Paul Tennant, MD
Otolaryngology · Louisville, KYNPI 1245402353
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,325 of the $2,677 with a category attached, or 86.9%. It is spread thinly across 21 manufacturers, the largest accounting for just 20.8% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $713 and has fallen 82.7% since, to $124 in 2025.
Across 55 payments — averaging $48.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$557
- Inspire Medical Systems, Inc.$443
- Merck$241
- Axogen$230
- Atos Medical Inc$197
- Stryker$164
- plus $845 from 15 others
What the payments were for
- Travel & lodging$35213%
- Food & beverage$2,32587%
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 |
|---|---|---|
| Intuitive Surgical | 4 | $557 |
| Inspire Medical Systems, Inc. | 5 | $443 |
| Merck | 17 | $241 |
| Axogen | 4 | $230 |
| Atos Medical Inc | 1 | $197 |
| Stryker | 2 | $164 |
| Intersect ENT, Inc. | 2 | $151 |
| Osiris Therapeutics Inc. | 1 | $123 |
| Integra Lifesciences Corporation | 2 | $115 |
| Johnson & Johnson | 1 | $113 |
| Smith+Nephew | 1 | $102 |
| Tactile Systems Technology Inc | 5 | $73 |
| Kls-martin L.p. | 1 | $39 |
| Acera Surgical, Inc. | 1 | $24 |
| Cook Medical LLC | 2 | $23 |
| Sanofi | 1 | $22 |
| Regeneron Healthcare Solutions, Inc. | 1 | $16 |
| Checkpoint Surgical, Inc | 1 | $16 |
| Boehringer Ingelheim | 1 | $12 |
| Medtronic | 1 | $12 |
| Ambu Inc. | 1 | $4 |
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.
- Da Vinci Surgical System$482
- Inspire$295
- Stravix$225
- Grafix$225
- Provox Life Home HME$197
- NA$134
- PROPEL$125
- GrafixPL$123
- TRUMATCH$113
- GRAFIX PL$102
- AVANCE NERVE GRAFT$101
- INSTRUMENTS-ENT$101
- INSTRUMENTS-GENERAL SURGERY$101
- INSTRUMENTS-SURGICAL HEADLIGHTS$101
- INSTRUMENTS-ORTHOPEDIC$101
- INSTRUMENTS-NEUROSURGERY$101
How this compares
$2,677 in reported general payments places this provider in the 70th percentile of 137 otolaryngology providers in Kentucky.
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 | 107 | $3,198 |
| Oxycodone Hcl | 66 | $1,827 |
| Sucralfate | 13 | $1,641 |
| Gabapentin | 56 | $1,524 |
| Famotidine | 42 | $1,507 |
| Levothyroxine Sodium | 127 | $977 |
| Scopolamine | 11 | $964 |
| Ofloxacin | 16 | $885 |
| Clobetasol Propionate | 14 | $600 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 72 | $399 |
| Fluticasone Propionate | 32 | $350 |
| Nystatin | 18 | $295 |
| Omeprazole | 40 | $217 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 19 | $165 |
| Escitalopram Oxalate | 31 | $126 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Louisville
- Thomas HigginsLouisville$357K
- Andrew GouldLouisville$13K
- Steven ShottsLouisville$12K
- Keith ForwithLouisville$11K
- Skylar TrottLouisville$11K
- Ziad KatribLouisville$7K
- Amy IngramLouisville$7K
- Kevin PottsLouisville$7K
- Gregory AbbasLouisville$6K
- Travis ShuttLouisville$6K
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.