Robert Stachler, MD
Otolaryngology · West Bloomfield, MINPI 1134169014
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $129,490 of the $174,382 with a category attached, or 74.3%. 28 manufacturers reported payments, led by Sanofi at 51.1% of the total. 2025 is the largest year on record at $65,243, more than ten times the $1,673 reported in 2019. Among otolaryngology clinicians in MI 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 363 payments — averaging $480.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi$89K
- Regeneron Healthcare Solutions, Inc.$47K
- Optinose US, Inc.$16K
- AstraZeneca$14K
- Stryker$2K
- GSK$1K
- plus $6K from 22 others
What the payments were for
- Consulting fees$11,8377%
- Speaking & faculty fees$129,49074%
- Travel & lodging$17,82510%
- Food & beverage$15,1549%
- Education$750%
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 |
|---|---|---|
| Sanofi | 53 | $89,028 |
| Regeneron Healthcare Solutions, Inc. | 101 | $47,221 |
| Optinose US, Inc. | 52 | $15,546 |
| AstraZeneca | 22 | $14,054 |
| Stryker | 24 | $1,617 |
| GSK | 38 | $1,319 |
| Medtronic(2 entities) | 8 | $1,034 |
| Integra Lifesciences Corporation | 10 | $957 |
| Acclarent, Inc | 8 | $612 |
| Aerin Medical Inc. | 8 | $421 |
| Checkpoint Surgical, Inc | 5 | $378 |
| Acera Surgical, Inc. | 2 | $286 |
| Neurent Medical Limited | 3 | $282 |
| Hologic Sales And Service, LLC | 2 | $255 |
| ARS Pharmaceuticals Operations, Inc. | 2 | $245 |
| Intersect ENT, Inc. | 2 | $221 |
| BD | 1 | $143 |
| Inspire Medical Systems, Inc. | 1 | $138 |
| Ambu Inc. | 2 | $131 |
| Sanara Medtech Inc. | 1 | $128 |
| Phadia US Inc. | 2 | $101 |
| Hikma Pharmaceuticals USA | 6 | $97 |
| Kaleo, Inc. | 4 | $60 |
| Merck | 2 | $40 |
| Davol Inc. | 1 | $18 |
| Amgen | 1 | $18 |
| Alk-abello, Inc | 1 | $18 |
| Arbor Pharmaceuticals, Inc. | 1 | $14 |
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.
- DUPIXENT$135,254
- Xhance$14,696
- TEZSPIRE$10,819
- FASENRA$2,685
- INTEGRA$1,857
- PROPEL$865
- NUCALA$689
- INTEGRA DERMAL REGENERATION TEMPLATE$619
- PRIMATRIX$619
- Restrata Wound Matrix$286
- XPRESS ENT DILATION SYSTEM$273
- ENTELLUS - ENTELLUS MEDICAL SHAVER SYSTEM$269
- Vivaer RF Stylus$265
- CoolSeal Generator$255
- NEFFY$245
- Checkpoint Stimulators$240
- NEUROMARK Device$171
- NEUROMARK Radiofrequency Console$171
- STEALTHSTATION S8 PLATFORM$159
- TruDi Nav Cable$148
How this compares
$174,382 in reported general payments places this provider in the 95th percentile of 257 otolaryngology providers in Michigan.
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 |
|---|---|---|
| Ipratropium Bromide | 104 | $2,651 |
| Fluticasone Propionate | 180 | $2,355 |
| Famotidine | 204 | $2,297 |
| Omeprazole | 99 | $1,924 |
| Azelastine Hcl | 67 | $1,883 |
| Prednisolone Acetate | 19 | $983 |
| Ciprofloxacin Hcl | 53 | $910 |
| Pantoprazole Sodium | 24 | $678 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 25 | $480 |
| Nystatin | 13 | $210 |
| Amoxicillin | 18 | $99 |
| Ibuprofen | 12 | $71 |
| Triamcinolone Acetonide | 26 | $55 |
| Tramadol Hcl | 11 | $14 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in West Bloomfield
- Vigen DarianWest Bloomfield$5K
- Charles BoydBirmingham$825K
- Jack KartushFarmington Hills$225K
- Robert StandringSouthfield$217K
- Giancarlo ZulianiBloomfield Hills$61K
- Lamont JonesDetroit$52K
- Gregory WolfAnn Arbor$46K
- Paul HoffAnn Arbor$44K
- Susan GaretzAnn Arbor$40K
- John CraigDetroit$39K
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.