Julia Noel, MD
Otolaryngology · Palo Alto, CANPI 1407290166
Payments from drug & device makers
What this record shows
The money is spread across several categories — other (54.5%), consulting fees and speaking fees — rather than concentrated in one kind of arrangement. Pulse Biosciences, Inc. accounts for 60.2% of it on its own, with 3 other manufacturers making up the rest. 2025 is the largest year on record at $44,604, more than ten times the $129 reported in 2019. Among otolaryngology clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 45 payments — averaging $1519.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pulse Biosciences, Inc.$41K
- Medtronic$27K
- Baxter Healthcare$112
- Smith+Nephew$63
What the payments were for
- Consulting fees$19,85029%
- Speaking & faculty fees$9,37514%
- Travel & lodging$6361%
- Food & beverage$1,2382%
- Other$37,28555%
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 |
|---|---|---|
| Pulse Biosciences, Inc. | 11 | $41,172 |
| Medtronic(2 entities) | 31 | $27,036 |
| Baxter Healthcare | 1 | $112 |
| Smith+Nephew | 2 | $63 |
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.
- CellFX$41,172
- PTEYE PARATHYROID DETECTION SYSTEM$8,375
- Nanosecond Pulsed Field Ablation (nsPFA)$5,900
- NIM Vital$4,459
- FUSION$2,000
- NIM-RESPONSE$1,250
- TISSEEL$112
How this compares
$68,384 in reported general payments places this provider in the 95th percentile of 1,021 otolaryngology providers in California.
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.
Other otolaryngology in Palo Alto
- Peter HwangPalo Alto$90K
- Brian WeeksSan Diego$924K
- Randall OwRoseville$613K
- Amir MoradiVista$389K
- Keith BlackwellLos Angeles$349K
- Kalpna DurairajSun Valley$348K
- Todd MillerNewport Beach$259K
- Jeffrey SuhLos Angeles$223K
- Dennis TangLos Angeles$209K
- Jeffrey FeinfieldThousand Oaks$160K
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.