William Livingston, MD
Otolaryngology · Alabaster, ALNPI 1043233091
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.8% of the total across 121 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 20 manufacturers reported payments, led by Optinose US, Inc. at 30.6% of the total. 2025 is the largest year on record at $888, 2.5 times the $358 reported in 2019.
Across 121 payments — averaging $26.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Optinose US, Inc.$971
- Sanofi$386
- Intersect ENT, Inc.$366
- Regeneron Healthcare Solutions, Inc.$342
- GSK$208
- Inspire Medical Systems, Inc.$132
- plus $770 from 14 others
What the payments were for
- Food & beverage$3,04296%
- Education$1324%
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 |
|---|---|---|
| Optinose US, Inc. | 51 | $971 |
| Sanofi | 13 | $386 |
| Intersect ENT, Inc. | 9 | $366 |
| Regeneron Healthcare Solutions, Inc. | 11 | $342 |
| GSK | 9 | $208 |
| Inspire Medical Systems, Inc. | 5 | $132 |
| Stryker | 1 | $126 |
| AbbVie | 1 | $125 |
| Medtronic | 3 | $111 |
| Alk-abello, Inc | 3 | $78 |
| Amgen | 2 | $53 |
| Phadia US Inc. | 3 | $51 |
| Integra Lifesciences Corporation | 1 | $49 |
| Acclarent, Inc | 2 | $38 |
| Smith+Nephew | 1 | $34 |
| Hikma Pharmaceuticals USA | 2 | $33 |
| Aerin Medical Inc. | 1 | $23 |
| Bioventus LLC | 1 | $19 |
| Olympus America Inc. | 1 | $19 |
| Cook Medical LLC | 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.
How this compares
$3,174 in reported general payments places this provider in the 70th percentile of 155 otolaryngology providers in Alabama.
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 |
|---|---|---|
| Pilocarpine Hcl | 156 | $8,518 |
| Azelastine Hcl | 156 | $4,889 |
| Ipratropium Bromide | 132 | $3,954 |
| Fluticasone Propionate | 271 | $3,829 |
| Fluocinolone Acetonide Oil | 78 | $3,786 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 34 | $3,639 |
| Mometasone Furoate | 50 | $3,351 |
| Ofloxacin | 73 | $2,727 |
| Montelukast Sodium | 167 | $2,202 |
| Nystatin | 42 | $1,395 |
| Clarithromycin | 36 | $1,298 |
| Levocetirizine Dihydrochloride | 72 | $1,100 |
| CefuroximeCefuroxime Axetil | 66 | $1,044 |
| Prednisone | 382 | $1,024 |
| Triamcinolone Acetonide | 29 | $908 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Alabaster
- John DavisHoover$251K
- William McFeelyHuntsville$70K
- Michael SillersBirmingham$53K
- Justin TurnerBirmingham$34K
- Bradford WoodworthBirmingham$27K
- Patrick OwensBirmingham$26K
- Kirk WithrowBirmingham$22K
- Do-Yeon ChoBirmingham$19K
- William BlytheOpelika$19K
- Andrew FusonBirmingham$18K
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.