Stephen Bakos
Otolaryngology · Fredericksburg, VANPI 1255607065
Payments from drug & device makers
What this record shows
Inspire Medical Systems, Inc. accounts for 68.7% of it on its own, with 11 other manufacturers making up the rest. 2025 is the largest year on record at $2,601, more than ten times the $104 reported in 2019.
Across 56 payments — averaging $93.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$4K
- Aerin Medical Inc.$984
- Medtronic$226
- Regeneron Healthcare Solutions, Inc.$190
- Bioprotect Medical, Inc.$56
- Cochlear Americas$52
- plus $135 from 6 others
What the payments were for
- Travel & lodging$2,20542%
- Food & beverage$3,04658%
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. | 25 | $3,608 |
| Aerin Medical Inc. | 14 | $984 |
| Medtronic | 4 | $226 |
| Regeneron Healthcare Solutions, Inc. | 4 | $190 |
| Bioprotect Medical, Inc. | 1 | $56 |
| Cochlear Americas | 1 | $52 |
| Integra Lifesciences Corporation | 2 | $35 |
| Merck | 1 | $27 |
| Vertex | 1 | $24 |
| GSK | 1 | $19 |
| Smith+Nephew | 1 | $18 |
| Acclarent, Inc | 1 | $12 |
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$3,145
- VIVAER STYLUS$538
- RHINAER STYLUS$538
- Inspire Upper Airway Stimulation System$150
- PROPEL$147
- DUPIXENT$113
How this compares
$5,251 in reported general payments places this provider in the 85th 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 |
|---|---|---|
| Dupixent PenDupilumab | 12 | $44,385 |
| Ipratropium Bromide | 144 | $5,238 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 16 | $1,541 |
| Fluocinolone Acetonide Oil | 21 | $993 |
| Montelukast Sodium | 93 | $983 |
| Levothyroxine Sodium | 34 | $606 |
| Fluticasone Propionate | 29 | $343 |
| Cephalexin | 57 | $334 |
| Azelastine Hcl | 25 | $304 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 30 | $225 |
| Methylprednisolone | 18 | $108 |
| Oxycodone Hcl | 36 | $72 |
| Clindamycin Hcl | 11 | $62 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Fredericksburg
- Laurence OhalloranAnnandale$2.9M
- Joseph HanNorfolk$1.8M
- Ryan NordRichmond$454K
- Paul LenkowskiRoanoke$282K
- Nipun ChhabraLeesburg$178K
- Kent LamNorfolk$127K
- Spencer PayneCharlottesville$45K
- Jose MattosCharlottesville$24K
- Craig DerkayNorfolk$21K
- Heath DreyfussMc Lean$19K
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.