Punam Thakkar, MD
Otolaryngology · Washington, DCNPI 1619261187
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (50.4%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 26 manufacturers reported payments, led by Merck at 47.3% of the total. 2025 is the largest year on record at $5,842, more than ten times the $509 reported in 2019. Among otolaryngology clinicians in DC with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 77 payments — averaging $114.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$4K
- Inspire Medical Systems, Inc.$2K
- Stryker$786
- Integra Lifesciences Corporation$450
- Medtronic$277
- Baxter Healthcare$268
- plus $1K from 20 others
What the payments were for
- Speaking & faculty fees$3,96045%
- Travel & lodging$4015%
- Food & beverage$4,45450%
- Gifts$170%
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 |
|---|---|---|
| Merck | 5 | $4,176 |
| Inspire Medical Systems, Inc. | 19 | $1,756 |
| Stryker | 6 | $786 |
| Integra Lifesciences Corporation | 7 | $450 |
| Medtronic | 7 | $277 |
| Baxter Healthcare | 2 | $268 |
| Aerin Medical Inc. | 2 | $172 |
| Intersect ENT, Inc. | 1 | $147 |
| Atos Medical Inc | 2 | $125 |
| Janssen Research & Development, LLC | 1 | $123 |
| Johnson & Johnson | 3 | $109 |
| Optinose US, Inc. | 4 | $77 |
| Tactile Systems Technology Inc | 4 | $62 |
| Regeneron Healthcare Solutions, Inc. | 2 | $41 |
| Smith+Nephew | 1 | $37 |
| BD | 1 | $28 |
| Acera Surgical, Inc. | 1 | $28 |
| AbbVie | 1 | $23 |
| Sanofi | 1 | $23 |
| Hologic Sales And Service, LLC | 1 | $23 |
| Phadia US Inc. | 1 | $20 |
| GSK | 1 | $20 |
| Carl Zeiss Meditec, Inc. | 1 | $17 |
| Olympus America Inc. | 1 | $16 |
| Hikma Pharmaceuticals USA | 1 | $15 |
| Cook Medical LLC | 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.
- KEYTRUDA$4,091
- Inspire Upper Airway Stimulation System$704
- Inspire$558
- INTEGRA$350
- XPRESS LOPROFILE$338
- VSP SYSTEM, VSP CRANIAL$285
- KYPHON EXPRESS II KYPHOPAK TRAY$164
- PROPEL$147
- VIVAER STYLUS$145
- RHINAER STYLUS$145
- MANDIBULAR RECON$140
- INTEGRA DERMAL REGENERATION TEMPLATE$117
- PRIMATRIX$117
- Provox Life Home HME$106
How this compares
$8,832 in reported general payments places this provider in the 90th percentile of 41 otolaryngology providers in District of Columbia.
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 |
|---|---|---|
| Fluticasone Propionate | 43 | $652 |
| Azelastine Hcl | 19 | $250 |
| Ipratropium Bromide | 16 | $207 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 12 | $128 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Washington
- Michael HoaWashington$57K
- Manish KhannaWashington$24K
- Sarah RapoportWashington$11K
- Hung KimWashington$11K
- Shaum SridharanWashington$8K
- Stanley ChiaWashington$4K
- William GaoWashington$3K
- Stephen WallWashington$3K
- Adedoyin KalejaiyeWashington$3K
- Mark RussoWashington$3K
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.