Mark Winkle, MD
Otolaryngology · Grand Rapids, MINPI 1457379240
Payments from drug & device makers
Across 45 payments — averaging $26.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$268
- Optinose US, Inc.$216
- Regeneron Healthcare Solutions, Inc.$167
- GSK$83
- Xoran Technologies LLC$60
- Merck$59
- plus $354 from 13 others
What the payments were for
- Food & beverage$1,207100%
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 | 5 | $268 |
| Optinose US, Inc. | 8 | $216 |
| Regeneron Healthcare Solutions, Inc. | 3 | $167 |
| GSK | 4 | $83 |
| Xoran Technologies LLC | 3 | $60 |
| Merck | 3 | $59 |
| Sanofi | 2 | $47 |
| Acclarent, Inc | 1 | $39 |
| Novartis | 3 | $37 |
| Medtronic | 2 | $35 |
| Integra Lifesciences Corporation | 1 | $34 |
| Inspire Medical Systems, Inc. | 1 | $33 |
| Olympus America Inc. | 2 | $29 |
| Teva Pharmaceuticals USA, Inc. | 1 | $24 |
| Jazz Pharmaceuticals Inc. | 1 | $22 |
| Ascendis Pharma Endocrinology Inc | 1 | $20 |
| Lilly USA, LLC | 1 | $15 |
| Pfizer | 1 | $12 |
| Phathom Pharmaceuticals, Inc. | 2 | $6 |
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.
- SCOPIS ENT$163
- DUPIXENT$119
How this compares
$1,207 in reported general payments places this provider in the 45th percentile of 257 otolaryngology providers in Michigan.
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 | 21 | $72,697 |
| Ipratropium Bromide | 148 | $6,548 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 42 | $5,551 |
| Fluticasone Propionate | 92 | $2,311 |
| Ofloxacin | 48 | $1,287 |
| Neomycin-Polymyxin-HcNeomycin/Polymyxin B/Hydrocort | 19 | $954 |
| Mupirocin | 65 | $932 |
| Triamcinolone Acetonide | 34 | $717 |
| Nortriptyline Hcl | 31 | $662 |
| Spironolactone-HctzSpironolact/Hydrochlorothiazid | 11 | $559 |
| Omeprazole | 33 | $490 |
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 25 | $472 |
| Mometasone Furoate | 19 | $459 |
| Cefadroxil | 22 | $445 |
| Montelukast Sodium | 17 | $440 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Grand Rapids
- Veronique Wan Fook CheungGrand Rapids$9K
- Eric CoxGrand Rapids$5K
- James ThompsonGrand Rapids$4K
- Charles BoydBirmingham$1.5M
- Steven TelianAnn Arbor$340K
- Jack KartushFarmington Hills$225K
- Robert StandringSouthfield$219K
- Robert StachlerWest Bloomfield$174K
- Samantha TamDetroit$101K
- Tamer GhanemFlint$89K
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.