RxDoctor Payments Data

Craig Birgfeld, MD

Plastic Surgery · Seattle, WANPI 1760438402

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $96,175 of the $118,170 with a category attached, or 81.4%. Stryker accounts for 99.7% of it on its own, with 4 other manufacturers making up the rest. Reporting peaked in 2023 at $25,618 and has fallen 57.7% since, to $10,839 in 2025. Among plastic surgery clinicians in WA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$118,170in general payments, 2019–2025

Across 130 payments — averaging $909.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Stryker$118K
  • Synthes GmbH$250
  • AbbVie$48
  • Kls-martin L.p.$23
  • Johnson & Johnson$16

What the payments were for

  • Consulting fees$96,17581%
  • Speaking & faculty fees$2500%
  • Travel & lodging$19,07016%
  • Food & beverage$2,6752%

General payments by program year

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Stryker126$117,834
Synthes GmbH1$250
AbbVie1$48
Kls-martin L.p.1$23
Johnson & Johnson1$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

$118,170 in reported general payments places this provider in the 95th percentile of 63 plastic surgery providers in Washington.

See all plastic surgery providers in Washington

Medicare billing

Part B allowed, 2024
$13,383
Medicare patients
26
Services billed
43

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.

Other plastic surgery in Seattle

See the full list for Washington

Where these figures come from

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