Cecilia Pascual Garrido, MD
Orthopaedic Surgery · Saint Louis, MONPI 1235446543
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (44.1%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Elite Orthopedics, LLC at 55.7% of the total. Reporting peaked in 2019 at $4,231 and has fallen 99.6% since, to $15 in 2024.
Across 31 payments — averaging $305.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Elite Orthopedics, LLC$5K
- Insight Medical Systems, Inc.$1K
- Anika Therapeutics, Inc.$1K
- Zimmer Biomet$905
- Stryker$401
- Intellijoint Surgical Inc.$250
- plus $209 from 4 others
Across 14 payments — averaging $1844.59 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.
- Zimmer Biomet$26K
What the payments were for
- Consulting fees$1,25013%
- Speaking & faculty fees$1,25013%
- Travel & lodging$1,75018%
- Food & beverage$1,03611%
- Education$4,17644%
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 | 6 | $5,273 |
| Insight Medical Systems, Inc. | 1 | $1,250 |
| Anika Therapeutics, Inc. | 2 | $1,173 |
| Zimmer Biomet | 9 | $905 |
| Stryker | 7 | $401 |
| Intellijoint Surgical Inc. | 1 | $250 |
| Calliditas Therapeutics US Inc. | 1 | $117 |
| Arthrex | 2 | $52 |
| Medical Device Business Services, Inc. | 1 | $23 |
| Johnson & Johnson | 1 | $16 |
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.
How this compares
$9,462 in reported general payments places this provider in the 65th percentile of 455 orthopaedic 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 |
|---|---|---|
| Mupirocin | 52 | $320 |
| Ondansetron Hcl | 18 | $243 |
| Meloxicam | 25 | $45 |
| Amoxicillin | 15 | $20 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Saint Louis
- Jay KeenerSaint Louis$2.2M
- John WatsonSaint Louis$1.7M
- Peter ChalmersSaint Louis$603K
- Lionel MetzSaint Louis$428K
- Jon CarlsonSaint Louis$354K
- Alexander AleemSaint Louis$230K
- Rhoderic MirkinSaint Louis$209K
- Sridhar PinnamaneniSaint Louis$188K
- Kenneth SmithSaint Louis$119K
- Benjamin ZmistowskiSaint Louis$118K
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.