Richard Gurgel, MD
Otology & Neurotology · Salt Lake City, UTNPI 1710196290
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (57.0%), consulting fees and speaking fees — rather than concentrated in one kind of arrangement. 7 manufacturers reported payments, led by Cochlear Americas at 57.8% of the total. 2025 is the largest year on record at $40,302, more than ten times the $1,109 reported in 2019.
Across 124 payments — averaging $502.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cochlear Americas$36K
- Med-el Corporation$24K
- Cochlear Ltd$1K
- Iotamotion, Inc.$463
- Stryker$380
- Advanced Bionics, LLC$128
- plus $93 from 1 others
Across 26 payments — averaging $11,221 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.
- Cochlear Americas$247K
- Advanced Bionics, LLC$44K
What the payments were for
- Consulting fees$10,20016%
- Speaking & faculty fees$8,81814%
- Grants$1,0002%
- Travel & lodging$35,51057%
- Food & beverage$5,1048%
- Education$1,7103%
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 |
|---|---|---|
| Cochlear Americas | 62 | $36,048 |
| Med-el Corporation | 46 | $24,121 |
| Cochlear Ltd | 2 | $1,109 |
| Iotamotion, Inc. | 3 | $463 |
| Stryker | 8 | $380 |
| Advanced Bionics, LLC | 2 | $128 |
| Oticon Medical, LLC | 1 | $93 |
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.
- Baha$35,117
- Cochlear Nucleus CI632 cochlear implant with Slim Modiolar electrode$34,781
- OSIA OSI300 IMPLANT$33,864
- Mi1250 SYNCHRONY 2 FLEXsoft$22,992
- BCI 602 Kit$16,101
- ADHEAR Professional Kit$15,844
- Nucleus$1,109
- Baha BI300 implant 4 mm$917
- Cochlear Osia OSI200 Implant$917
- Cochlear$286
- iotaSOFT Insertion System$214
- iotaSOFT$186
- CORE$119
How this compares
Too few otology & neurotology providers in Utahto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 13 | $116 |
Paid to pharmacies, not to this prescriber.
Other otology & neurotology in Salt Lake City
- Clough SheltonSalt Lake City$17K
- Jumah AhmadSalt Lake City$2K
- Eric SlatterySalt Lake City$370
- David DarleyProvo$779
- Brian PetersonWest Jordan$96
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.