Rakesh Chandra, MD
Otolaryngology · Nashville, TNNPI 1255389623
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $278,572 of the $380,907 with a category attached, or 73.1%. 24 manufacturers reported payments, led by Regeneron Healthcare Solutions, Inc. at 47.5% of the total. 2025 is the largest year on record at $118,600, 5.5 times the $21,727 reported in 2019. Among otolaryngology clinicians in TN 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 394 payments — averaging $966.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron Healthcare Solutions, Inc.$181K
- Sanofi$141K
- Optinose US, Inc.$17K
- Gyrus ACMI, Inc.$11K
- GSK$7K
- Bristol Myers Squibb$5K
- plus $18K from 18 others
Across 21 payments — averaging $7427.67 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.
- Aerin Medical Inc.$140K
- Cumberland Pharmaceuticals, Inc.$16K
What the payments were for
- Consulting fees$61,32516%
- Speaking & faculty fees$278,57273%
- Travel & lodging$25,5427%
- Food & beverage$15,4684%
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 |
|---|---|---|
| Regeneron Healthcare Solutions, Inc. | 160 | $180,983 |
| Sanofi | 71 | $140,827 |
| Optinose US, Inc. | 25 | $17,457 |
| Gyrus ACMI, Inc. | 6 | $11,475 |
| GSK | 2 | $6,687 |
| Bristol Myers Squibb | 2 | $5,000 |
| AstraZeneca | 6 | $3,413 |
| Acclarent, Inc | 29 | $2,546 |
| Integra Lifesciences Corporation | 23 | $2,282 |
| Medtronic(2 entities) | 12 | $2,254 |
| Aerin Medical Inc. | 13 | $1,888 |
| Baxter Healthcare | 2 | $1,622 |
| Alk-abello, Inc | 4 | $1,398 |
| Novartis | 2 | $681 |
| Stryker | 4 | $641 |
| Intersect ENT, Inc. | 5 | $610 |
| Inspire Medical Systems, Inc. | 3 | $520 |
| Johnson & Johnson | 15 | $271 |
| Smith+Nephew | 1 | $120 |
| AbbVie | 4 | $116 |
| Genentech, Inc. | 2 | $39 |
| Next Science LLC | 1 | $36 |
| Braeburn Inc. | 1 | $24 |
| Xoran Technologies LLC | 1 | $15 |
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.
- DUPIXENT$149,649
- Xhance$17,263
- NUCALA$6,663
- MULTIDEBRIDER HANDPIECE, ANGLED DIEGO ELITE$3,570
- Olympus$3,570
- FASENRA$3,223
- RPC-4046$2,400
- SHEATH, LENS CLEANER STORZ 0, UNI. LIGHT InstaClear$2,040
- ARMSTRONG BEVELED GROMMET PACIFIC 114 MM ID FLUOROPLASTICPC COATED$2,040
- CHILD SET-OP MYRINGOTOMY INSTRUMENT KIT$2,040
- ARMSTRONG BEVELED VENT TUBE GROMMET TYPE 114 MM ID FLUOROPLASTIC$2,040
- Acclarent Aera$1,653
- FLOSEAL$1,622
- Inspira Air$1,525
- TruDi Probe$1,525
- VIVAER STYLUS$1,509
- RELIEVA SPINPLUS NAV$1,297
- Odactra$1,250
- Ragwitek$1,250
- Grastek$1,250
How this compares
$380,907 in reported general payments places this provider in the 95th percentile of 191 otolaryngology providers in Tennessee.
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 | 40 | $1,171 |
| Azelastine Hcl | 40 | $1,039 |
| Fluticasone Propionate | 38 | $440 |
| Doxycycline Monohydrate | 19 | $426 |
| Mupirocin | 16 | $123 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Nashville
- Michael TopfNashville$36K
- Naweed ChowdhuryNashville$14K
- Steven EnrichNashville$11K
- Kareem TawfikNashville$10K
- Mark WilliamsNashville$8K
- Matthew SpeyerNashville$6K
- David KentNashville$4K
- Kyle MannionNashville$4K
- Charles BabbNashville$3K
- Brian CameronNashville$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.