upper Airway Stimulation System$787
- VIVAER STYLUS$294
- RHINAER STYLUS$294
- Coblation Wands$150
- Inspire$146
How this compares
$3,781 in reported general payments places this provider in the 70th percentile of 586 otolaryngology 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 17 | $2,207 |
| Ipratropium Bromide | 69 | $1,956 |
| Cefdinir | 51 | $1,311 |
| Fluticasone Propionate | 53 | $925 |
| Fluocinolone Acetonide Oil | 18 | $873 |
| Famotidine | 18 | $302 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 26 | $288 |
| Mupirocin | 44 | $276 |
| Prednisone | 82 | $259 |
| Ciprofloxacin Hcl | 19 | $231 |
| Mometasone Furoate | 13 | $80 |
| Oxycodone Hcl | 18 | $41 |
| Diazepam | 13 | $27 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Jupiter
- Cecelia DamaskOrlando$707K
- Ralph TufanoSarasota$469K
- Franklin RimellFort Myers$314K
- David BrodnerBoynton Beach$209K
- Maria SuurnaMiami$189K
- Jane DillonOrmond Beach$180K
- Jeb JusticeGainesville$142K
- Indranil DebnathWinter Park$109K
- Agustin ArrietaMiami$95K
- John WestineGainesville$86K
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.