Robert Pettis, MD
Otolaryngology · Oskaloosa, IANPI 1427082346
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (46.2%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Intuitive Surgical at 49.2% of the total. Reporting peaked in 2020 at $5,801 and has fallen 97.9% since, to $120 in 2025. Among otolaryngology clinicians in IA 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 87 payments — averaging $112.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$5K
- Stryker$1K
- Aerin Medical Inc.$1K
- Medical Device Business Services, Inc.$984
- Inspire Medical Systems, Inc.$465
- Optinose US, Inc.$415
- plus $574 from 7 others
What the payments were for
- Travel & lodging$1,85819%
- Food & beverage$3,38635%
- Education$4,50046%
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 |
|---|---|---|
| Intuitive Surgical | 10 | $4,796 |
| Stryker | 25 | $1,314 |
| Aerin Medical Inc. | 13 | $1,198 |
| Medical Device Business Services, Inc. | 1 | $984 |
| Inspire Medical Systems, Inc. | 4 | $465 |
| Optinose US, Inc. | 22 | $415 |
| Sanofi | 2 | $148 |
| GSK | 2 | $137 |
| Regeneron Healthcare Solutions, Inc. | 2 | $98 |
| AstraZeneca | 1 | $84 |
| Acclarent, Inc | 2 | $55 |
| Intersect ENT, Inc. | 2 | $34 |
| Tactile Systems Technology Inc | 1 | $17 |
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.
How this compares
$9,745 in reported general payments places this provider in the 95th percentile of 103 otolaryngology providers in Iowa.
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 |
|---|---|---|
| Azelastine Hcl | 111 | $3,328 |
| Ipratropium Bromide | 50 | $1,284 |
| Fluticasone Propionate | 83 | $1,008 |
| Fluocinolone Acetonide Oil | 28 | $844 |
| Azithromycin | 47 | $179 |
| Methylprednisolone | 20 | $127 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 12 | $93 |
| Acetazolamide | 12 | $90 |
| Prednisone | 22 | $63 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 19 | $51 |
| Mupirocin | 13 | $49 |
| Diazepam | 13 | $7 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Oskaloosa
- Thomas HeinemanCedar Rapids$373K
- Bruce GantzIowa City$170K
- Nancy BaumanIowa City$31K
- Simon WrightWest Des Moines$21K
- Brian AndrewsIowa City$9K
- Douglas HoisingtonWest Des Moines$8K
- Joseph WhitmanGrinnell$7K
- Douglas BennionIowa City$6K
- Timothy SimplotWest Des Moines$6K
- Matthew BrownDes Moines$5K
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.