Brett Crist, MD
Orthopaedic Trauma · Columbia, MONPI 1104883040
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (45.8%), consulting fees and royalties or licence payments — rather than concentrated in one kind of arrangement. It is spread thinly across 22 manufacturers, the largest accounting for just 23.5%. Among orthopaedic trauma clinicians in MO 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 358 payments — averaging $976.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Synthes GmbH$82K
- KCI USA, Inc.$66K
- Globus Medical$64K
- Curvafix, Inc.$62K
- Medical Device Business Services, Inc.$31K
- Synthes USA Products LLC$12K
- plus $32K from 16 others
Across 49 payments — averaging $75,912 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.
- Synthes USA Products LLC$3.6M
- Medical Device Business Services, Inc.$86K
- Innovation Technologies Inc$9K
- BONE Support AB$3K
What the payments were for
- Royalty or licence$54,35316%
- Consulting fees$78,63122%
- Speaking & faculty fees$160,01146%
- Travel & lodging$40,02711%
- Food & beverage$7,0122%
- Education$9,4913%
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 |
|---|---|---|
| Synthes GmbH | 95 | $82,016 |
| KCI USA, Inc. | 45 | $65,924 |
| Globus Medical | 38 | $64,362 |
| Curvafix, Inc. | 26 | $62,395 |
| Medical Device Business Services, Inc. | 25 | $30,771 |
| Synthes USA Products LLC | 9 | $11,954 |
| Elite Orthopedics, LLC | 17 | $9,562 |
| Osteocentric Technologies, Inc. | 12 | $7,580 |
| Illuminoss Medical, Inc. | 6 | $3,985 |
| Johnson & Johnson | 30 | $2,970 |
| Orthofix Medical, Inc. | 16 | $2,548 |
| Arthrex | 5 | $1,456 |
| Solventum Corporation | 4 | $1,455 |
| Stryker | 13 | $1,061 |
| Zimmer Biomet | 8 | $716 |
| Microport Orthopedics Inc | 2 | $191 |
| US Implant Solutions, LLC | 1 | $177 |
| Carbofix Orthopedics Inc | 2 | $168 |
| Urgo Medical North America, LLC | 1 | $82 |
| Endeavor Orthopaedics LLC | 1 | $81 |
| Next Science LLC | 1 | $56 |
| EMD Serono, Inc. | 1 | $15 |
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.
- CurvaFix IM Implant$62,298
- PREVENA$52,937
- V.A.C. VERAFLO$24,973
- Anthem$17,706
- V.A.C. VERAFLO CLEANSE CHOICE$17,150
- Autobahn$15,995
- PREVENA RESTOR AXIOFORM$15,100
- Proximal Tibia Plate$14,047
- VAC VERAFLO$10,518
- Bair Hugger$10,100
- Proximal Humerus Plate$9,034
- A/R Femoral Nail$6,605
- DERMATAC$6,563
- OsteoCentric 4.0 x 130mm LOCKING BONE SCREW FASTENER ST$4,000
- SNAP$3,750
- Photodynamic Bone Stabilization Procedure Pack$3,750
- Unifi Technology$2,492
- NA$2,002
- TrueLok$1,401
- PREVENA RESTOR ARTHO-FORM$1,200
How this compares
$349,525 in reported general payments places this provider in the 95th percentile of 28 orthopaedic trauma providers in Missouri.
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 |
|---|---|---|
| Pregabalin | 31 | $1,301 |
| Celecoxib | 24 | $797 |
| Cyclobenzaprine Hcl | 42 | $605 |
| Methocarbamol | 15 | $427 |
| Meloxicam | 99 | $359 |
| Oxycodone Hcl | 34 | $202 |
| Cephalexin | 38 | $198 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 19 | $188 |
| Tizanidine Hcl | 19 | $185 |
| Tramadol Hcl | 24 | $106 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic trauma in Columbia
- Todd OliverColumbia$1.1M
- Gregory della RoccaColumbia$94K
- Kyle SchweserColumbia$61K
- Douglas HaaseColumbia$27K
- Wayne HoskinsColumbia$16K
- Marschall BerkesSaint Louis$101K
- Daniel BravinSpringfield$39K
- Mitchel ObeySaint Louis$33K
- Christopher MuncieSpringfield$30K
- Christopher McAndrewSaint Louis$28K
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.