Jayakar Nayak, MD
Otolaryngology · Stanford, CANPI 1841451556
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $49,977 of the $76,418 with a category attached, or 65.4%. 13 manufacturers reported payments, led by Spirair, Inc. at 31.8% of the total. 2025 is the largest year on record at $43,181, 3.1 times the $14,062 reported in 2019. Among otolaryngology clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 89 payments — averaging $858.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Spirair, Inc.$24K
- Aerin Medical Inc.$22K
- Olympus Corporation Of The Americas$10K
- Cook Incorporated$8K
- Sanofi$7K
- Olympus America Inc.$2K
- plus $4K from 7 others
Across 2 payments — averaging $905.67 each. An ownership or investment interest held by the physician or an immediate family member.
- Spirair, Inc.$2K
What the payments were for
- Consulting fees$49,97765%
- Speaking & faculty fees$12,36716%
- Travel & lodging$1,9113%
- Food & beverage$2,9844%
- Education$9,18012%
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 |
|---|---|---|
| Spirair, Inc. | 3 | $24,282 |
| Aerin Medical Inc. | 25 | $22,359 |
| Olympus Corporation Of The Americas | 23 | $9,921 |
| Cook Incorporated | 2 | $7,700 |
| Sanofi | 4 | $6,867 |
| Olympus America Inc. | 2 | $1,785 |
| Baxter Healthcare | 2 | $1,622 |
| Integra Lifesciences Corporation | 9 | $793 |
| Stryker | 9 | $705 |
| Medtronic(2 entities) | 4 | $147 |
| Acclarent, Inc | 4 | $126 |
| Cook Medical LLC | 1 | $93 |
| KARL Storz Endoscopy-america | 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.
- SeptAlign$48,564
- TURBALIGN$45,299
- VIVAER STYLUS$21,951
- PK Diego$11,512
- Celon System$9,727
- Olympus ENT Instruments$9,727
- Olympus Rhinology Instruments$9,180
- DUPIXENT$6,718
- Cook Medical Rhinology$4,200
- Cook Medical Biodesign$3,500
- FLOSEAL$1,622
- Acclarent Aera$552
- Inspira Air$552
- RELIEVA SPINPLUS NAV$552
- TruDi Probe$552
- RHINAER STYLUS$324
- CORE$168
- XPRESS ENT DILATION SYSTEM$153
- SCOPIS ENT$124
How this compares
$76,418 in reported general payments places this provider in the 95th percentile of 1,021 otolaryngology providers in California.
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 otolaryngology in Stanford
- Zara PatelStanford$128K
- William RyanStanford$94K
- Michael KaplanStanford$59K
- Jarrod KeelerStanford$36K
- Brian WeeksSan Diego$924K
- Randall OwRoseville$613K
- Amir MoradiVista$389K
- Keith BlackwellLos Angeles$349K
- Kalpna DurairajSun Valley$348K
- Todd MillerNewport Beach$259K
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.