Shawn Kosnik, DO
Otolaryngology · Sylva, NCNPI 1710958871
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $18,250 of the $19,996 with a category attached, or 91.3%. Stryker accounts for 93.2% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2019 at $14,404 and has fallen 98.6% since, to $208 in 2025. Among otolaryngology clinicians in NC 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 57 payments — averaging $350.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$19K
- Inspire Medical Systems, Inc.$1K
- Medtronic$25
- Abbott$24
- Sanofi$23
- GSK$19
- plus $78 from 5 others
What the payments were for
- Consulting fees$18,25091%
- Travel & lodging$7134%
- Food & beverage$1,0335%
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 |
|---|---|---|
| Stryker | 32 | $18,628 |
| Inspire Medical Systems, Inc. | 16 | $1,199 |
| Medtronic | 1 | $25 |
| Abbott | 1 | $24 |
| Sanofi | 1 | $23 |
| GSK | 1 | $19 |
| Itamar Medical Inc | 1 | $18 |
| Regeneron Healthcare Solutions, Inc. | 1 | $17 |
| Merck | 1 | $15 |
| Aerin Medical Inc. | 1 | $14 |
| Smith+Nephew | 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.
How this compares
$19,996 in reported general payments places this provider in the 95th percentile of 362 otolaryngology providers in North Carolina.
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 | 206 | $5,849 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 23 | $2,950 |
| Azelastine Hcl | 94 | $2,518 |
| Fluticasone Propionate | 207 | $2,516 |
| Montelukast Sodium | 128 | $844 |
| Fluocinolone Acetonide Oil | 16 | $708 |
| Cefdinir | 28 | $654 |
| Levocetirizine Dihydrochloride | 85 | $588 |
| Doxycycline Hyclate | 58 | $484 |
| Ciprofloxacin Hcl | 25 | $257 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 12 | $225 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 15 | $194 |
| Mupirocin | 14 | $177 |
| Oxycodone Hcl | 21 | $159 |
| Prednisone | 41 | $94 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Sylva
- John BuentingSylva$30K
- David JangDurham$324K
- Robert FerrisRaleigh$258K
- Adam ZanationHickory$227K
- Brent SeniorChapel Hill$91K
- Charles EbertChapel Hill$57K
- Adam CampbellWinston Salem$47K
- Harold PillsburyChapel Hill$42K
- Brendan O ConnellCharlotte$28K
- Nicholas ThompsonChapel Hill$24K
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.