Melanie Townsend, MD
Otolaryngology · Celebration, FLNPI 1922447952
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,295 of the $2,817 with a category attached, or 81.5%. It is spread thinly across 18 manufacturers, the largest accounting for just 18.8% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $838, 4.2 times the $200 reported in 2019.
Across 43 payments — averaging $65.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Kls-martin L.p.$530
- Stryker$329
- Integra Lifesciences Corporation$301
- Biogen$252
- Polynovo North America LLC$181
- Axogen$171
- plus $1K from 12 others
What the payments were for
- Travel & lodging$27710%
- Food & beverage$2,29581%
- Other$2459%
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 |
|---|---|---|
| Kls-martin L.p. | 5 | $530 |
| Stryker | 3 | $329 |
| Integra Lifesciences Corporation | 4 | $301 |
| Biogen | 3 | $252 |
| Polynovo North America LLC | 6 | $181 |
| Axogen | 3 | $171 |
| Acera Surgical, Inc. | 1 | $155 |
| Intuitive Surgical | 2 | $147 |
| Ambu Inc. | 1 | $121 |
| Med-el Corporation | 1 | $117 |
| 3nt Medical | 1 | $117 |
| Smith+Nephew | 3 | $103 |
| Regeneron Healthcare Solutions, Inc. | 3 | $97 |
| Kerecis Limited | 1 | $57 |
| Medical Device Business Services, Inc. | 2 | $47 |
| Hologic Sales And Service, LLC | 2 | $37 |
| Johnson & Johnson | 1 | $32 |
| Merck | 1 | $22 |
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
$2,817 in reported general payments places this provider in the 65th percentile of 586 otolaryngology providers in Florida.
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 |
|---|---|---|
| Pentoxifylline | 11 | $491 |
| Mirtazapine | 22 | $440 |
| Gabapentin | 49 | $285 |
| Levothyroxine Sodium | 36 | $254 |
| Fluticasone Propionate | 11 | $185 |
| Carbidopa-LevodopaCarbidopa/Levodopa | 11 | $163 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 19 | $150 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 23 | $142 |
| Lidocaine Hcl ViscousLidocaine Hcl | 12 | $137 |
| Metoprolol Tartrate | 11 | $108 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Celebration
- Cecelia DamaskOrlando$707K
- Ralph TufanoSarasota$469K
- Franklin RimellFort Myers$314K
- David BrodnerBoynton Beach$209K
- Maria SuurnaMiami$189K
- Jane DillonOrmond Beach$180K
- Jeb JusticeGainesville$142K
- Indranil DebnathWinter Park$109K
- Agustin ArrietaMiami$95K
- John WestineGainesville$86K
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.