Robin Pappal, MD
Otolaryngology · Weymouth, MANPI 1811428436
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,921 of the $4,028 with a category attached, or 72.5%. Inspire Medical Systems, Inc. accounts for 69.5% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2024 at $2,346 and has fallen 80.0% since, to $470 in 2025.
Across 57 payments — averaging $70.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$3K
- Sanofi$355
- Regeneron Healthcare Solutions, Inc.$264
- Medtronic$164
- Johnson & Johnson$137
- GSK$113
- plus $198 from 4 others
What the payments were for
- Travel & lodging$1,10727%
- Food & beverage$2,92173%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 19 | $2,797 |
| Sanofi | 12 | $355 |
| Regeneron Healthcare Solutions, Inc. | 11 | $264 |
| Medtronic | 1 | $164 |
| Johnson & Johnson | 2 | $137 |
| GSK | 6 | $113 |
| Poriferous LLC | 1 | $87 |
| Optinose US, Inc. | 3 | $74 |
| Acera Surgical, Inc. | 1 | $22 |
| Acclarent, Inc | 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.
- Inspire$2,311
- Stealth Autoguide$164
- TRUMATCH$109
How this compares
$4,028 in reported general payments places this provider in the 85th percentile of 298 otolaryngology providers in Massachusetts.
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 |
|---|---|---|
| Dupixent SyringeDupilumab | 13 | $56,820 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 29 | $3,554 |
| Ipratropium Bromide | 70 | $1,552 |
| Omeprazole | 28 | $558 |
| Azelastine Hcl | 21 | $492 |
| Ofloxacin | 12 | $476 |
| Fluticasone Propionate | 13 | $267 |
| Mupirocin | 13 | $129 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Weymouth
- Ayesha KhalidConcord$511K
- Dennis PoeBoston$264K
- Peter WeberBoston$157K
- Kevin EmerickBoston$89K
- Benjamin BleierBoston$77K
- Gregory RandolphBoston$56K
- Daniel LeeBoston$52K
- Pratik PradhanBrockton$51K
- Marika RussellBoston$50K
- Natalia KyriazidisQuincy$50K
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.