Robert Puchalski, MD
Sleep Medicine · Lugoff, SCNPI 1740215904
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (46.0%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by AstraZeneca at 41.8% of the total. 2025 is the largest year on record at $2,079, 2.5 times the $842 reported in 2019.
Across 34 payments — averaging $116.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$2K
- Inspire Medical Systems, Inc.$776
- Stryker$552
- Integra Lifesciences Corporation$314
- Medtronic$245
- GSK$169
- plus $254 from 7 others
Across 17 payments — averaging $608.94 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.
- Smith+Nephew$10K
What the payments were for
- Speaking & faculty fees$1,64041%
- Travel & lodging$50313%
- Food & beverage$1,82646%
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 |
|---|---|---|
| AstraZeneca | 4 | $1,659 |
| Inspire Medical Systems, Inc. | 5 | $776 |
| Stryker | 5 | $552 |
| Integra Lifesciences Corporation | 3 | $314 |
| Medtronic | 2 | $245 |
| GSK | 4 | $169 |
| KARL Storz Endoscopy-america | 2 | $69 |
| Smith+Nephew | 1 | $47 |
| Optinose US, Inc. | 3 | $40 |
| Galderma Laboratories, L.p. | 1 | $28 |
| Neurent Medical Limited | 1 | $26 |
| Jazz Pharmaceuticals Inc. | 2 | $26 |
| Acclarent, Inc | 1 | $18 |
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.
- TEZSPIRE$1,640
- Inspire Upper Airway Stimulation System$618
- Acclarent Aera$287
- Inspira Air$287
- RELIEVA SPINPLUS NAV$287
- TruDi Probe$287
- ENTELLUS - XPRESS ENT DILATION SYSTEM$274
- FUSION$245
- Inspire$132
- CLARIFIX$130
- LATERA$125
How this compares
$3,969 in reported general payments places this provider in the 75th percentile of 25 sleep medicine providers in South Carolina.
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 | 64 | $885 |
| Montelukast Sodium | 83 | $793 |
| Azelastine Hcl | 26 | $581 |
| Ipratropium Bromide | 11 | $469 |
| CefuroximeCefuroxime Axetil | 41 | $348 |
| Omeprazole | 21 | $306 |
| Famotidine | 17 | $197 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 41 | $129 |
| Prednisone | 19 | $19 |
Paid to pharmacies, not to this prescriber.
Other sleep medicine in Lugoff
- William HollinsColumbia$147K
- Luis de la CruzSpartanburg$20K
- Rodney HarrisonColumbia$14K
- Terry GraingerColumbia$10K
- Stephen HandAnderson$8K
- Fahd ZarroufAnderson$5K
- Rupa KoothirezhiSpartanburg$4K
- Jigme SethiCharlestib$4K
- Meher FarooqCharleston$3K
- Anam SabzwariConway$2K
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.