Aaron Legrand, MD
Orthopaedic Surgery · Kokomo, INNPI 1518039940
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (56.5%), food and beverage and education — rather than concentrated in one kind of arrangement. Zimmer Biomet accounts for 89.1% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2024 at $3,161 and has fallen 98.1% since, to $60 in 2025. That places this record below the midpoint for orthopaedic surgery clinicians in IN, where the typical reported total is $4,533.
Across 20 payments — averaging $191.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$3K
- Encore Medical, LP$150
- Biotronik NRO, Inc.$100
- Smith+Nephew$58
- Dynasplint Systems Inc.$41
- Curonix LLC$18
- plus $49 from 3 others
What the payments were for
- Travel & lodging$2,15756%
- Food & beverage$1,58241%
- Education$832%
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 |
|---|---|---|
| Zimmer Biomet | 11 | $3,405 |
| Encore Medical, LP | 1 | $150 |
| Biotronik NRO, Inc. | 1 | $100 |
| Smith+Nephew | 2 | $58 |
| Dynasplint Systems Inc. | 1 | $41 |
| Curonix LLC | 1 | $18 |
| Ossur Americas, Inc. | 1 | $18 |
| Sanofi-aventis U.S. LLC | 1 | $17 |
| Johnson & Johnson | 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.
- Oxford$1,479
- Persona$996
- DJO SURGICAL$150
- ROSA$125
How this compares
$3,821 in reported general payments places this provider in the 45th percentile of 400 orthopaedic surgery providers in Indiana.
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 |
|---|---|---|
| Diclofenac Sodium | 104 | $935 |
| Methylprednisolone | 58 | $244 |
| Amoxicillin | 24 | $23 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Kokomo
- Frank KolisekGreenwood$7.5M
- David FisherIndianapolis$5.9M
- Michael BerendIndianapolis$4M
- John WilliamsFort Wayne$2.7M
- Sanford KunkelIndianapolis$1.9M
- Hill HastingsIndianapolis$1.6M
- Mark KlaassenElkhart$1.3M
- Alan McGeeFort Wayne$1.1M
- Lindsey RolstonNew Castle$1.1M
- John MedingMooresville$998K
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.