Todd Parnes, DO
Otolaryngology/Facial Plastic Surgery · Delray Beach, FLNPI 1649250614
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 91.4% of the total across 131 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 15 manufacturers reported payments, led by Sanofi at 27.3% of the total. Reporting peaked in 2021 at $1,258 and has fallen 53.0% since, to $591 in 2025.
Across 131 payments — averaging $35.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi$1K
- Regeneron Healthcare Solutions, Inc.$1K
- Stryker$1K
- GSK$308
- Aerin Medical Inc.$308
- Acclarent, Inc$130
- plus $394 from 9 others
What the payments were for
- Travel & lodging$3989%
- Food & beverage$4,26091%
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 |
|---|---|---|
| Sanofi | 37 | $1,270 |
| Regeneron Healthcare Solutions, Inc. | 37 | $1,209 |
| Stryker | 15 | $1,038 |
| GSK | 15 | $308 |
| Aerin Medical Inc. | 5 | $308 |
| Acclarent, Inc | 4 | $130 |
| Optinose US, Inc. | 6 | $127 |
| Smith+Nephew | 2 | $64 |
| Novartis | 3 | $57 |
| Axogen | 2 | $44 |
| Vertex | 1 | $26 |
| Hologic Sales And Service, LLC | 1 | $21 |
| Medtronic | 1 | $20 |
| Intersect ENT, Inc. | 1 | $19 |
| Davol Inc. | 1 | $17 |
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$608
- DUPIXENT$348
- VIVAER STYLUS$268
- RHINAER STYLUS$268
How this compares
$4,658 in reported general payments places this provider in the 80th percentile of 48 otolaryngology/facial plastic surgery providers in Florida.
See all otolaryngology/facial plastic surgery 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 |
|---|---|---|
| Ipratropium Bromide | 418 | $17,297 |
| Fluticasone Propionate | 228 | $5,701 |
| Pilocarpine Hcl | 43 | $2,929 |
| Advair DiskusFluticasone Propion/Salmeterol | 11 | $2,871 |
| Montelukast Sodium | 167 | $2,154 |
| Pantoprazole Sodium | 106 | $2,042 |
| Azelastine Hcl | 47 | $1,922 |
| Omeprazole | 138 | $1,732 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 13 | $1,496 |
| Tobramycin-DexamethasoneTobramycin/Dexamethasone | 40 | $1,493 |
| Methylprednisolone | 183 | $1,272 |
| Famotidine | 66 | $925 |
| Prednisone | 42 | $582 |
| Glycopyrrolate | 19 | $526 |
| Gabapentin | 39 | $406 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology/facial plastic surgery in Delray Beach
- Milo BastianelliDelray Beach$4K
- Jeffery MagnusonCelebration$37K
- Ryan GeggSanta Rosa Beach$11K
- Paul di PasqualeWesley Chapel$10K
- David GerthMiami$9K
- Michael SeidmanCelebration$9K
- Maria ComptonPort Charlotte$7K
- David CarlsonJacksonville$6K
- Janet LeeTampa$5K
- Melyssa HancockBoca Raton$5K
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.