John Touliatos, MD
Otolaryngology · Germantown, TNNPI 1306952759
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (53.2%), food and beverage and education — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Intersect ENT, Inc. at 58.3% of the total. Reporting peaked in 2021 at $2,866 and has fallen 79.3% since, to $592 in 2025.
Across 69 payments — averaging $70.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intersect ENT, Inc.$3K
- Sanofi$548
- Globus Medical$484
- Medtronic$332
- GSK$203
- Amgen$124
- plus $326 from 11 others
What the payments were for
- Travel & lodging$2,57053%
- Food & beverage$2,20846%
- Education$531%
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. | 9 | $2,815 |
| Sanofi | 19 | $548 |
| Globus Medical | 6 | $484 |
| Medtronic(2 entities) | 8 | $332 |
| GSK | 12 | $203 |
| Amgen | 1 | $124 |
| Pacira Pharmaceuticals Incorporated | 3 | $60 |
| Sanofi-aventis U.S. LLC | 1 | $53 |
| Integra Lifesciences Corporation | 1 | $40 |
| Merck | 2 | $34 |
| Hologic Sales And Service, LLC | 1 | $25 |
| Baxter Healthcare | 1 | $23 |
| Novo Nordisk | 1 | $22 |
| Kerecis Limited | 1 | $19 |
| Stryker | 1 | $18 |
| Neurent Medical Limited | 1 | $18 |
| Regeneron Healthcare Solutions, Inc. | 1 | $15 |
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$2,700
- PROPEL$2,564
- TEPEZZA$124
- DUPIXENT$109
- STEALTHSTATION S8 PLATFORM$105
How this compares
$4,832 in reported general payments places this provider in the 80th percentile of 191 otolaryngology providers in Tennessee.
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 |
|---|---|---|
| Ipratropium Bromide | 108 | $3,583 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 20 | $2,207 |
| Azelastine Hcl | 61 | $1,630 |
| Montelukast Sodium | 176 | $1,445 |
| Fluocinolone Acetonide Oil | 19 | $748 |
| Fluticasone Propionate | 52 | $670 |
| Levothyroxine Sodium | 50 | $590 |
| Pilocarpine Hcl | 16 | $539 |
| Cephalexin | 76 | $334 |
| Meclizine Hcl | 63 | $274 |
| Methylprednisolone | 33 | $195 |
| Mometasone Furoate | 15 | $174 |
| Clindamycin Hcl | 23 | $173 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 37 | $151 |
| Hydrochlorothiazide | 19 | $129 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Germantown
- Dean KlugGermantown$37K
- Brandon ShepherdGermantown$7K
- Rakesh ChandraNashville$381K
- David FortuneHermitage$298K
- Grady BryantHermitage$74K
- Marion GillespieMemphis$67K
- Clyde MathisonFarragut$66K
- Michael TopfNashville$36K
- John GleysteenMemphis$25K
- Allan RosenbaumPowell$21K
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.