John Neis, MD
Otolaryngology · Mountain Home, ARNPI 1851616148
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,517 of the $2,140 with a category attached, or 70.9%. Inspire Medical Systems, Inc. accounts for 63.6% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2023 at $1,106 and has fallen 74.4% since, to $284 in 2025.
Across 40 payments — averaging $53.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$1K
- Aerin Medical Inc.$243
- Medtronic$154
- Regeneron Healthcare Solutions, Inc.$110
- KARL Storz Endoscopy-america$108
- Novartis$58
- plus $107 from 5 others
What the payments were for
- Travel & lodging$56727%
- Food & beverage$1,51771%
- Education$563%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 21 | $1,362 |
| Aerin Medical Inc. | 2 | $243 |
| Medtronic | 4 | $154 |
| Regeneron Healthcare Solutions, Inc. | 3 | $110 |
| KARL Storz Endoscopy-america | 1 | $108 |
| Novartis | 3 | $58 |
| GSK | 2 | $36 |
| Sanofi | 1 | $21 |
| Optinose US, Inc. | 1 | $20 |
| Stryker | 1 | $18 |
| Cook Medical LLC | 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.
- Inspire$567
- VIVAER STYLUS$223
- RHINAER STYLUS$223
- STROBO VIDEO,MIC,FOOTSWITCH LOYAL KT$108
How this compares
$2,140 in reported general payments places this provider in the 75th percentile of 72 otolaryngology providers in Arkansas.
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 | 51 | $1,547 |
| Ipratropium Bromide | 57 | $1,391 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 50 | $733 |
| Fluticasone Propionate | 69 | $667 |
| Omeprazole | 46 | $328 |
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 17 | $222 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 48 | $166 |
| Doxycycline Hyclate | 12 | $125 |
| Levothyroxine Sodium | 24 | $109 |
| Prednisone | 30 | $105 |
| Amitriptyline Hcl | 11 | $36 |
| Tramadol Hcl | 12 | $18 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Mountain Home
- Paul NeisMountain Home$1K
- Patricia BellHarrison$82K
- Cory VaughnSpringdale$7K
- Jeffrey KirschConway$6K
- Patrick FraleyConway$5K
- Sharon TomaskiEl Dorado$5K
- Tyler BoneJonesboro$5K
- Rafael MarreroConway$4K
- Matthew BridgesRogers$4K
- Michael MarshFort Smith$4K
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.