Matthew Grafenberg, MD
Otolaryngology · Pinehurst, NCNPI 1225001357
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (58.4%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. 24 manufacturers reported payments, led by Inspire Medical Systems, Inc. at 29.5% of the total. Among otolaryngology clinicians in NC 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 147 payments — averaging $57.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$3K
- Aerin Medical Inc.$1K
- Acclarent, Inc$990
- Medtronic$708
- GSK$676
- Medical Device Business Services, Inc.$573
- plus $2K from 18 others
What the payments were for
- Consulting fees$88010%
- Travel & lodging$2,66531%
- Food & beverage$4,97258%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 21 | $2,514 |
| Aerin Medical Inc. | 9 | $1,272 |
| Acclarent, Inc | 17 | $990 |
| Medtronic(2 entities) | 10 | $708 |
| GSK | 23 | $676 |
| Medical Device Business Services, Inc. | 1 | $573 |
| Regeneron Healthcare Solutions, Inc. | 11 | $382 |
| Sanofi | 13 | $309 |
| Jazz Pharmaceuticals Inc. | 6 | $252 |
| Intersect ENT, Inc. | 6 | $217 |
| Axsome Therapeutics, Inc. | 9 | $183 |
| Med-el Corporation | 1 | $89 |
| Merck | 3 | $61 |
| Stryker | 4 | $60 |
| Vertex | 2 | $56 |
| Optinose US, Inc. | 2 | $36 |
| Itamar Medical Inc | 1 | $29 |
| Kaleo, Inc. | 2 | $27 |
| Smith+Nephew | 1 | $18 |
| Integra Lifesciences Corporation | 1 | $17 |
| Alk-abello, Inc | 1 | $15 |
| Hikma Pharmaceuticals USA | 1 | $14 |
| Cochlear Americas | 1 | $13 |
| Forte Bio-pharma LLC | 1 | $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.
- Inspire Upper Airway Stimulation System$1,499
- VIVAER STYLUS$757
- RHINAER STYLUS$757
- Inspire$517
- ACCLARENT NAVWIRE Sinus Navigation Guidewire$465
- VivAer$400
- RhinAer$400
- PROPEL$307
- NUCALA$259
- TruDi Nav Cable$129
- DUPIXENT$116
How this compares
$8,517 in reported general payments places this provider in the 90th percentile of 362 otolaryngology providers in North Carolina.
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 | 13 | $57,382 |
| Azelastine Hcl | 163 | $4,026 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 21 | $2,424 |
| Mometasone Furoate | 31 | $1,908 |
| Ipratropium Bromide | 88 | $1,696 |
| Fluticasone Propionate | 114 | $1,422 |
| Modafinil | 27 | $1,206 |
| Doxycycline Hyclate | 47 | $623 |
| Omeprazole | 65 | $607 |
| Montelukast Sodium | 26 | $360 |
| Cephalexin | 28 | $201 |
| Methylprednisolone | 23 | $199 |
| Prednisone | 33 | $106 |
| Tramadol Hcl | 23 | $78 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Pinehurst
- Wyman McGuirtPinehurst$6K
- Waldemar RiefkohlPinehurst$5K
- Carl BerkPinehurst$4K
- David JangDurham$324K
- Robert FerrisRaleigh$258K
- Adam ZanationHickory$227K
- Brent SeniorChapel Hill$91K
- Charles EbertChapel Hill$57K
- Adam CampbellWinston Salem$47K
- Harold PillsburyChapel Hill$42K
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.