Byron Tarbox, MD
Sports Medicine · Columbia, MONPI 1629061205
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (34.2%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Elite Orthopedics, LLC at 59.9% of the total. Reporting peaked in 2019 at $5,612 and has fallen 66.0% since, to $1,906 in 2025.
Across 43 payments — averaging $254.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Elite Orthopedics, LLC$7K
- Arthrex$4K
- Hikma Pharmaceuticals USA$305
- Johnson & Johnson$86
- Stryker$58
- Cardinal Health 200 LLC$44
- plus $149 from 5 others
What the payments were for
- Consulting fees$3053%
- Speaking & faculty fees$3,00027%
- Travel & lodging$3,13029%
- Food & beverage$7527%
- Education$3,73734%
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 |
|---|---|---|
| Elite Orthopedics, LLC | 16 | $6,548 |
| Arthrex | 10 | $3,734 |
| Hikma Pharmaceuticals USA | 1 | $305 |
| Johnson & Johnson | 5 | $86 |
| Stryker | 1 | $58 |
| Cardinal Health 200 LLC | 2 | $44 |
| Pacira Therapeutics, Inc. | 3 | $40 |
| Sanofi-aventis U.S. LLC | 2 | $39 |
| Smith+Nephew | 1 | $26 |
| Vertex | 1 | $26 |
| Organogenesis Inc. | 1 | $18 |
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.
- COMBOGESIC IV$305
How this compares
$10,924 in reported general payments places this provider in the 80th percentile of 127 sports medicine 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 | 58 | $1,501 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 20 | $179 |
| Ondansetron Hcl | 17 | $50 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Columbia
- Kristin OliverColumbia$209K
- Steven DefrodaColumbia$101K
- Clayton NuelleColumbia$89K
- Justin DragerColumbia$78K
- Shawn SahotaColumbia$69K
- James StannardColumbia$68K
- Joshua HamannColumbia$57K
- Jeffrey KlottColumbia$50K
- Shen Ying MaColumbia$14K
- Keith KenterColumbia$5K
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.