Christopher Cosgrove, MD
Orthopaedic Surgery · Germantown, TNNPI 1952715187
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $66,486 of the $109,459 with a category attached, or 60.7%. 33 manufacturers reported payments, led by Smith+Nephew at 43.7% of the total. 2025 is the largest year on record at $49,843, more than ten times the $2,413 reported in 2019. Among orthopaedic surgery clinicians in TN 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 187 payments — averaging $585.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$48K
- Acera Surgical, Inc.$42K
- Amgen$9K
- Stryker$4K
- Medical Device Business Services, Inc.$2K
- Johnson & Johnson$2K
- plus $3K from 27 others
Across 1 payment — averaging $2500.00 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.
- Acera Surgical, Inc.$3K
What the payments were for
- Consulting fees$66,48661%
- Speaking & faculty fees$27,27225%
- Grants$2500%
- Travel & lodging$6,7866%
- Food & beverage$7,3867%
- Education$3020%
- Other$9781%
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 | 34 | $47,870 |
| Acera Surgical, Inc. | 42 | $42,450 |
| Amgen | 6 | $8,668 |
| Stryker | 30 | $3,606 |
| Medical Device Business Services, Inc. | 9 | $1,892 |
| Johnson & Johnson(2 entities) | 24 | $1,541 |
| Globus Medical | 3 | $976 |
| FX Shoulder Solutions, Inc | 1 | $628 |
| Zynex Medical, Inc. | 1 | $282 |
| Si-bone, Inc. | 2 | $178 |
| Gentleman Orthopedic Solutions | 4 | $155 |
| Biocomposites Inc | 1 | $147 |
| Bone Support Inc. | 2 | $144 |
| Orthofix Medical, Inc. | 1 | $117 |
| Zimmer Biomet | 3 | $110 |
| Davol Inc. | 2 | $87 |
| Biotissue Holdings Inc. | 2 | $78 |
| KCI USA, Inc. | 3 | $67 |
| Medtronic | 1 | $60 |
| Bioventus LLC | 2 | $52 |
| Depuy Synthes Products, Inc. | 1 | $47 |
| Arteriocyte Medical Systems, Inc. | 2 | $42 |
| Dilon Technologies, Inc. | 1 | $36 |
| Checkpoint Surgical, Inc | 1 | $32 |
| Anika Therapeutics, Inc. | 1 | $32 |
| Sanara Medtech Inc. | 1 | $26 |
| Osteoremedies, LLC | 1 | $26 |
| Pacira Pharmaceuticals Incorporated | 1 | $23 |
| Kerecis Limited | 1 | $21 |
| Integra Lifesciences Corporation | 1 | $21 |
| Solventum Corporation | 1 | $17 |
| Lifenet Health | 1 | $15 |
| Gilead | 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.
- EVOS$71,216
- Restrata Wound Matrix$41,795
- TRIGEN InterTAN$36,881
- TRIGEN$27,772
- EVOS MINI$14,472
- MAVERICK$9,975
- TRIGEN Meta-Nail$9,450
- EVENITY$8,574
- NA$1,935
- PELVIS II$1,006
- ACTIS$490
- T2$471
- ASNIS$461
- HOFFMANN$461
- NONE$382
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$350
- Nexwave$282
- AXSOS$281
- REUNION$170
- Stimulan$147
How this compares
$109,459 in reported general payments places this provider in the 90th percentile of 381 orthopaedic surgery providers in Tennessee.
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 |
|---|---|---|
| Cyclobenzaprine Hcl | 16 | $284 |
| Gabapentin | 19 | $177 |
| Meloxicam | 66 | $152 |
| Oxycodone Hcl | 14 | $79 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 11 | $72 |
| Tramadol Hcl | 12 | $35 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Germantown
- Thomas ThrockmortonGermantown$1.7M
- Chad CampionGermantown$311K
- Thomas RussellGermantown$131K
- Carson RiderGermantown$128K
- Kirk ThompsonGermantown$119K
- Jan SzatkowskiGermantown$103K
- Paul BradyKnoxville$20M
- Edwin SpencerKnoxville$2.5M
- Jesse DotyChattanooga$2.3M
- Alton HunterColumbia$820K
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.