Kirk Withrow
Otolaryngology · Birmingham, ALNPI 1639146327
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (57.1%), food and beverage and education — rather than concentrated in one kind of arrangement. Inspire Medical Systems, Inc. accounts for 80.8% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2021 at $10,056 and has fallen 82.8% since, to $1,734 in 2025. Among otolaryngology clinicians in AL 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 99 payments — averaging $223.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$18K
- Intuitive Surgical$4K
- Aerin Medical Inc.$235
- Johnson & Johnson$78
- Checkpoint Surgical, Inc$49
- Mauna Kea Technologies, Inc.$39
- plus $63 from 2 others
Across 81 payments — averaging $2580.98 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Livanova USA, Inc.$131K
- Inspire Medical Systems, Inc.$78K
What the payments were for
- Consulting fees$12,62557%
- Travel & lodging$1,9229%
- Food & beverage$4,06418%
- Education$3,50016%
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. | 86 | $17,856 |
| Intuitive Surgical | 5 | $3,791 |
| Aerin Medical Inc. | 3 | $235 |
| Johnson & Johnson | 1 | $78 |
| Checkpoint Surgical, Inc | 1 | $49 |
| Mauna Kea Technologies, Inc. | 1 | $39 |
| Integra Lifesciences Corporation | 1 | $37 |
| Smith+Nephew | 1 | $25 |
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$8,986
- Inspire$7,907
- Da Vinci Surgical System$3,756
- VIVAER STYLUS$121
- RHINAER STYLUS$121
How this compares
$22,111 in reported general payments places this provider in the 95th percentile of 155 otolaryngology providers in Alabama.
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 |
|---|---|---|
| Clonazepam | 36 | $2,396 |
| Oxycodone Hcl | 25 | $1,031 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Birmingham
- Michael SillersBirmingham$53K
- Justin TurnerBirmingham$34K
- Bradford WoodworthBirmingham$27K
- Patrick OwensBirmingham$26K
- Do-Yeon ChoBirmingham$19K
- Andrew FusonBirmingham$18K
- Benjamin GreeneBirmingham$15K
- William BarberBirmingham$13K
- Dennis PappasBirmingham$13K
- Ryan MarshallBirmingham$9K
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.