Nicholas Peiffer, MD
Otolaryngology · Frisco, TXNPI 1083817688
Payments from drug & device makers
Across 87 payments — averaging $33.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acclarent, Inc$562
- Stryker$495
- Medtronic$465
- Aerin Medical Inc.$313
- Inspire Medical Systems, Inc.$295
- Sanofi$189
- plus $551 from 13 others
What the payments were for
- Consulting fees$1505%
- Food & beverage$2,66893%
- Education$532%
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 |
|---|---|---|
| Acclarent, Inc | 18 | $562 |
| Stryker | 15 | $495 |
| Medtronic(2 entities) | 4 | $465 |
| Aerin Medical Inc. | 14 | $313 |
| Inspire Medical Systems, Inc. | 9 | $295 |
| Sanofi | 6 | $189 |
| GSK | 6 | $107 |
| Integra Lifesciences Corporation | 2 | $85 |
| Neurent Medical Limited | 2 | $75 |
| Sanofi-aventis U.S. LLC | 1 | $53 |
| Intersect ENT, Inc. | 1 | $47 |
| Optinose US, Inc. | 2 | $40 |
| Smith+Nephew | 1 | $37 |
| Regeneron Healthcare Solutions, Inc. | 1 | $22 |
| Kerecis Limited | 1 | $21 |
| Itamar Medical Inc | 1 | $18 |
| Merck | 1 | $17 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $15 |
| Glenmark Therapeutics Inc. | 1 | $14 |
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.
- PROPEL$269
- Inspira Air$124
How this compares
$2,871 in reported general payments places this provider in the 60th 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 | 93 | $2,829 |
| Omeprazole | 114 | $1,412 |
| Fluocinolone Acetonide Oil | 13 | $558 |
| CefuroximeCefuroxime Axetil | 33 | $541 |
| Methylprednisolone | 33 | $194 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 21 | $166 |
| Amoxicillin | 14 | $31 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Frisco
- Chad McDuffieFrisco$1.5M
- Dale EhmerFrisco$362K
- Keith MathenyFrisco$281K
- Neelesh MehendaleFrisco$188K
- Lav KapadiaFrisco$154K
- Laurence ChuAustin$37.4M
- Mark ZafereoHouston$7.8M
- Neil GrossHouston$1.5M
- Ian AlexanderBoerne$999K
- Stephen LaiHouston$968K
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.