Robert Macdonald, MD
Otolaryngology · Saint Peters, MONPI 1861417156
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,126 of the $3,257 with a category attached, or 65.3%. 23 manufacturers reported payments, led by Aerin Medical Inc. at 48.8% of the total. 2025 is the largest year on record at $1,759, 4.2 times the $422 reported in 2019.
Across 79 payments — averaging $41.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Aerin Medical Inc.$2K
- Regeneron Healthcare Solutions, Inc.$405
- Stryker$227
- Optinose US, Inc.$170
- GSK$159
- Sanofi$93
- plus $613 from 17 others
What the payments were for
- Travel & lodging$1,13135%
- Food & beverage$2,12665%
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 |
|---|---|---|
| Aerin Medical Inc. | 8 | $1,591 |
| Regeneron Healthcare Solutions, Inc. | 11 | $405 |
| Stryker | 5 | $227 |
| Optinose US, Inc. | 10 | $170 |
| GSK | 10 | $159 |
| Sanofi | 4 | $93 |
| Smith+Nephew | 3 | $71 |
| Neurent Medical Limited | 2 | $64 |
| Genentech USA, Inc. | 3 | $60 |
| Alk-abello, Inc | 3 | $54 |
| Novartis | 3 | $54 |
| Phadia US Inc. | 2 | $40 |
| Kowa Pharmaceuticals America, Inc. | 2 | $39 |
| Davol Inc. | 2 | $37 |
| Merck | 2 | $33 |
| Arbor Pharmaceuticals, Inc. | 2 | $27 |
| Itamar Medical Inc | 1 | $23 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $23 |
| Acclarent, Inc | 1 | $20 |
| Intersect ENT, Inc. | 1 | $19 |
| Inspire Medical Systems, Inc. | 1 | $19 |
| Kaleo, Inc. | 1 | $17 |
| Bolder Surgical, 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.
- VIVAER STYLUS$1,228
- XPRESS ENT DILATION SYSTEM$128
- DUPIXENT$122
How this compares
$3,257 in reported general payments places this provider in the 80th percentile of 210 otolaryngology providers in Missouri.
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 | 185 | $2,262 |
| Epinephrine | 17 | $2,171 |
| Ipratropium Bromide | 109 | $2,162 |
| Fluocinolone Acetonide Oil | 35 | $1,625 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 13 | $1,353 |
| Azelastine Hcl | 38 | $1,121 |
| Montelukast Sodium | 124 | $789 |
| Cefdinir | 47 | $755 |
| Neomycin-Polymyxin-HydrocortNeomycin/Polymyxin B/Hydrocort | 12 | $581 |
| Methylprednisolone | 60 | $374 |
| Ofloxacin | 23 | $284 |
| Prednisone | 114 | $225 |
| Doxycycline Monohydrate | 11 | $183 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 24 | $164 |
| Pantoprazole Sodium | 35 | $161 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Saint Peters
- Benjamin ConoyerSaint Peters$2K
- Talon ManingasJoplin$314K
- Ryan JacksonSaint Louis$284K
- Ravindra UppaluriSaint Louis$168K
- James GouldFestus$143K
- John SchneiderSaint Louis$74K
- Amit WaliaSaint Louis$21K
- Bharat PanugantiSaint Louis$19K
- Jeffrey SharonSt. Louis$18K
- Kelvin WallsLees Summit$14K
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.