Jeffrey Byer, MD
Otolaryngology · Derry, NHNPI 1184618803
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $490 of the $660 with a category attached, or 74.3%. It is spread thinly across 9 manufacturers, the largest accounting for just 21.0%. Reporting peaked in 2019 at $200 and has fallen 88.1% since, to $24 in 2025.
Across 18 payments — averaging $36.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$139
- Intersect ENT, Inc.$127
- Medtronic$120
- Sanofi$87
- GSK$74
- Alk-abello, Inc$34
- plus $79 from 3 others
What the payments were for
- Consulting fees$17026%
- Food & beverage$49074%
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 |
|---|---|---|
| Stryker | 1 | $139 |
| Intersect ENT, Inc. | 2 | $127 |
| Medtronic | 3 | $120 |
| Sanofi | 4 | $87 |
| GSK | 2 | $74 |
| Alk-abello, Inc | 2 | $34 |
| Aerin Medical Inc. | 2 | $29 |
| Regeneron Healthcare Solutions, Inc. | 1 | $27 |
| Beigene USA, Inc. | 1 | $24 |
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.
- ENTELLUS - XPRESS ENT DILATION SYSTEM$139
- SPIROX - LATERA$139
- ENTELLUS - CYCLONE SINONASAL SUCTION/IRRIGATION SYSTEM$139
How this compares
$660 in reported general payments places this provider in the 55th percentile of 44 otolaryngology providers in New Hampshire.
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 |
|---|---|---|
| Fluocinolone Acetonide Oil | 126 | $4,605 |
| Ipratropium Bromide | 133 | $3,006 |
| Montelukast Sodium | 294 | $2,235 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 17 | $1,395 |
| Ofloxacin | 30 | $1,325 |
| Triamcinolone Acetonide | 19 | $482 |
| Fluconazole | 15 | $272 |
| Fluticasone Propionate | 20 | $268 |
| CefuroximeCefuroxime Axetil | 13 | $182 |
| Methylprednisolone | 26 | $169 |
| Amitriptyline Hcl | 31 | $103 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Derry
- Keith JorgensenDerry$2K
- James BartelsManchester$5K
- Joseph PaydarfarLebanon$5K
- Michael ToscanoDover$4K
- Taraneh AzarPortsmouth$4K
- Christopher KnoxRochester$3K
- Avery NelsonKeene$2K
- Ross JohnstonLebanon$2K
- Carly SchrageLaconia$2K
- Angela DamianoKeene$2K
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.