Paul Lenkowski
Otolaryngology · Roanoke, VANPI 1497964886
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $180,606 of the $281,523 with a category attached, or 64.2%. Stryker accounts for 73.9% of it on its own, with 22 other manufacturers making up the rest. 2025 is the largest year on record at $81,677, more than ten times the $2,300 reported in 2019. Among otolaryngology clinicians in VA 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 717 payments — averaging $392.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$208K
- Optinose US, Inc.$40K
- Regeneron Healthcare Solutions, Inc.$22K
- Sanofi$9K
- GSK$977
- Kaleo, Inc.$209
- plus $1K from 17 others
What the payments were for
- Consulting fees$180,60664%
- Speaking & faculty fees$61,37122%
- Travel & lodging$20,9847%
- Food & beverage$18,1026%
- Education$4600%
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 |
|---|---|---|
| Stryker | 346 | $208,085 |
| Optinose US, Inc. | 121 | $40,006 |
| Regeneron Healthcare Solutions, Inc. | 91 | $22,435 |
| Sanofi | 74 | $8,748 |
| GSK | 34 | $977 |
| Kaleo, Inc. | 14 | $209 |
| Genentech USA, Inc. | 3 | $171 |
| AstraZeneca | 4 | $163 |
| Sanofi-aventis U.S. LLC | 2 | $141 |
| Intersect ENT, Inc. | 5 | $132 |
| Biohaven Pharmaceutical Holding Company Ltd. | 4 | $63 |
| Medtronic | 3 | $54 |
| Vertex | 2 | $49 |
| Arbor Pharmaceuticals, Inc. | 3 | $46 |
| Inspire Medical Systems, Inc. | 1 | $44 |
| Amgen(2 entities) | 2 | $44 |
| Pfizer | 2 | $38 |
| Greer Laboratories, Inc. | 1 | $29 |
| Phadia US Inc. | 1 | $22 |
| Merck | 1 | $20 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $19 |
| Novartis | 1 | $15 |
| Paratek Pharmaceuticals, 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.
- LATERA$99,264
- CLARIFIX CRYOTHERAPY DEVICE$93,319
- SCOPIS ENT$74,903
- XPRESS ENT DILATION SYSTEM$63,578
- XPRESS LOPROFILE$47,230
- CLARIFIX$41,400
- Xhance$38,623
- DUPIXENT$34,155
- AUDION ET DILATION SYSTEM$31,048
- SHAVER SYSTEM$21,005
- TGS GUIDEWIRE$14,875
- N/A$13,213
- ORTHOMAP$12,600
- HEMOPORE$3,400
- NASOPORE$3,400
- ENTELLUS - XPRESS ENT DILATION SYSTEM$2,751
- ENTELLUS MEDICAL REINFORCED ANESTHESIA NEEDLE$2,173
- TGS$719
- NUCALA$342
- FIAGON NAVIGATION UNIT$243
How this compares
$281,523 in reported general payments places this provider in the 95th percentile of 241 otolaryngology providers in Virginia.
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 | 364 | $12,440 |
| Azelastine Hcl | 219 | $6,672 |
| Epinephrine | 35 | $6,070 |
| Fluticasone Propionate | 388 | $3,736 |
| Doxycycline Monohydrate | 267 | $2,699 |
| Montelukast Sodium | 235 | $1,750 |
| Vancomycin Hcl | 13 | $1,380 |
| CefuroximeCefuroxime Axetil | 44 | $1,317 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 13 | $992 |
| Ofloxacin | 24 | $852 |
| Omeprazole | 83 | $740 |
| Mupirocin | 101 | $729 |
| Levofloxacin | 51 | $496 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 50 | $386 |
| Prednisone | 129 | $377 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Roanoke
- Hosai Todd HeshamRoanoke$7K
- John SinacoriRoanoke$6K
- Patrick CarpenterRoanoke$6K
- Laurence OhalloranAnnandale$2.9M
- Joseph HanNorfolk$1.8M
- Ryan NordRichmond$454K
- Nipun ChhabraLeesburg$178K
- Kent LamNorfolk$127K
- Spencer PayneCharlottesville$45K
- Jose MattosCharlottesville$24K
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.