Sanford Archer, MD
Otolaryngology · Lexington, KYNPI 1396783411
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (48.5%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Optinose US, Inc. at 58.4% of the total. Reporting peaked in 2019 at $4,019 and has fallen 86.3% since, to $552 in 2025. Among otolaryngology clinicians in KY 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 36 payments — averaging $178.88 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Optinose US, Inc.$4K
- Stryker$1K
- Sanofi$370
- Regeneron Healthcare Solutions, Inc.$225
- Biotissue Holdings Inc.$151
- GSK$118
- plus $372 from 5 others
What the payments were for
- Speaking & faculty fees$2,50039%
- Travel & lodging$81513%
- Food & beverage$3,12549%
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 |
|---|---|---|
| Optinose US, Inc. | 10 | $3,761 |
| Stryker | 11 | $1,444 |
| Sanofi | 4 | $370 |
| Regeneron Healthcare Solutions, Inc. | 2 | $225 |
| Biotissue Holdings Inc. | 1 | $151 |
| GSK | 1 | $118 |
| Acclarent, Inc | 1 | $94 |
| Integra Lifesciences Corporation | 3 | $92 |
| Intersect ENT, Inc. | 1 | $76 |
| Acelrx Pharmaceuticals, Inc. | 1 | $57 |
| Olympus America Inc. | 1 | $52 |
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.
- Xhance$3,595
- DUPIXENT$575
- XPRESS ENT DILATION SYSTEM$462
- ENTELLUS - XPRESS ENT DILATION SYSTEM$456
- SCOPIS ENT$277
- AUDION ET DILATION SYSTEM$165
- LIBTAYO$104
How this compares
$6,440 in reported general payments places this provider in the 90th percentile of 137 otolaryngology providers in Kentucky.
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 PenDupilumab | 21 | $79,964 |
| Dupixent SyringeDupilumab | 13 | $48,647 |
| Mometasone Furoate | 15 | $1,142 |
| Pilocarpine Hcl | 16 | $760 |
| Ipratropium Bromide | 18 | $694 |
| Montelukast Sodium | 24 | $530 |
| Fluticasone Propionate | 47 | $458 |
| Methylprednisolone | 12 | $68 |
| Prednisone | 14 | $39 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Lexington
- Thomas GalLexington$21K
- Brian HixonLexington$8K
- David AlexanderLexington$6K
- Quinn DunlapLexington$6K
- Ray van MetreLexington$5K
- Joseph ValentinoLexington$5K
- Kenneth HughesLexington$4K
- Greg OsetinskyLexington$3K
- Alberto LaureanoLexington$3K
- Benjamin LehmkuhlLexington$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.