Ryan Nord, MD
Otolaryngology · Richmond, VANPI 1295025328
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $387,281 of the $454,497 with a category attached, or 85.2%. Inspire Medical Systems, Inc. accounts for 76.7% of it on its own, with 8 other manufacturers making up the rest. Among otolaryngology clinicians in VA 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 351 payments — averaging $1294.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$349K
- Siesta Medical, Inc.$101K
- Hologic Sales And Service, LLC$4K
- Intersect ENT, Inc.$680
- KARL Storz Endoscopy-america$302
- Medtronic$283
- plus $182 from 3 others
Across 20 payments — averaging $1388.90 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.
- Inspire Medical Systems, Inc.$28K
What the payments were for
- Consulting fees$387,28185%
- Speaking & faculty fees$23,7005%
- Travel & lodging$18,7224%
- Food & beverage$17,1944%
- Education$7,6002%
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. | 324 | $348,509 |
| Siesta Medical, Inc. | 6 | $100,800 |
| Hologic Sales And Service, LLC | 4 | $3,741 |
| Intersect ENT, Inc. | 8 | $680 |
| KARL Storz Endoscopy-america | 4 | $302 |
| Medtronic | 2 | $283 |
| Medrobotics Inc. | 1 | $92 |
| Cook Medical LLC | 1 | $75 |
| Lilly USA, LLC | 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$200,758
- Inspire Upper Airway Stimulation System$143,182
- ENCORE$30,800
- CoolSeal Generator$3,741
- Encore System$2,800
- LigaSure$144
- BiZact$139
- IMAGE1 X-LINK$136
- PROPEL$100
How this compares
$454,497 in reported general payments places this provider in the 95th percentile of 241 otolaryngology providers in Virginia.
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 | 26 | $396 |
| Nortriptyline Hcl | 12 | $158 |
| Omeprazole | 19 | $134 |
| Trazodone Hcl | 13 | $62 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Richmond
- Wayne ShaiaRichmond$12K
- Daniel CoelhoRichmond$9K
- Daniel VanhimbergenRichmond$4K
- Cinyu ChiRichmond$4K
- Laurence OhalloranAnnandale$2.9M
- Joseph HanNorfolk$1.8M
- Paul LenkowskiRoanoke$282K
- Nipun ChhabraLeesburg$178K
- Kent LamNorfolk$127K
- Spencer PayneCharlottesville$45K
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.