Brian Kistler, MD
Orthopaedic Trauma · Santa Maria, CANPI 1043473507
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (44.3%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 15 manufacturers reported payments, led by Smith+Nephew at 59.7% of the total.
Across 374 payments — averaging $573.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$128K
- Medartis Inc.$40K
- Flower Orthopedics Coporation$26K
- Xenco Medical LLC$8K
- Nextremity Solutions Inc.$5K
- Biotissue Holdings Inc.$5K
- plus $2K from 9 others
Across 2 payments — averaging $10,438 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$21K
What the payments were for
- Consulting fees$70,04933%
- Speaking & faculty fees$94,88844%
- Travel & lodging$29,20614%
- Food & beverage$20,2319%
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 | 274 | $127,997 |
| Medartis Inc. | 13 | $39,748 |
| Flower Orthopedics Coporation | 13 | $26,128 |
| Xenco Medical LLC | 2 | $7,800 |
| Nextremity Solutions Inc. | 3 | $5,384 |
| Biotissue Holdings Inc. | 42 | $5,001 |
| Stryker | 15 | $1,044 |
| Orthoxel Designated Activity Company | 1 | $500 |
| Johnson & Johnson | 4 | $213 |
| Arthrex | 1 | $124 |
| Si-bone, Inc. | 1 | $123 |
| Bone Support Inc. | 1 | $122 |
| Cornerstone Medical Associates, Inc. | 1 | $90 |
| Organogenesis Inc. | 2 | $58 |
| Siemens Medical Solutions USA, Inc. | 1 | $42 |
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.
- EVOS$139,447
- TRIGEN InterTAN$55,126
- APTUS$39,664
- TRIGEN$31,690
- EVOS MINI$29,990
- CANNULATED SCREWS$21,247
- Taylor Spatial Frame$15,223
- TRIGEN Femoral (FAN/TAN/Meta Nail)$12,598
- META TAN$10,908
- Peri-Loc$10,842
- Peri-Loc VLP$10,708
- Peri-Loc PFP$10,300
- TRIGEN Meta-Nail$10,279
- Regenerative Tissue$4,200
- Flowable Orthobiologics$3,600
- JET-X Mini$1,159
- TRIGEN Sureshot$904
- TRIGEN Humeral Nail System$646
- APEX NAILING SYSTEM$500
- Ilizarov System$476
How this compares
$214,373 in reported general payments places this provider in the 85th percentile of 106 orthopaedic trauma providers in California.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 12 | $76 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic trauma in Santa Maria
- Michael GardnerStanford$2.9M
- Aaron OsborneRedding$1.3M
- Robert Tonksla Jolla$1.3M
- John ScolaroOrange$1M
- David LowenbergSan Francisco$788K
- Eric LindvallClovis$609K
- Christopher LeeLos Angeles$475K
- Joshua GaryLos Angeles$466K
- Christopher HoshinoTorrance$356K
- Julius BishopStanford$349K
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.