Brian Kleiber, MD
Foot and Ankle Surgery · Columbia, MONPI 1235331570
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $68,825 of the $84,167 with a category attached, or 81.8%. Stryker accounts for 82.8% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2022 at $25,141 and has fallen 98.0% since, to $503 in 2025. Among foot and ankle surgery clinicians in MO with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 161 payments — averaging $522.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$70K
- Encore Medical, LP$7K
- Trilliant Surgical LLC.$4K
- Elite Orthopedics, LLC$2K
- Arthrex$776
- Paragon 28, Inc.$545
- plus $348 from 8 others
What the payments were for
- Consulting fees$68,82582%
- Travel & lodging$9,63011%
- Food & beverage$5,2066%
- Education$5071%
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 | 106 | $69,724 |
| Encore Medical, LP | 8 | $7,314 |
| Trilliant Surgical LLC. | 6 | $3,815 |
| Elite Orthopedics, LLC | 21 | $1,644 |
| Arthrex | 3 | $776 |
| Paragon 28, Inc. | 7 | $545 |
| Zimmer Biomet | 2 | $144 |
| Novastep Inc. | 1 | $92 |
| Pacira Therapeutics, Inc. | 2 | $28 |
| Smith+Nephew | 1 | $26 |
| Organogenesis Inc. | 1 | $18 |
| Hospira, Inc. | 1 | $14 |
| Medline Industries LP | 1 | $13 |
| Sanofi-aventis U.S. LLC | 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.
- PROstep$32,919
- PROPHECY$21,598
- STAR$12,567
- VARIAX$10,387
- ORTHOLOC 3DI$8,425
- ORTHOLOC 2 LAPIFUSE$7,495
- PROSTEP MICA$6,760
- APEX$237
- INVISION$112
- FIXOS$112
- GORILLA$109
- APEX 3D$104
How this compares
$84,167 in reported general payments places this provider in the 90th percentile of 163 foot and ankle surgery 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 |
|---|---|---|
| Celecoxib | 75 | $2,079 |
| Oxycodone Hcl | 17 | $80 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Columbia
- Levi GauseColumbia$45K
- Kyle FialaColumbia$37K
- Benjamin SummerhaysColumbia$27K
- Kurt KrautmannColumbia$15K
- Jeremy McCormickSaint Louis$1.5M
- Jeffrey JohnsonSaint Louis$944K
- Timothy BadweyKansas City$427K
- Raymond AbdoSaint Louis$251K
- Vincent SollecitoSaint Louis$221K
- Amar PatelLees Summit$203K
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.