Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Joseph Smith

Plastic Surgery within the Head & Neck Exton, PA Medical Doctor

NPI 1043251051 CMS profile 137394

111 Arrandale Blvd, Exton, PA 19341

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General payments

$7,559

333 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Joseph Smith of Exton, PA is reported in the CMS Open Payments database as having received $7,559 across 333 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 91st percentile of Plastic Surgery within the Head & Neck profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $2,066 83
2024 General $1,610 79
2023 General $635 30
2022 General $1,258 38
2021 General $826 42
2020 General $604 30
2019 General $560 31

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Joseph Smith
  • Plastic Surgery within the Head & Neck median
  • Middle half of Plastic Surgery within the Head & Neck
  • National median

In program year 2025, general payments to Joseph Smith were reported at $2,066. Among 399 Plastic Surgery within the Head & Neck profiles paid that year, the median was $237 and the middle half received between $103 and $520.

Show as a table
Year Joseph Smith Plastic Surgery within the Head & Neck median Middle half National median
2019 $560 $200 $82–$550 $163
2020 $604 $120 $46–$330 $114
2021 $826 $166 $60–$382 $132
2022 $1,258 $208 $83–$530 $149
2023 $635 $202 $77–$538 $160
2024 $1,610 $260 $99–$645 $164
2025 $2,066 $237 $103–$520 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Harmony Biosciences LLC $1,700 90 payments
  2. Jazz Pharmaceuticals Inc. $833 35 payments
  3. Regeneron Healthcare Solutions, Inc. $501 22 payments
  4. GlaxoSmithKline, LLC. $456 24 payments
  5. Avadel CNS Pharmaceuticals, LLC $339 12 payments
  6. Axsome Therapeutics, Inc. $296 9 payments
  7. Stryker Corporation $283 10 payments
  8. Genzyme Corporation $283 11 payments
  9. OptiNose US, Inc. $283 15 payments
  10. Genentech USA, Inc. $274 15 payments
  11. Other $2,311 90 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $6,710 324 payments
  2. Education $524 7 payments
  3. Honoraria $175 1 payment
  4. Consulting Fee $150 1 payment
Products named General payments · program years 2019–2025
  1. Wakix Neurological Disorders $597 28 payments
  2. XYWAV $584 24 payments
  3. WAKIX Narcoplepsy $470 29 payments
  4. WAKIX Narcolepsy $425 22 payments
  5. NUCALA $417 21 payments
  6. DUPIXENT Immunology $353 10 payments
  7. DUPIXENT Inflammation And Immunology $342 17 payments
  8. LUMRYZ $339 12 payments
  9. Sunosi $296 9 payments
  10. Xhance $283 15 payments
  11. Other $4,244 179 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 13 drugs

Part D claims

249

Median for Otolaryngology: 297

Drug cost

$3,615

Median for Otolaryngology: $6,314

Branded share of claims

14.5%

Median for Otolaryngology: 10.3%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Ofloxacin Generic 27 $706
Gabapentin Generic 27 $631
Ipratropium Bromide Generic 18 $619
Fluticasone Propionate Generic 39 $597
Albuterol Sulfate Hfa Albuterol Sulfate Brand 11 $298
Azelastine Hcl Generic 11 $156
Trazodone Hcl Generic 27 $122
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav Brand 14 $122
Clindamycin Hcl Generic 11 $111
Methylprednisolone Generic 30 $110

The 10 drugs with the highest cost, of 13 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 9,296 Part D prescribers listed as Otolaryngology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 53 billing codes

Paid by Medicare

$314,855

Medicare's payments for the services billed

Medicare patients

847

Average age 73

Services billed

3,811

365 women, 482 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Arthritis 47%
Ischemic heart disease 34%
Diabetes 28%
Depression 22%
Atrial fibrillation 20%
Chronic kidney disease 20%
Cancer 16%

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 14 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
WAKIX
  • Harmony Biosciences LLC $487
$487 — —
XYWAV
  • JAZZ PHARMACEUTICALS INC. $317
$317 — —
NUCALA
  • GlaxoSmithKline, LLC. $151
$151 — —
LUMRYZ
  • Avadel CNS Pharmaceuticals, LLC $102
$102 — —
Sunosi
  • Axsome Therapeutics, Inc. $99
$99 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

See all 14 in the dashboard with a free account

Records

333 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Plastic Surgery within the Head & Neck in Pennsylvania

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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