Joseph Derbyshire, DO
Otolaryngology/Facial Plastic Surgery · Zephyrhills, FLNPI 1801243118
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,762 of the $4,600 with a category attached, or 60.0%. 26 manufacturers reported payments, led by Medtronic at 48.7% of the total. 2025 is the largest year on record at $2,470, more than ten times the $101 reported in 2019.
Across 93 payments — averaging $49.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$2K
- Sanofi$507
- Regeneron Healthcare Solutions, Inc.$413
- GSK$221
- Intersect ENT, Inc.$152
- AstraZeneca$143
- plus $923 from 20 others
What the payments were for
- Travel & lodging$1,69437%
- Food & beverage$2,76260%
- Education$1453%
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 |
|---|---|---|
| Medtronic | 24 | $2,242 |
| Sanofi | 21 | $507 |
| Regeneron Healthcare Solutions, Inc. | 10 | $413 |
| GSK | 6 | $221 |
| Intersect ENT, Inc. | 3 | $152 |
| AstraZeneca | 2 | $143 |
| Axogen | 1 | $110 |
| Smith+Nephew | 1 | $107 |
| Aerin Medical Inc. | 1 | $101 |
| Organogenesis Inc. | 4 | $91 |
| Amgen | 2 | $62 |
| Inspire Medical Systems, Inc. | 1 | $58 |
| Sanofi-aventis U.S. LLC | 1 | $55 |
| ARS Pharmaceuticals Operations, Inc. | 2 | $54 |
| Baxter Healthcare | 1 | $38 |
| Cochlear Americas | 2 | $35 |
| Phadia US Inc. | 2 | $34 |
| Stryker | 1 | $28 |
| Neurent Medical Limited | 1 | $26 |
| Merz North America, Inc. | 1 | $25 |
| Acelrx Pharmaceuticals, Inc. | 1 | $22 |
| Kaleo, Inc. | 1 | $17 |
| Acera Surgical, Inc. | 1 | $16 |
| Alk-abello, Inc | 1 | $16 |
| Kerecis Limited | 1 | $14 |
| Hologic Sales And Service, LLC | 1 | $14 |
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.
- STRAIGHTSHOT$1,422
- DUPIXENT$355
- STEALTH AUTOGUIDE SYSTEM$136
- PROPEL$129
- FASENRA$127
- NUCALA$123
- AVANCE NERVE GRAFT$110
- AxoGuard Nerve Connector$110
- AxoGuard Nerve Protector$110
- TULA$107
- Vivaer RF Stylus$101
How this compares
$4,600 in reported general payments places this provider in the 75th percentile of 48 otolaryngology/facial plastic surgery providers in Florida.
See all otolaryngology/facial plastic surgery providers in Florida →
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 |
|---|---|---|
| Dupixent PenDupilumab | 12 | $41,687 |
| Fluocinolone Acetonide Oil | 100 | $3,871 |
| Azelastine Hcl | 168 | $3,851 |
| Ipratropium Bromide | 134 | $3,563 |
| Omeprazole | 195 | $3,350 |
| Epinephrine | 12 | $2,030 |
| Fluticasone Propionate | 148 | $1,730 |
| Triamcinolone Acetonide | 17 | $1,027 |
| Ofloxacin | 59 | $886 |
| Mupirocin | 81 | $609 |
| Famotidine | 54 | $526 |
| Acetic Acid | 16 | $397 |
| Diclofenac Sodium | 23 | $346 |
| Pantoprazole Sodium | 28 | $322 |
| Nystatin | 19 | $258 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology/facial plastic surgery in Zephyrhills
- Jeffery MagnusonCelebration$37K
- Ryan GeggSanta Rosa Beach$11K
- Paul di PasqualeWesley Chapel$10K
- David GerthMiami$9K
- Michael SeidmanCelebration$9K
- Maria ComptonPort Charlotte$7K
- David CarlsonJacksonville$6K
- Janet LeeTampa$5K
- Melyssa HancockBoca Raton$5K
- Todd ParnesDelray Beach$5K
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.