Karen Stierman, MD
Otolaryngology · Austin, TXNPI 1972500072
Payments from drug & device makers
Across 290 payments — averaging $58.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$6K
- Aerin Medical Inc.$3K
- Acclarent, Inc$2K
- Sanofi$889
- Regeneron Healthcare Solutions, Inc.$877
- Optinose US, Inc.$804
- plus $3K from 19 others
What the payments were for
- Consulting fees$8,08648%
- Speaking & faculty fees$4002%
- Travel & lodging$1,0156%
- Food & beverage$7,40244%
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 |
|---|---|---|
| Stryker | 11 | $6,269 |
| Aerin Medical Inc. | 48 | $3,350 |
| Acclarent, Inc | 28 | $2,017 |
| Sanofi | 38 | $889 |
| Regeneron Healthcare Solutions, Inc. | 35 | $877 |
| Optinose US, Inc. | 57 | $804 |
| Integra Lifesciences Corporation | 11 | $675 |
| Smith+Nephew | 4 | $459 |
| GSK | 20 | $308 |
| Inspire Medical Systems, Inc. | 9 | $264 |
| Medtronic(2 entities) | 5 | $209 |
| Galderma Laboratories, L.p. | 3 | $168 |
| AbbVie | 2 | $139 |
| Novo Nordisk | 1 | $117 |
| Intersect ENT, Inc. | 4 | $88 |
| Hikma Pharmaceuticals USA | 4 | $68 |
| Greer Laboratories, Inc. | 2 | $55 |
| Neurent Medical Limited | 1 | $22 |
| Itamar Medical Inc | 1 | $21 |
| Paratek Pharmaceuticals, Inc. | 1 | $21 |
| Lilly USA, LLC | 1 | $20 |
| Spirair, Inc. | 1 | $19 |
| Pfizer | 1 | $15 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $14 |
| Amgen | 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.
- ENTELLUS - XPRESS ENT DILATION SYSTEM$4,324
- RHINAER STYLUS$2,365
- CLARIFIX$1,663
- VIVAER STYLUS$865
- Acclarent Aera$676
- Coblation - Turbinate Wands$400
- Inspira Air$320
- RELIEVA SPINPLUS NAV$320
- TruDi Probe$320
- Acclarent Navwire$271
- DUPIXENT$124
- BOTOX$120
How this compares
$16,903 in reported general payments places this provider in the 90th percentile of 729 otolaryngology providers in Texas.
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 | 23 | $99,123 |
| Ipratropium Bromide | 232 | $7,644 |
| Fluticasone Propionate | 202 | $2,381 |
| Levocetirizine Dihydrochloride | 144 | $1,503 |
| Omeprazole | 111 | $1,384 |
| Olopatadine Hcl | 11 | $1,176 |
| Azelastine Hcl | 34 | $1,173 |
| Fluocinolone Acetonide Oil | 27 | $963 |
| Neomycin-Polymyxin-HcNeomycin/Polymyxin B/Hydrocort | 20 | $812 |
| Prednisolone Sodium Phosphate | 17 | $784 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 73 | $734 |
| Doxycycline Hyclate | 62 | $681 |
| Mupirocin | 67 | $600 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 21 | $485 |
| Montelukast Sodium | 57 | $419 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Austin
- Laurence ChuAustin$37.4M
- Mark ZafereoHouston$7.8M
- Neil GrossHouston$1.5M
- Chad McDuffieFrisco$1.5M
- Ian AlexanderBoerne$999K
- Stephen LaiHouston$968K
- Benjamin CilentoSpring$963K
- Amber LuongHouston$793K
- Jeffrey RosenbloomSan Antonio$720K
- Masayoshi TakashimaHouston$644K
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.