Ashley Estes
Orthopaedic Surgery · Birmingham, ALNPI 1457560245
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (43.1%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 25 manufacturers reported payments, led by Zimmer Biomet at 52.0% of the total. 2025 is the largest year on record at $11,947, more than ten times the $363 reported in 2019.
Across 95 payments — averaging $155.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$8K
- Smith+Nephew$3K
- Arthrex$1K
- Prime Surgical, LLC$830
- Miach Orthopaedics, Inc.$208
- Stryker$177
- plus $1K from 19 others
Across 2 payments — averaging $10,000 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.
- Smith+Nephew$20K
What the payments were for
- Consulting fees$6,35343%
- Travel & lodging$4,95534%
- Food & beverage$3,43523%
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 | $7,673 |
| Smith+Nephew | 23 | $3,442 |
| Arthrex | 13 | $1,368 |
| Prime Surgical, LLC | 2 | $830 |
| Miach Orthopaedics, Inc. | 1 | $208 |
| Stryker | 2 | $177 |
| Johnson & Johnson | 4 | $134 |
| Integra Lifesciences Corporation | 1 | $124 |
| Orthofix Medical, Inc. | 6 | $118 |
| Pacira Pharmaceuticals Incorporated | 4 | $96 |
| Bioventus LLC | 4 | $85 |
| Kyocera Medical Technologies, Inc. | 1 | $76 |
| Ferring Pharmaceuticals Inc. | 4 | $68 |
| Vericel Corporation | 3 | $62 |
| Baudax Bio Inc. | 2 | $41 |
| ERMI LLC | 2 | $39 |
| Amgen(2 entities) | 2 | $39 |
| Abbott | 2 | $36 |
| Si-bone, Inc. | 2 | $28 |
| Lilly USA, LLC | 1 | $19 |
| Pacira Therapeutics, Inc. | 1 | $19 |
| Avanos Medical | 1 | $18 |
| Boston Scientific | 1 | $18 |
| Vivus LLC | 1 | $14 |
| Kowa Pharmaceuticals America, 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.
- ACUFEX Meniscal Root Repair$2,389
- CAP-FIX$2,048
- NOVOSTITCH$2,037
- Healicoil$1,898
- Q-FIX$1,898
- Bone Anchors with Arthroscopic Delivery System$262
- Biosure$142
- ROSA-Knee$134
- Bioinductive Implant with Arthroscopic Delivery System - Medium$132
- BIOFIX$124
- BIODRESTORE$124
- MEDIHONEY$124
- BIODOPTIX$124
- BIODFACTOR$124
How this compares
$14,743 in reported general payments places this provider in the 75th percentile of 319 orthopaedic surgery providers in Alabama.
Other orthopaedic surgery in Birmingham
- Jeffrey DugasBirmingham$11.5M
- Benton EmblomBirmingham$3M
- Herrick SiegelBirmingham$1.2M
- Kenneth MooreBirmingham$342K
- Joseph SherrillBirmingham$221K
- Jonathan QuadeBirmingham$217K
- Ginger BryantBirmingham$209K
- Marcus RothermichBirmingham$207K
- Daniel KimBirmingham$147K
- Eugene BrabstonBirmingham$117K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.