Marc Routman, MD
Otolaryngology · Birmingham, ALNPI 1841225125
Payments from drug & device makers
Across 21 payments — averaging $65.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$750
- Intersect ENT, Inc.$276
- Inspire Medical Systems, Inc.$144
- Medtronic$47
- Agiliti Surgical, Inc.$36
- Regeneron Healthcare Solutions, Inc.$32
- plus $91 from 4 others
What the payments were for
- Speaking & faculty fees$75055%
- Food & beverage$62645%
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 |
|---|---|---|
| Zimmer Biomet | 1 | $750 |
| Intersect ENT, Inc. | 12 | $276 |
| Inspire Medical Systems, Inc. | 1 | $144 |
| Medtronic | 1 | $47 |
| Agiliti Surgical, Inc. | 1 | $36 |
| Regeneron Healthcare Solutions, Inc. | 1 | $32 |
| La Jolla Pharmaceutical Company | 1 | $32 |
| GSK | 1 | $23 |
| AbbVie | 1 | $21 |
| Boehringer Ingelheim | 1 | $15 |
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.
How this compares
$1,376 in reported general payments places this provider in the 45th 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 |
|---|---|---|
| Advair HfaFluticasone Propion/Salmeterol | 12 | $3,643 |
| Lansoprazole | 161 | $3,392 |
| Ipratropium Bromide | 90 | $2,984 |
| Esomeprazole Magnesium | 50 | $2,188 |
| Famotidine | 140 | $1,668 |
| Omeprazole | 96 | $1,067 |
| Fluticasone Propionate | 34 | $609 |
| Mometasone Furoate | 13 | $598 |
| Montelukast Sodium | 30 | $532 |
| Azelastine Hcl | 21 | $469 |
| Methylprednisolone | 40 | $314 |
| Cefdinir | 21 | $314 |
| Doxycycline Hyclate | 34 | $264 |
| CefuroximeCefuroxime Axetil | 11 | $249 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 24 | $233 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Birmingham
- Bradford WoodworthBirmingham$323K
- Kirk WithrowBirmingham$231K
- Michael SillersBirmingham$188K
- Justin TurnerBirmingham$104K
- Do-Yeon ChoBirmingham$69K
- Jessica GraysonBirmingham$65K
- Patrick OwensBirmingham$26K
- Andrew FusonBirmingham$18K
- Benjamin GreeneBirmingham$15K
- William BarberBirmingham$13K
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.