Wyman McGuirt, MD
Otolaryngology · Pinehurst, NCNPI 1053335919
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,873 of the $6,112 with a category attached, or 63.4%. 22 manufacturers reported payments, led by Intersect ENT, Inc. at 43.8% of the total. Reporting peaked in 2019 at $2,994 and has fallen 80.7% since, to $577 in 2025. Among otolaryngology clinicians in NC with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 127 payments — averaging $48.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intersect ENT, Inc.$3K
- GSK$667
- Sanofi$506
- Acclarent, Inc$429
- Cochlear Americas$379
- Medtronic$331
- plus $1K from 16 others
What the payments were for
- Travel & lodging$2,23937%
- Food & beverage$3,87363%
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 |
|---|---|---|
| Intersect ENT, Inc. | 11 | $2,675 |
| GSK | 25 | $667 |
| Sanofi | 18 | $506 |
| Acclarent, Inc | 9 | $429 |
| Cochlear Americas | 8 | $379 |
| Medtronic(2 entities) | 6 | $331 |
| Regeneron Healthcare Solutions, Inc. | 12 | $321 |
| Aerin Medical Inc. | 8 | $132 |
| Stryker | 4 | $103 |
| Med-el Corporation | 1 | $89 |
| Merck | 4 | $86 |
| Jazz Pharmaceuticals Inc. | 3 | $70 |
| Smith+Nephew | 4 | $61 |
| Vertex | 2 | $56 |
| Axsome Therapeutics, Inc. | 2 | $44 |
| Inspire Medical Systems, Inc. | 2 | $38 |
| Hologic Sales And Service, LLC | 2 | $29 |
| Kaleo, Inc. | 2 | $27 |
| Forte Bio-pharma LLC | 1 | $24 |
| Integra Lifesciences Corporation | 1 | $17 |
| Alk-abello, Inc | 1 | $15 |
| Hikma Pharmaceuticals USA | 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.
How this compares
$6,112 in reported general payments places this provider in the 90th percentile of 362 otolaryngology providers in North Carolina.
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 |
|---|---|---|
| Varenicline Tartrate | 19 | $4,379 |
| Mometasone Furoate | 40 | $4,316 |
| Ipratropium Bromide | 124 | $3,898 |
| Fluticasone Propionate | 226 | $2,893 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 17 | $2,000 |
| Fluocinolone Acetonide Oil | 38 | $1,484 |
| Famotidine | 92 | $815 |
| Neomycin-Polymyxin-HcNeomycin/Polymyxin B/Hydrocort | 14 | $676 |
| Azelastine Hcl | 27 | $618 |
| Levocetirizine Dihydrochloride | 67 | $614 |
| Doxycycline Monohydrate | 49 | $473 |
| Levothyroxine Sodium | 65 | $432 |
| Omeprazole | 48 | $357 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 20 | $209 |
| Cephalexin | 47 | $206 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Pinehurst
- Matthew GrafenbergPinehurst$9K
- Waldemar RiefkohlPinehurst$5K
- Carl BerkPinehurst$4K
- David JangDurham$324K
- Robert FerrisRaleigh$258K
- Adam ZanationHickory$227K
- Brent SeniorChapel Hill$91K
- Charles EbertChapel Hill$57K
- Adam CampbellWinston Salem$47K
- Harold PillsburyChapel Hill$42K
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.