Richard Biggerstaff, MD
Otolaryngology · Indianapolis, INNPI 1841357266
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,566 of the $3,481 with a category attached, or 73.7%. 21 manufacturers reported payments, led by Inspire Medical Systems, Inc. at 45.4% of the total. Reporting peaked in 2019 at $1,223 and has fallen 89.5% since, to $128 in 2025.
Across 88 payments — averaging $39.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$2K
- Acclarent, Inc$533
- GSK$354
- Optinose US, Inc.$222
- Sanofi$121
- Integra Lifesciences Corporation$119
- plus $549 from 15 others
What the payments were for
- Travel & lodging$91526%
- Food & beverage$2,56674%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 7 | $1,582 |
| Acclarent, Inc | 21 | $533 |
| GSK | 17 | $354 |
| Optinose US, Inc. | 11 | $222 |
| Sanofi | 5 | $121 |
| Integra Lifesciences Corporation | 3 | $119 |
| Aerin Medical Inc. | 4 | $92 |
| Hologic Sales And Service, LLC | 3 | $91 |
| AbbVie | 2 | $86 |
| Kowa Pharmaceuticals America, Inc. | 3 | $49 |
| Kerecis Limited | 2 | $41 |
| Medtronic | 1 | $35 |
| Zimmer Biomet | 1 | $25 |
| Stryker | 1 | $25 |
| Galderma Laboratories, L.p. | 1 | $17 |
| Bolder Surgical, LLC | 1 | $17 |
| Itamar Medical Inc | 1 | $16 |
| Hospira, Inc. | 1 | $16 |
| Mallinckrodt Enterprises LLC | 1 | $15 |
| IBSA Pharma Inc. | 1 | $14 |
| Shire North American Group 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.
- Inspire Upper Airway Stimulation System$1,410
- Inspire$154
- NUCALA$110
- Acclarent Navwire$105
How this compares
$3,481 in reported general payments places this provider in the 75th percentile of 193 otolaryngology providers in Indiana.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 94 | $520 |
| Levothyroxine Sodium | 43 | $376 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 33 | $263 |
| Doxycycline Hyclate | 24 | $254 |
| Triamcinolone Acetonide | 13 | $253 |
| Methylprednisolone | 21 | $134 |
| Minocycline Hcl | 12 | $117 |
| Azithromycin | 33 | $102 |
| Cephalexin | 15 | $56 |
| Ondansetron Hcl | 12 | $31 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Indianapolis
- Satyan SreenathIndianapolis$103K
- Elisa IllingIndianapolis$28K
- Benjamin CopelandIndianapolis$9K
- Daniel VinhIndianapolis$9K
- Avinash MantravadiIndianapolis$4K
- Sarah BurginIndianapolis$4K
- Jason GuttIndianapolis$4K
- Anthony FamaIndianapolis$3K
- David FangIndianapolis$3K
- Jonathan TingIndianapolis$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.