Leticia Peltzer, MD
Otolaryngology · Abingdon, VANPI 1437189149
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (54.4%), travel and lodging and education — rather than concentrated in one kind of arrangement. Stryker accounts for 68.3% of it on its own, with 11 other manufacturers making up the rest. 2025 is the largest year on record at $2,366, 8.1 times the $291 reported in 2019. Among otolaryngology clinicians in VA 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 112 payments — averaging $72.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$6K
- Regeneron Healthcare Solutions, Inc.$1K
- GSK$564
- Inspire Medical Systems, Inc.$265
- Optinose US, Inc.$147
- AstraZeneca$147
- plus $103 from 6 others
What the payments were for
- Travel & lodging$3,67845%
- Food & beverage$4,40854%
- Education$210%
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 |
|---|---|---|
| Stryker | 42 | $5,536 |
| Regeneron Healthcare Solutions, Inc. | 26 | $1,345 |
| GSK | 19 | $564 |
| Inspire Medical Systems, Inc. | 10 | $265 |
| Optinose US, Inc. | 7 | $147 |
| AstraZeneca | 2 | $147 |
| Hikma Pharmaceuticals USA | 1 | $21 |
| Intersect ENT, Inc. | 1 | $18 |
| USWM, LLC | 1 | $18 |
| Medtronic | 1 | $17 |
| Merck | 1 | $16 |
| Microline Surgical Inc | 1 | $13 |
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$1,399
- SCOPIS ENT$1,385
- XPRESS ENT DILATION SYSTEM$1,016
- DUPIXENT$875
- NUCALA$250
- LATERA$247
- TEZSPIRE$125
How this compares
$8,107 in reported general payments places this provider in the 90th percentile of 241 otolaryngology providers in Virginia.
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 | 11 | $39,772 |
| Azelastine Hcl | 125 | $3,904 |
| Ofloxacin | 73 | $1,891 |
| Naloxone Hcl | 15 | $931 |
| Clobetasol Propionate | 15 | $858 |
| Ipratropium Bromide | 32 | $797 |
| Fluticasone Propionate | 57 | $568 |
| Mupirocin | 63 | $473 |
| Levocetirizine Dihydrochloride | 39 | $388 |
| Ondansetron OdtOndansetron | 44 | $343 |
| Cefdinir | 14 | $330 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 39 | $285 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 22 | $229 |
| Lansoprazole | 12 | $226 |
| Levothyroxine Sodium | 23 | $149 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Abingdon
- Laurence OhalloranAnnandale$2.9M
- Joseph HanNorfolk$1.8M
- Ryan NordRichmond$454K
- Paul LenkowskiRoanoke$282K
- Nipun ChhabraLeesburg$178K
- Kent LamNorfolk$127K
- Spencer PayneCharlottesville$45K
- Jose MattosCharlottesville$24K
- Craig DerkayNorfolk$21K
- Heath DreyfussMc Lean$19K
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.