Brian Kiesnowski, MD
Plastic Surgery · Appleton, WINPI 1285607317
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $148,688 of the $195,643 with a category attached, or 76.0%. Smith+Nephew accounts for 82.2% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2019 at $89,776 and has fallen 91.2% since, to $7,908 in 2025. Among plastic surgery clinicians in WI 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 339 payments — averaging $577.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$161K
- Osiris Therapeutics Inc.$32K
- Integra Lifesciences Corporation$2K
- GSK$120
- KCI USA, Inc.$112
- AbbVie$62
- plus $163 from 7 others
What the payments were for
- Consulting fees$7,3404%
- Speaking & faculty fees$148,68876%
- Travel & lodging$32,04816%
- Food & beverage$5,2383%
- Other$2,3291%
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 |
|---|---|---|
| Smith+Nephew | 275 | $160,811 |
| Osiris Therapeutics Inc. | 48 | $32,036 |
| Integra Lifesciences Corporation | 2 | $2,341 |
| GSK | 1 | $120 |
| KCI USA, Inc. | 1 | $112 |
| AbbVie(2 entities) | 2 | $62 |
| Mentor Worldwide LLC | 3 | $46 |
| Pacira Pharmaceuticals Incorporated | 2 | $39 |
| Organogenesis Inc. | 1 | $24 |
| W. L. Gore & Associates, Inc. | 1 | $16 |
| Galderma Laboratories, L.p. | 1 | $14 |
| Misonix Inc | 1 | $13 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $11 |
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.
- Stravix$181,608
- Grafix$115,316
- GRAFIX PL$74,788
- Grafix XC$74,638
- GrafixPL$58,450
- Grafix PL PRIME$40,372
- STRAVIX PL$40,210
- Grafix PRIME$32,991
- Grafix CORE$32,991
- Oasis$19,690
- DuraSorb Monofilament Mesh$2,329
- ZEJULA$120
- PREVENA$112
- VAC VERAFLO$112
How this compares
$195,643 in reported general payments places this provider in the 95th percentile of 77 plastic surgery providers in Wisconsin.
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 plastic surgery in Appleton
- Michelle BonnessBrookfield$162K
- David JanssenOshkosh$54K
- Aaron MorganMilwaukee$39K
- Kevin RobertsonMiddleton$38K
- Delora MountMadison$27K
- Nyama SillahMilwaukee$19K
- Roger MixterMilwaukee$12K
- Sarah SasorWauwautosa$9K
- Kenneth DembnyWauwatosa$8K
- Lucas BoehmMilwaukee$8K
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.