Joseph Muscarella, DO
Otolaryngology/Facial Plastic Surgery · Williamsville, NYNPI 1457302366
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 66 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 20 manufacturers, the largest accounting for just 14.2% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,454, 3.7 times the $391 reported in 2019.
Across 66 payments — averaging $85.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Aerin Medical Inc.$803
- Smith+Nephew$692
- GSK$677
- Integra Lifesciences Corporation$473
- Stryker$403
- Inspire Medical Systems, Inc.$357
- plus $2K from 14 others
What the payments were for
- Food & beverage$5,653100%
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 |
|---|---|---|
| Aerin Medical Inc. | 7 | $803 |
| Smith+Nephew | 5 | $692 |
| GSK | 12 | $677 |
| Integra Lifesciences Corporation | 4 | $473 |
| Stryker | 4 | $403 |
| Inspire Medical Systems, Inc. | 6 | $357 |
| Optinose US, Inc. | 4 | $349 |
| Globus Medical | 2 | $340 |
| Sanofi | 4 | $292 |
| Medtronic | 2 | $282 |
| Cochlear Americas | 2 | $219 |
| Olympus America Inc. | 1 | $155 |
| Regeneron Healthcare Solutions, Inc. | 3 | $144 |
| Johnson & Johnson | 1 | $122 |
| Intersect ENT, Inc. | 3 | $120 |
| Alk-abello, Inc | 1 | $115 |
| Merck | 2 | $63 |
| KARL Storz Endoscopy-america | 1 | $16 |
| Genentech USA, Inc. | 1 | $16 |
| Acell, 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.
- VIVAER STYLUS$668
- RHINAER STYLUS$668
- NUCALA$502
- DUPIXENT$476
- Halo$440
- TULA$373
- Acclarent Aera$324
- Inspira Air$324
- RELIEVA SPINPLUS NAV$324
- TruDi Probe$324
- PTEYE PARATHYROID DETECTION SYSTEM$282
- Inspire$273
- Xhance$237
- Baha$219
- Cochlear$211
- AUDION ET DILATION SYSTEM$162
- Olympus$155
- RHINO-LARYNGO FIBERSCOPE$155
- ENTELLUS - XPRESS ENT DILATION SYSTEM$136
- Coblation$126
How this compares
$5,653 in reported general payments places this provider in the 70th percentile of 48 otolaryngology/facial plastic surgery providers in New York.
See all otolaryngology/facial plastic surgery providers in New York →
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 |
|---|---|---|
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 13 | $1,688 |
| Ipratropium Bromide | 37 | $987 |
| Fluticasone Propionate | 55 | $854 |
| Azelastine Hcl | 23 | $563 |
| Mupirocin | 32 | $215 |
| CefuroximeCefuroxime Axetil | 13 | $169 |
| Amitriptyline Hcl | 17 | $119 |
| Levothyroxine Sodium | 13 | $37 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology/facial plastic surgery in Williamsville
- Jennifer LevineNew York$454K
- Jason MocheNew York$439K
- Stephen WarmanForest Hills$50K
- Stacey SilversNew York$42K
- Dara LiottaNew York$17K
- Amar SuryadevaraSyracuse$11K
- Sean KennedyGlens Falls$10K
- Jordon GrubeAlbany$9K
- Gary SnyderPlainview$8K
- Eliot DanzigerLevittown$7K
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.