Device Precision Tools & Instruments

Microfrance

Payments companies reported to CMS as associated with Microfrance. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.

$22Kassociated payments (2023-2025)
481clinicians with associated payments
1company reporting

By year

2023 $9,532
2024 $9,135
2025 $3,121

Payments reported as associated with Microfrance, per program year, as reported to CMS.

Who makes it

Specialties most often involved

Otolaryngology $13K
Neurological Surgery $1,504
Facial Plastic Surgery $878
Plastic Surgery Within The Head & Neck $760
Pediatric Otolaryngology $752
Otolaryngology/Facial Plastic Surgery $560

Where the associated payments went, by the receiving clinician's specialty.

Clinicians most associated with Microfrance

These are the largest totals companies reported as associated with Microfrance. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.

ClinicianLocationSpecialtyAssociated payments (2023-2025)
James Wang Chicago, IL Facial Plastic Surgery $509.78
Douglas Reh Lutherville Timonium, MD Otolaryngology $335.75
Sean Carroll Erie, PA Otolaryngology/Facial Plastic Surgery $242.98
Theodore Rheney Asheville, NC Otolaryngology $192.79
David Bianchi Silver Spring, MD $180.65
Charles Wright Nashville, TN Otolaryngology $178.88
Praveen Duggal Severna Park, MD Otolaryngology $166.67
Marc Dubin Baltimore, MD Otolaryngology $166.67
Shannon Pryor Kensington, MD Otolaryngology $166.67
Daniel Merenda Bridgeport, WV Otolaryngology $163.35

Prescribed Microfrance?

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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.