Todd Kupferman, MD
Otolaryngology · Lighthouse Point, FLNPI 1356371041
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.6% of the total across 59 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 14 manufacturers reported payments, led by Stryker at 51.0% of the total. 2025 is the largest year on record at $785, 6.8 times the $115 reported in 2019.
Across 59 payments — averaging $44.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$1K
- Medtronic$382
- Optinose US, Inc.$198
- Neurent Medical Limited$152
- Kaleo, Inc.$107
- ARS Pharmaceuticals Operations, Inc.$102
- plus $343 from 8 others
What the payments were for
- Consulting fees$371%
- Food & beverage$2,58699%
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 |
|---|---|---|
| Stryker | 19 | $1,339 |
| Medtronic | 3 | $382 |
| Optinose US, Inc. | 4 | $198 |
| Neurent Medical Limited | 6 | $152 |
| Kaleo, Inc. | 7 | $107 |
| ARS Pharmaceuticals Operations, Inc. | 4 | $102 |
| Sanofi | 4 | $93 |
| Smith+Nephew | 2 | $91 |
| Alk-abello, Inc | 2 | $45 |
| Pfizer | 1 | $35 |
| Aerin Medical Inc. | 4 | $27 |
| Phathom Pharmaceuticals, Inc. | 1 | $22 |
| GSK | 1 | $17 |
| Biocryst US Sales Co., LLC | 1 | $14 |
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.
- XPRESS ENT DILATION SYSTEM$544
- PROPEL$365
- Xhance$137
- SCOPIS ENT$128
- LATERA$118
- AUDION ET DILATION SYSTEM$104
How this compares
$2,622 in reported general payments places this provider in the 60th percentile of 586 otolaryngology providers in Florida.
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 |
|---|---|---|
| Epinephrine | 200 | $27,746 |
| Famotidine | 1,006 | $18,493 |
| Fluticasone Propionate | 1,138 | $16,510 |
| Ipratropium Bromide | 501 | $13,399 |
| Azelastine Hcl | 493 | $10,788 |
| Montelukast Sodium | 1,231 | $8,803 |
| Wixela InhubFluticasone Propion/Salmeterol | 47 | $5,770 |
| Fluocinolone Acetonide Oil | 120 | $5,731 |
| Doxycycline Monohydrate | 241 | $4,470 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 28 | $3,345 |
| Methylprednisolone | 186 | $1,123 |
| Ofloxacin | 31 | $866 |
| Ibuprofen | 240 | $725 |
| Amoxicillin | 175 | $714 |
| Hydrocortisone | 148 | $640 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Lighthouse Point
- Cecelia DamaskOrlando$707K
- Ralph TufanoSarasota$469K
- Franklin RimellFort Myers$314K
- David BrodnerBoynton Beach$209K
- Maria SuurnaMiami$189K
- Jane DillonOrmond Beach$180K
- Jeb JusticeGainesville$142K
- Indranil DebnathWinter Park$109K
- Agustin ArrietaMiami$95K
- John WestineGainesville$86K
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.