Joshua Levine, MD
Otolaryngology · Charlotte, NCNPI 1275557126
Payments from drug & device makers
What this record shows
13 manufacturers reported payments, led by Inspire Medical Systems, Inc. at 57.8% of the total. Reporting peaked in 2022 at $1,534 and has fallen 62.3% since, to $578 in 2025. Among otolaryngology clinicians in NC 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 55 payments — averaging $102.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$3K
- Medtronic$1K
- Sanofi$328
- AstraZeneca$245
- Intersect ENT, Inc.$167
- Aerin Medical Inc.$129
- plus $271 from 7 others
What the payments were for
- Travel & lodging$2,33942%
- Food & beverage$3,28658%
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. | 20 | $3,253 |
| Medtronic(2 entities) | 12 | $1,232 |
| Sanofi | 6 | $328 |
| AstraZeneca | 2 | $245 |
| Intersect ENT, Inc. | 3 | $167 |
| Aerin Medical Inc. | 2 | $129 |
| Somavac Medical Solutions, Inc. | 1 | $75 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $62 |
| Philips North America LLC | 2 | $45 |
| Kala Pharmaceuticals, Inc. | 2 | $30 |
| Optinose US, Inc. | 2 | $30 |
| Acclarent, Inc | 1 | $15 |
| Kaleo, Inc. | 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.
- Inspire Upper Airway Stimulation System$2,418
- SINUVA$746
- DUPIXENT$355
- Inspire$320
- PROPEL$144
- TEZSPIRE$120
- FUSION$110
- Vivaer RF Stylus$108
How this compares
$5,625 in reported general payments places this provider in the 90th percentile of 362 otolaryngology providers in North Carolina.
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 | 68 | $2,674 |
| Fluticasone Propionate | 63 | $1,209 |
| Azelastine Hcl | 38 | $896 |
| Fluocinolone Acetonide Oil | 14 | $545 |
| Famotidine | 28 | $163 |
| Mupirocin | 13 | $144 |
| Ciprofloxacin Hcl | 11 | $102 |
| Omeprazole | 11 | $89 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 11 | $87 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 17 | $45 |
| Prednisone | 21 | $38 |
| Cephalexin | 22 | $34 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Charlotte
- Brendan O ConnellCharlotte$28K
- Zachary CappelloCharlotte$23K
- Michael SicardCharlotte$17K
- Hunter HooverCharlotte$15K
- Douglas VillaretCharlotte$7K
- Daron SmithCharlotte$4K
- Tyler JanzCharlotte$4K
- David JangDurham$324K
- Robert FerrisRaleigh$258K
- Adam ZanationHickory$227K
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.