Jerald Giles, MD
Otolaryngology · Wichita Falls, TXNPI 1447435490
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.6% of the total across 135 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 30 manufacturers reported payments, led by Regeneron Healthcare Solutions, Inc. at 26.7% of the total. 2025 is the largest year on record at $776, 4.1 times the $189 reported in 2019.
Across 135 payments — averaging $22.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron Healthcare Solutions, Inc.$819
- Sanofi$449
- Optinose US, Inc.$240
- Takeda Pharmaceuticals U.S.A., Inc.$198
- Stryker$192
- Medtronic$174
- plus $992 from 24 others
What the payments were for
- Food & beverage$2,98998%
- Education$742%
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 |
|---|---|---|
| Regeneron Healthcare Solutions, Inc. | 40 | $819 |
| Sanofi | 16 | $449 |
| Optinose US, Inc. | 12 | $240 |
| Takeda Pharmaceuticals U.S.A., Inc. | 10 | $198 |
| Stryker | 7 | $192 |
| Medtronic | 4 | $174 |
| GSK | 8 | $164 |
| Smith+Nephew | 4 | $97 |
| Kaleo, Inc. | 4 | $83 |
| Inspire Medical Systems, Inc. | 2 | $81 |
| Merck | 3 | $66 |
| Blueprint Medicines Corporation | 2 | $64 |
| Alk-abello, Inc | 3 | $52 |
| Cochlear Americas | 2 | $42 |
| Johnson & Johnson | 2 | $39 |
| Acclarent, Inc | 1 | $33 |
| Intersect ENT, Inc. | 1 | $26 |
| Sanofi-aventis U.S. LLC | 2 | $25 |
| Olympus America Inc. | 1 | $24 |
| Novartis | 1 | $23 |
| Integra Lifesciences Corporation | 1 | $23 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $22 |
| CSL Behring | 1 | $21 |
| Aerin Medical Inc. | 1 | $20 |
| Cook Medical LLC | 1 | $17 |
| Genentech USA, Inc. | 1 | $17 |
| Cycle Pharmaceuticals Inc | 1 | $16 |
| AstraZeneca | 1 | $15 |
| IBSA Pharma Inc. | 1 | $12 |
| Tactile Systems Technology Inc | 1 | $11 |
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
$3,063 in reported general payments places this provider in the 60th percentile of 729 otolaryngology providers in Texas.
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 |
|---|---|---|
| Cevimeline Hcl | 16 | $2,567 |
| Ipratropium Bromide | 72 | $1,754 |
| Pilocarpine Hcl | 11 | $1,368 |
| Fluticasone Propionate | 66 | $952 |
| Dexamethasone | 20 | $615 |
| Azelastine Hcl | 21 | $570 |
| Mupirocin | 31 | $548 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $397 |
| Doxycycline Hyclate | 27 | $391 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 29 | $349 |
| Montelukast Sodium | 52 | $301 |
| Ofloxacin | 17 | $278 |
| Methylprednisolone | 29 | $207 |
| Levothyroxine Sodium | 24 | $99 |
| Azithromycin | 29 | $98 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Wichita Falls
- Marc DeanFort Worth$486K
- Amber LuongHouston$426K
- Arjuna KuperanHouston$348K
- Ronald KuppersmithCollege Station$325K
- Ron KarniHouston$317K
- Philip ChenSan Antonio$305K
- Jordan RihaniSouthlake$280K
- Keith MathenyFrisco$269K
- Martin CitardiHouston$245K
- James AtkinsSan Antonio$205K
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.