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

Ryan Duncan

Otolaryngology Brentwood, TN Medical Doctor

NPI 1831308170 CMS profile 173604

1622 Westgate Cir, Brentwood, TN 37027

Open in the dashboard

General payments

$7,753

182 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, Ryan Duncan of Brentwood, TN is reported in the CMS Open Payments database as having received $7,753 across 182 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 90th percentile of Otolaryngology 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 $1,746 36
2024 General $922 30
2023 General $706 24
2022 General $1,261 29
2021 General $2,017 28
2020 General $105 7
2019 General $996 28

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Ryan Duncan
  • Otolaryngology median
  • Middle half of Otolaryngology
  • National median

In program year 2025, general payments to Ryan Duncan were reported at $1,746. Among 6,588 Otolaryngology profiles paid that year, the median was $317 and the middle half received between $125 and $815.

Show as a table
Year Ryan Duncan Otolaryngology median Middle half National median
2019 $996 $194 $82–$512 $163
2020 $105 $118 $42–$280 $114
2021 $2,017 $167 $63–$444 $132
2022 $1,261 $216 $84–$545 $149
2023 $706 $235 $93–$588 $160
2024 $922 $280 $111–$699 $164
2025 $1,746 $317 $125–$815 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Inspire Medical Systems, Inc. $4,267 57 payments
  2. Jazz Pharmaceuticals Inc. $949 57 payments
  3. Intersect ENT, Inc. $611 12 payments
  4. Aerin Medical Inc. $495 10 payments
  5. Stryker Corporation $462 10 payments
  6. Genzyme Corporation $303 13 payments
  7. Integra LifeSciences Corporation $209 3 payments
  8. Acclarent, Inc $198 7 payments
  9. Smith+Nephew, Inc. $58 2 payments
  10. Regeneron Healthcare Solutions, Inc. $41 2 payments
  11. Other $161 9 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $6,405 178 payments
  2. Travel and Lodging $1,274 3 payments
  3. Consulting Fee $75 1 payment
Products named General payments · program years 2019–2025
  1. INSPIRE $2,161 52 payments
  2. Inspire Upper Airway Stimulation System $2,107 5 payments
  3. XYWAV $654 40 payments
  4. PROPEL $432 7 payments
  5. XPRESS ENT DILATION SYSTEM $339 4 payments
  6. DUPIXENT $284 12 payments
  7. RHINAER STYLUS $271 4 payments
  8. VIVAER STYLUS $271 4 payments
  9. INSPIRA AIR $209 3 payments
  10. TruDi Probe $209 3 payments
  11. Other $1,375 55 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 · 17 drugs

Part D claims

447

Median for Otolaryngology: 297

Drug cost

$230,924

Median for Otolaryngology: $6,314

Branded share of claims

15.7%

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
Xywav Sodium,calcium,mag,pot Oxybate Brand 11 $223,841
Ipratropium Bromide Generic 103 $3,712
Azelastine Hcl Generic 20 $628
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav Brand 14 $416
Doxycycline Hyclate Generic 39 $350
Dexamethasone Generic 27 $296
Mupirocin Generic 39 $271
Doxepin Hcl Generic 15 $234
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen Brand 34 $226
Fluticasone Propionate Generic 16 $200

The 10 drugs with the highest cost, of 17 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 · 56 billing codes

Paid by Medicare

$115,316

Of which drugs: $35

Medicare patients

385

Average age 73

Services billed

1,234

203 women, 182 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 74%
Arthritis 47%
Ischemic heart disease 30%
Diabetes 23%
Depression 23%
Chronic kidney disease 20%
Osteoporosis 15%
Atrial fibrillation 12%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Injection, propofol, 10 mg J2704 Office 15 297 $26

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

1 product · 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
DUPIXENT
  • GENZYME CORPORATION $95
$95 — —

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.

Records

182 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 Otolaryngology in Tennessee

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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