Joseph Smith, MD
Plastic Surgery within the Head & Neck · Exton, PANPI 1043251051
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $6,710 of the $7,559 with a category attached, or 88.8%. It is spread thinly across 39 manufacturers, the largest accounting for just 22.5% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,066, 3.7 times the $560 reported in 2019. Among plastic surgery within the head & neck clinicians in PA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 333 payments — averaging $22.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Harmony Biosciences LLC$2K
- Jazz Pharmaceuticals Inc.$833
- Regeneron Healthcare Solutions, Inc.$501
- GSK$456
- Avadel CNS Pharmaceuticals, LLC$339
- Axsome Therapeutics, Inc.$296
- plus $3K from 33 others
What the payments were for
- Consulting fees$1502%
- Speaking & faculty fees$1752%
- Food & beverage$6,71089%
- Education$5247%
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 |
|---|---|---|
| Harmony Biosciences LLC | 90 | $1,700 |
| Jazz Pharmaceuticals Inc. | 35 | $833 |
| Regeneron Healthcare Solutions, Inc. | 22 | $501 |
| GSK | 24 | $456 |
| Avadel CNS Pharmaceuticals, LLC | 12 | $339 |
| Axsome Therapeutics, Inc. | 9 | $296 |
| Stryker | 10 | $283 |
| Sanofi | 11 | $283 |
| Optinose US, Inc. | 15 | $283 |
| Genentech USA, Inc. | 15 | $274 |
| Lilly USA, LLC | 9 | $265 |
| Intersect ENT, Inc. | 5 | $252 |
| Aimmune Therapeutics, Inc. | 5 | $238 |
| Alk-abello, Inc | 5 | $136 |
| AstraZeneca | 6 | $123 |
| Novartis | 7 | $109 |
| Merck | 5 | $103 |
| Sanofi-aventis U.S. LLC | 1 | $95 |
| Aerin Medical Inc. | 4 | $95 |
| Phathom Pharmaceuticals, Inc. | 5 | $93 |
| Acclarent, Inc | 3 | $91 |
| Kaleo, Inc. | 5 | $77 |
| Neurent Medical Limited | 1 | $66 |
| ARS Pharmaceuticals Operations, Inc. | 4 | $63 |
| Resmed Corp | 3 | $57 |
| Medtronic(2 entities) | 3 | $52 |
| Vertex | 3 | $47 |
| Integra Lifesciences Corporation | 2 | $46 |
| Eisai Inc. | 2 | $45 |
| Amgen | 2 | $44 |
| Azurity Pharmaceuticals, Inc. | 2 | $40 |
| Fiagon NA LLC | 1 | $28 |
| 3b Medical, Inc. | 1 | $27 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $22 |
| Pfizer | 1 | $21 |
| Sanofi US Services Inc. | 1 | $20 |
| Inspire Medical Systems, Inc. | 1 | $20 |
| Tactile Systems Technology Inc | 1 | $20 |
| Arbor Pharmaceuticals, Inc. | 1 | $16 |
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.
- PALFORZIA$175
- LUMRYZ$150
- Wakix$124
- ZEPBOUND$120
- AUDION ET DILATION SYSTEM$115
How this compares
$7,559 in reported general payments places this provider in the 90th percentile of 20 plastic surgery within the head & neck providers in Pennsylvania.
See all plastic surgery within the head & neck providers in Pennsylvania →
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 |
|---|---|---|
| Ofloxacin | 27 | $706 |
| Gabapentin | 27 | $631 |
| Ipratropium Bromide | 18 | $619 |
| Fluticasone Propionate | 39 | $597 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 11 | $298 |
| Azelastine Hcl | 11 | $156 |
| Trazodone Hcl | 27 | $122 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 14 | $122 |
| Clindamycin Hcl | 11 | $111 |
| Methylprednisolone | 30 | $110 |
| Eszopiclone | 12 | $82 |
| Prednisone | 11 | $41 |
| Pramipexole DihydrochloridePramipexole Di-Hcl | 11 | $19 |
Paid to pharmacies, not to this prescriber.
Other plastic surgery within the head & neck in Exton
- Sumeet MathurJohnstown$17K
- Christopher RassekhPhiladelphia$5K
- John GallagherLanghorne$4K
- Alison YuPhiladelphia$3K
- Aarti AgarwalPhiladelphia$3K
- Neel SangalLancaster$3K
- Benjamin ChackLanghorne$2K
- Gunnar BergqvistErie$2K
- Florence OthienoLancaster$1K
- Lisa AyersLewisburg$593
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.