Paul Walker, MD
Otolaryngology · Fleming Island, FLNPI 1285627497
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (44.6%), food and beverage and speaking fees — rather than concentrated in one kind of arrangement. Optinose US, Inc. accounts for 67.9% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2021 at $3,109 and has fallen 90.2% since, to $304 in 2025.
Across 50 payments — averaging $89.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Optinose US, Inc.$3K
- Stryker$596
- Medtronic$257
- Regeneron Healthcare Solutions, Inc.$246
- GSK$72
- Smith+Nephew$67
- plus $202 from 7 others
Across 1 payment — averaging $209,879 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Pfizer$210K
What the payments were for
- Consulting fees$2,00045%
- Speaking & faculty fees$74017%
- Food & beverage$1,74439%
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 |
|---|---|---|
| Optinose US, Inc. | 15 | $3,043 |
| Stryker | 14 | $596 |
| Medtronic | 5 | $257 |
| Regeneron Healthcare Solutions, Inc. | 6 | $246 |
| GSK | 1 | $72 |
| Smith+Nephew | 1 | $67 |
| Inspire Medical Systems, Inc. | 1 | $60 |
| Sanofi | 2 | $50 |
| KARL Storz Endoscopy-america | 1 | $22 |
| Alk-abello, Inc | 1 | $21 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $19 |
| Intersect ENT, Inc. | 1 | $18 |
| 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.
- Xhance$2,852
- XPRESS ENT DILATION SYSTEM$163
- PROPEL$146
- ENTELLUS - XPRESS ENT DILATION SYSTEM$144
- ENTELLUS - ENTELLUS MEDICAL SHAVER SYSTEM$144
- ENTELLUS - FOCESS HD WIRELESS CAMERA$144
How this compares
$4,484 in reported general payments places this provider in the 75th 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 |
|---|---|---|
| Azelastine Hcl | 263 | $8,426 |
| Mometasone Furoate | 20 | $4,574 |
| Ipratropium Bromide | 139 | $3,437 |
| Fluticasone Propionate | 46 | $815 |
| Mupirocin | 59 | $467 |
| CefuroximeCefuroxime Axetil | 22 | $326 |
| Ofloxacin | 15 | $317 |
| Methylprednisolone | 37 | $271 |
| Ondansetron Hcl | 33 | $219 |
| Cephalexin | 32 | $214 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 31 | $212 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Fleming Island
- 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.