Akhilesh Sastry, MD
Orthopaedic Surgery · Portsmouth, NHNPI 1275793374
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $799,275 of the $965,722 with a category attached, or 82.8%. Stryker accounts for 99.8% of it on its own, with 14 other manufacturers making up the rest. Reporting peaked in 2019 at $199,987 and has fallen 65.5% since, to $69,063 in 2025. Among orthopaedic surgery clinicians in NH with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 880 payments — averaging $1097.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$964K
- Bioventus LLC$325
- Pacira Therapeutics, Inc.$290
- Pacira Pharmaceuticals Incorporated$198
- Zimmer Biomet$196
- Smith+Nephew$161
- plus $880 from 9 others
Across 2 payments — averaging $5437.50 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Stryker$11K
What the payments were for
- Consulting fees$799,27583%
- Travel & lodging$147,97915%
- Food & beverage$18,4602%
- Education$80%
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 |
|---|---|---|
| Stryker | 859 | $963,672 |
| Bioventus LLC | 2 | $325 |
| Pacira Therapeutics, Inc. | 4 | $290 |
| Pacira Pharmaceuticals Incorporated | 2 | $198 |
| Zimmer Biomet | 2 | $196 |
| Smith+Nephew | 1 | $161 |
| Microport Orthopedics Inc | 1 | $154 |
| Flower Orthopedics Coporation | 1 | $148 |
| Orthofix Medical, Inc. | 2 | $143 |
| Johnson & Johnson | 1 | $105 |
| Acumed LLC | 1 | $99 |
| DJO, LLC | 1 | $93 |
| Convatec Inc. | 1 | $66 |
| Biedermann Motech, Inc. | 1 | $59 |
| Radius Health, Inc. | 1 | $13 |
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.
- MAKO$914,033
- ACCOLADE$38,165
- AEQUALIS$26,500
- INSIGNIA$25,070
- TRIATHLON$20,341
- TRIDENT$11,900
- RESTORATION$11,750
- ORTHOMAP$848
- RESTORIS$750
- EXETER$250
- Stimrouter Implantable Kit$178
- EVOS$161
- MPO Medial Pivot Knee$154
- Durolane$147
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$143
- EXPAREL$113
- Physio-Stim$110
- Gel One$106
- SCP Bone Substitute$106
- EXPert Nail$105
How this compares
$965,722 in reported general payments places this provider in the 95th percentile of 141 orthopaedic surgery providers in New Hampshire.
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 |
|---|---|---|
| Methylprednisolone | 202 | $1,242 |
| Meloxicam | 263 | $736 |
| Oxycodone Hcl | 154 | $686 |
| Amoxicillin | 527 | $532 |
| Mupirocin | 36 | $280 |
| Tranexamic Acid | 16 | $206 |
| Ondansetron OdtOndansetron | 18 | $145 |
| Tramadol Hcl | 44 | $79 |
| Clindamycin Hcl | 52 | $60 |
| Doxycycline Hyclate | 31 | $40 |
| Cephalexin | 14 | $9 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Portsmouth
- Mayo NoerdlingerPortsmouth$529K
- Michael MorwoodPortsmouth$506K
- Theodore GuildPortsmouth$4K
- Brian BarryPortsmouth$4K
- Ryan LabellePortsmouth$4K
- William SutherlandPortsmouth$4K
- John-Erik BellLebanon$528K
- Ira ParsonsSomersworth$245K
- Alexander OremLebanon$215K
- David RichardsNashua$122K
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.