Daniel Cognetti, MD
Orthopaedic Surgery · Jbsa Ft Sam Houston, TXNPI 1891297016
Payments from drug & device makers
Across 120 payments — averaging $110.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medinc Of Texas$6K
- Stryker$4K
- Arthrex$1K
- Mission Medical Distribution, LLC$862
- Zimmer Biomet$225
- Orthalign Inc$178
- plus $841 from 10 others
What the payments were for
- Travel & lodging$7816%
- Food & beverage$6,91352%
- Education$5,57242%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Medinc Of Texas | 7 | $5,688 |
| Stryker | 79 | $4,466 |
| Arthrex | 6 | $1,007 |
| Mission Medical Distribution, LLC | 12 | $862 |
| Zimmer Biomet | 2 | $225 |
| Orthalign Inc | 2 | $178 |
| Globus Medical | 1 | $129 |
| Skeletal Dynamics Inc | 1 | $118 |
| Vericel Corporation | 2 | $117 |
| Pacira Therapeutics, Inc. | 1 | $114 |
| KCI USA, Inc. | 2 | $107 |
| Smith+Nephew | 1 | $102 |
| Sanara Medtech Inc. | 1 | $57 |
| Johnson & Johnson | 1 | $47 |
| Misonix Inc | 1 | $33 |
| Medical Device Business Services, Inc. | 1 | $17 |
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.
- MAKO$767
- T2 ALPHA$325
- TRAUMA$163
- CLAW II$153
- INSIGNIA$147
- ROSA$146
- ORTHALIGN PLUS$137
- Harvest$129
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$126
- Geminus$118
- Align$118
- IJS$118
- Implate$118
- PRIME SERIES$118
- Zilretta$114
- Bioinductive Implant with Arthroscopic Delivery System - Medium$102
- VARIAX$102
How this compares
$13,267 in reported general payments places this provider in the 70th percentile of 1,337 orthopaedic surgery providers in Texas.
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.
Other orthopaedic surgery in Jbsa Ft Sam Houston
- Stephen BurkhartSan Antonio$185.3M
- Kirby HittTemple$9.1M
- J Richard EvansonPlano$8.1M
- Stefan KreuzerHouston$7M
- Robert GrahamAustin$6.3M
- Richard JonesDallas$6.3M
- Howard HarrisBedford$4.6M
- Tiffany HuynhHouston$4.6M
- Michael WirthSan Antonio$4.5M
- Stephen IncavoHouston$4.3M
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.