Michael Sicard, MD
Otolaryngology · Charlotte, NCNPI 1508834847
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (45.4%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by Neurent Medical Limited at 53.5% of the total. Reporting peaked in 2024 at $8,842 and has fallen 77.7% since, to $1,971 in 2025. Among otolaryngology clinicians in NC 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 130 payments — averaging $130.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Neurent Medical Limited$9K
- Medtronic$2K
- Optinose US, Inc.$957
- Sanofi$952
- Acclarent, Inc$854
- Regeneron Healthcare Solutions, Inc.$447
- plus $2K from 14 others
What the payments were for
- Consulting fees$4,50026%
- Travel & lodging$4,78728%
- Food & beverage$7,72845%
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 |
|---|---|---|
| Neurent Medical Limited | 19 | $9,105 |
| Medtronic(2 entities) | 22 | $2,412 |
| Optinose US, Inc. | 18 | $957 |
| Sanofi | 19 | $952 |
| Acclarent, Inc | 10 | $854 |
| Regeneron Healthcare Solutions, Inc. | 6 | $447 |
| Aerin Medical Inc. | 5 | $443 |
| Integra Lifesciences Corporation | 4 | $417 |
| Stryker | 7 | $377 |
| AstraZeneca | 3 | $263 |
| Intersect ENT, Inc. | 4 | $219 |
| GSK | 2 | $143 |
| Inspire Medical Systems, Inc. | 1 | $120 |
| ARS Pharmaceuticals Operations, Inc. | 3 | $116 |
| Alk-abello, Inc | 2 | $90 |
| KARL Storz Endoscopy-america | 1 | $26 |
| Alcon | 1 | $25 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 1 | $22 |
| Bausch & Lomb Americas Inc. | 1 | $17 |
| Kaleo, Inc. | 1 | $11 |
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.
- NEUROMARK Radiofrequency Console$8,402
- NEUROMARK Device$7,939
- DUPIXENT$1,285
- SINUVA$1,053
- NEUROMARK System$602
- TruDi Nav Cable$502
- Xhance$492
- PROPEL$383
- FUSION$355
- Acclarent Aera$336
- Inspira Air$336
- RELIEVA SPINPLUS NAV$336
- TruDi Probe$336
- Relieva Spinplus$262
- VIVAER STYLUS$243
- RHINAER STYLUS$243
- STEALTHSTATION S8 PLATFORM$228
- NEUROMARK Radiofrequency Generator$140
- ENTELLUS - XPRESS ENT DILATION SYSTEM$137
- NUCALA$124
How this compares
$17,015 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| Ipratropium Bromide | 91 | $2,667 |
| Doxycycline Monohydrate | 47 | $1,006 |
| Cefprozil | 23 | $908 |
| Fluticasone Propionate | 55 | $849 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 57 | $566 |
| Ofloxacin | 25 | $437 |
| Famotidine | 32 | $347 |
| Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc | 57 | $254 |
| Mupirocin | 22 | $223 |
| Cefdinir | 11 | $189 |
| Fluconazole | 19 | $147 |
| Prednisone | 52 | $120 |
| Ciprofloxacin Hcl | 16 | $108 |
| Montelukast Sodium | 16 | $71 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 12 | $51 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Charlotte
- Brendan O ConnellCharlotte$28K
- Zachary CappelloCharlotte$23K
- Hunter HooverCharlotte$15K
- Douglas VillaretCharlotte$7K
- Joshua LevineCharlotte$6K
- Daron SmithCharlotte$4K
- Tyler JanzCharlotte$4K
- David JangDurham$324K
- Robert FerrisRaleigh$258K
- Adam ZanationHickory$227K
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.