Mary Ashmead, MD
Otolaryngology · Southlake, TXNPI 1275769754
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $94,050 of the $140,689 with a category attached, or 66.8%. Aerin Medical Inc. accounts for 64.0% of it on its own, with 24 other manufacturers making up the rest. 2025 is the largest year on record at $40,016, more than ten times the $1,797 reported in 2019. Among otolaryngology clinicians in TX 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 426 payments — averaging $330.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Aerin Medical Inc.$90K
- Medtronic$29K
- Neurent Medical Limited$11K
- Stryker$5K
- Intersect ENT, Inc.$2K
- Regeneron Healthcare Solutions, Inc.$621
- plus $3K from 19 others
What the payments were for
- Consulting fees$94,05067%
- Speaking & faculty fees$11,0008%
- Travel & lodging$18,12613%
- Food & beverage$17,36712%
- Education$1460%
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 |
|---|---|---|
| Aerin Medical Inc. | 137 | $90,050 |
| Medtronic | 65 | $29,391 |
| Neurent Medical Limited | 18 | $11,447 |
| Stryker | 67 | $4,718 |
| Intersect ENT, Inc. | 17 | $1,926 |
| Regeneron Healthcare Solutions, Inc. | 26 | $621 |
| Integra Lifesciences Corporation | 8 | $477 |
| Optinose US, Inc. | 23 | $466 |
| Sanofi | 15 | $286 |
| Acclarent, Inc | 8 | $225 |
| Olympus America Inc. | 5 | $163 |
| Alk-abello, Inc | 8 | $149 |
| GSK | 7 | $114 |
| Sanofi-aventis U.S. LLC | 2 | $112 |
| Hikma Pharmaceuticals USA | 6 | $98 |
| AstraZeneca | 2 | $98 |
| Cook Medical LLC | 1 | $93 |
| Novartis | 2 | $46 |
| Phathom Pharmaceuticals, Inc. | 2 | $35 |
| Merck | 2 | $34 |
| Amgen | 1 | $34 |
| Covidien LP | 1 | $32 |
| Smith+Nephew | 1 | $31 |
| Philips North America LLC | 1 | $22 |
| Arbor Pharmaceuticals, Inc. | 1 | $19 |
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.
- VIVAER STYLUS$86,594
- RHINAER STYLUS$25,637
- PROPEL$15,527
- NEUROMARK Radiofrequency Console$11,008
- NEUROMARK Device$10,888
- SCOPIS ENT$1,383
- XPRESS ENT DILATION SYSTEM$1,196
- SINUVA$388
- Acclarent Aera$336
- Inspira Air$336
- RELIEVA SPINPLUS NAV$336
- TruDi Probe$336
- SPIROX - LATERA$274
- ENTELLUS - XPRESS ENT DILATION SYSTEM$250
- LATERA$165
- NEUROMARK System$119
- RHINO-LARYNGO VIDEOSCOPE$106
- Xhance$103
How this compares
$140,689 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| Ipratropium Bromide | 54 | $2,591 |
| Azelastine Hcl | 22 | $1,144 |
| Mupirocin | 32 | $556 |
| Doxycycline Monohydrate | 33 | $452 |
| Fluticasone Propionate | 27 | $352 |
| Sumatriptan Succinate | 23 | $200 |
| Montelukast Sodium | 21 | $165 |
| Pantoprazole Sodium | 13 | $158 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 12 | $84 |
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 12 | $75 |
| Prednisone | 23 | $51 |
| Ondansetron Hcl | 19 | $46 |
| Tramadol Hcl | 22 | $25 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Southlake
- Jordan RihaniSouthlake$280K
- Marc DeanFort Worth$486K
- Amber LuongHouston$426K
- Arjuna KuperanHouston$348K
- Ronald KuppersmithCollege Station$325K
- Ron KarniHouston$317K
- Philip ChenSan Antonio$305K
- Keith MathenyFrisco$269K
- Martin CitardiHouston$245K
- James AtkinsSan Antonio$205K
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.