Avnish Clerk, MD
Sports Medicine · Exeter, NHNPI 1316105828
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $59,688 of the $89,082 with a category attached, or 67.0%. Stryker accounts for 67.2% of it on its own, with 26 other manufacturers making up the rest. Reporting peaked in 2021 at $31,086 and has fallen 72.6% since, to $8,524 in 2025. Among sports medicine 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 243 payments — averaging $366.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$60K
- Shoulder Innovations, Inc.$7K
- Depuy Synthes Products, Inc.$6K
- Medical Device Business Services, Inc.$6K
- Lima USA, Inc.$2K
- Johnson & Johnson$2K
- plus $6K from 21 others
What the payments were for
- Consulting fees$59,68867%
- Travel & lodging$16,95319%
- Food & beverage$12,41914%
- Gifts$240%
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 | 127 | $59,828 |
| Shoulder Innovations, Inc. | 12 | $7,046 |
| Depuy Synthes Products, Inc. | 4 | $6,413 |
| Medical Device Business Services, Inc. | 10 | $5,936 |
| Lima USA, Inc. | 2 | $2,105 |
| Johnson & Johnson(2 entities) | 30 | $1,683 |
| Zimmer Biomet | 11 | $750 |
| Pacira Pharmaceuticals Incorporated | 7 | $709 |
| Powerlink AI, Inc. | 4 | $663 |
| Medacta USA, Inc. | 2 | $605 |
| Linvatec Corporation | 3 | $427 |
| Trice Medical, Inc. | 5 | $368 |
| Pacira Therapeutics, Inc. | 4 | $355 |
| Arthrex | 2 | $338 |
| Bioventus LLC | 2 | $325 |
| Smith+Nephew | 3 | $279 |
| Catalyst Orthoscience | 2 | $257 |
| Innovation Technologies Inc | 1 | $147 |
| DJO, LLC | 2 | $147 |
| Acumed LLC | 1 | $121 |
| Kairos Surgical Inc | 1 | $120 |
| Lifenet Health | 1 | $120 |
| Miach Orthopaedics, Inc. | 1 | $119 |
| Skeletal Dynamics Inc | 1 | $107 |
| Vertex | 3 | $57 |
| Avanos Medical | 1 | $50 |
| Biedermann Motech, Inc. | 1 | $8 |
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.
- ICONIX$15,937
- RIGIDLOOP$10,913
- FLEXIBLE GUIDE PIN (STRYKER ACL VERSITOMIC)$9,961
- InSet System$7,022
- HOFFMANN$6,908
- REUNION$6,600
- NA$4,577
- INSPACE$4,549
- SMR Shoulder$2,105
- ALPHAVENT$1,862
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$1,792
- MICROFX OCD$1,408
- TORNIER FLEX$1,200
- SALVATION$984
- PROCINCH$798
- AMISTEM$517
- EXPAREL$339
- Y-KNOT$335
- LINVATEC SHOULDER ARTHROSCOPY$335
- CROSSFT$335
How this compares
$89,082 in reported general payments places this provider in the 95th percentile of 38 sports medicine 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.
Other sports medicine in Exeter
- Joshua SiegelExeter$438K
- Benjamin ThompsonExeter$8K
- Alexander DavisExeter$3K
- Deborah PacikExeter$2K
- Chelsea BackerExeter$217
- Joseph BernardExeter$25
- Neal GoldenbergKeene$38K
- Brendan HigginsConcord$34K
- Jason SimonNashua$9K
- David ThutSomersworth$7K
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.