Stephen Seal, MD
Otolaryngology/Facial Plastic Surgery · Asheville, NCNPI 1194788760
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 90.7% of the total across 87 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 24 manufacturers, the largest accounting for just 18.3% — the pattern of someone who eats at a lot of different presentations.
Across 87 payments — averaging $32.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Hill Dermaceuticals, Inc.$519
- GSK$446
- Inspire Medical Systems, Inc.$399
- Optinose US, Inc.$254
- Stryker$216
- Organogenesis Inc.$204
- plus $799 from 18 others
What the payments were for
- Travel & lodging$2649%
- Food & beverage$2,57191%
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 |
|---|---|---|
| Hill Dermaceuticals, Inc. | 1 | $519 |
| GSK | 20 | $446 |
| Inspire Medical Systems, Inc. | 3 | $399 |
| Optinose US, Inc. | 13 | $254 |
| Stryker | 2 | $216 |
| Organogenesis Inc. | 6 | $204 |
| Regeneron Healthcare Solutions, Inc. | 6 | $151 |
| Smith+Nephew | 7 | $119 |
| Intersect ENT, Inc. | 4 | $60 |
| Aerin Medical Inc. | 4 | $60 |
| Genentech USA, Inc. | 3 | $52 |
| KARL Storz Endoscopy-america | 2 | $51 |
| Medtronic(2 entities) | 3 | $47 |
| Phathom Pharmaceuticals, Inc. | 2 | $34 |
| Olympus America Inc. | 1 | $31 |
| Integra Lifesciences Corporation | 2 | $31 |
| Acera Surgical, Inc. | 1 | $29 |
| Checkpoint Surgical, Inc | 1 | $27 |
| Tactile Systems Technology Inc | 1 | $21 |
| Peerless Surgical Inc. | 1 | $20 |
| AstraZeneca | 1 | $20 |
| Acclarent, Inc | 1 | $20 |
| Kerecis Limited | 1 | $14 |
| Merck | 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.
- Tolak$519
- Inspire Upper Airway Stimulation System$378
- CLARIFIX$200
- NUCALA$120
How this compares
Too few otolaryngology/facial plastic surgery providers in North Carolinato place this figure against a meaningful peer group, so we don't.
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 | 77 | $2,380 |
| Fluticasone Propionate | 118 | $1,509 |
| Azelastine Hcl | 38 | $1,243 |
| Omeprazole | 60 | $1,220 |
| Doxycycline Monohydrate | 31 | $570 |
| Mupirocin | 50 | $456 |
| Nystatin | 12 | $383 |
| Cephalexin | 22 | $322 |
| Doxycycline Hyclate | 12 | $176 |
| Amoxicillin | 25 | $143 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 13 | $139 |
| Methylprednisolone | 21 | $121 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 34 | $108 |
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 13 | $73 |
| Ondansetron OdtOndansetron | 21 | $63 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology/facial plastic surgery in Asheville
- Deidra BlanksFayetteville$23K
- Gilson KingmanWinston Salem$9K
- Jonathan KulbershCharlotte$2K
- Thomas WarrenMooresville$1K
- Nitzan CatzSmithfield$312
- Jeffrey CampbellLumberton$266
- William McGuirtWinston Salem$88
- Michael FreemanCharlotte$39
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.