Roland Gerencer, MD
Otolaryngology · Bartow, FLNPI 1144218892
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (50.6%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 25 manufacturers reported payments, led by Intersect ENT, Inc. at 53.1% of the total. Reporting peaked in 2019 at $8,462 and has fallen 92.1% since, to $667 in 2025. Among otolaryngology clinicians in FL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 293 payments — averaging $49.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intersect ENT, Inc.$8K
- Inspire Medical Systems, Inc.$4K
- Aerin Medical Inc.$696
- Acclarent, Inc$385
- Stryker$194
- CSL Behring$191
- plus $1K from 19 others
Across 11 payments — averaging $3028.64 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.
- Intersect ENT, Inc.$33K
What the payments were for
- Consulting fees$4,06928%
- Speaking & faculty fees$1,0507%
- Travel & lodging$2,07914%
- Food & beverage$7,38151%
- Education$140%
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 |
|---|---|---|
| Intersect ENT, Inc. | 30 | $7,747 |
| Inspire Medical Systems, Inc. | 181 | $4,313 |
| Aerin Medical Inc. | 13 | $696 |
| Acclarent, Inc | 10 | $385 |
| Stryker | 4 | $194 |
| CSL Behring | 10 | $191 |
| Grifols USA, LLC | 13 | $177 |
| AstraZeneca | 3 | $173 |
| Medtronic | 2 | $169 |
| Xoran Technologies LLC | 1 | $65 |
| Lilly USA, LLC | 1 | $60 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $54 |
| Shire North American Group Inc | 3 | $48 |
| Sanofi | 3 | $43 |
| GSK | 3 | $37 |
| Integra Lifesciences Corporation | 2 | $37 |
| Regeneron Healthcare Solutions, Inc. | 2 | $36 |
| Optinose US, Inc. | 2 | $30 |
| Smith+Nephew | 1 | $30 |
| Itamar Medical Inc | 1 | $30 |
| Kerecis Limited | 1 | $21 |
| Pharming Healthcare, Inc. | 1 | $15 |
| Novartis | 1 | $14 |
| Sanofi-aventis U.S. LLC | 1 | $14 |
| Biocryst US Sales Co., LLC | 1 | $13 |
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 Upper Airway Stimulation System$1,891
- Inspire$559
- PROPEL$421
- SINUVA$386
- Vivaer RF Stylus$143
- VIVAER STYLUS$131
- RHINAER STYLUS$131
- FASENRA$121
How this compares
$14,593 in reported general payments places this provider in the 90th percentile of 586 otolaryngology providers in Florida.
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 | 106 | $3,538 |
| Doxycycline Hyclate | 102 | $1,394 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 47 | $371 |
| Omeprazole | 13 | $270 |
| Methylprednisolone | 26 | $233 |
| Ciprofloxacin Hcl | 11 | $226 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 15 | $133 |
| Promethazine Hcl | 35 | $98 |
| Prednisone | 22 | $87 |
| Fluticasone Propionate | 12 | $71 |
| Amitriptyline Hcl | 16 | $67 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Bartow
- Cecelia DamaskOrlando$707K
- Ralph TufanoSarasota$469K
- Franklin RimellFort Myers$314K
- David BrodnerBoynton Beach$209K
- Maria SuurnaMiami$189K
- Jane DillonOrmond Beach$180K
- Jeb JusticeGainesville$142K
- Indranil DebnathWinter Park$109K
- Agustin ArrietaMiami$95K
- John WestineGainesville$86K
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.