Daniel Gehling, MD
Adult Reconstructive Orthopaedic Surgery · Toledo, OHNPI 1497920938
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (50.4%), travel and lodging and education — rather than concentrated in one kind of arrangement. Zimmer Biomet accounts for 64.7% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2019 at $1,494 and has fallen 94.6% since, to $81 in 2025. That places this record below the midpoint for adult reconstructive orthopaedic surgery clinicians in OH, where the typical reported total is $10,094.
Across 38 payments — averaging $49.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$1K
- Innovation Technologies Inc$150
- Pacira Therapeutics, Inc.$144
- Si-bone, Inc.$117
- Smith+Nephew$89
- Medtronic$40
- plus $117 from 4 others
What the payments were for
- Travel & lodging$91549%
- Food & beverage$94050%
- Education$80%
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 |
|---|---|---|
| Zimmer Biomet | 17 | $1,206 |
| Innovation Technologies Inc | 2 | $150 |
| Pacira Therapeutics, Inc. | 6 | $144 |
| Si-bone, Inc. | 1 | $117 |
| Smith+Nephew | 5 | $89 |
| Medtronic | 2 | $40 |
| Heron Therapeutics, Inc. | 1 | $39 |
| Integra Lifesciences Corporation | 2 | $38 |
| Avanos Medical | 1 | $27 |
| Orthofix Medical, Inc. | 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.
- ROSA$797
- iFuse Implant$117
How this compares
$1,863 in reported general payments places this provider in the 25th percentile of 59 adult reconstructive orthopaedic surgery providers in Ohio.
See all adult reconstructive orthopaedic surgery providers in Ohio →
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 |
|---|---|---|
| EliquisApixaban | 78 | $24,274 |
| Oxycodone Hcl | 227 | $1,383 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 132 | $1,165 |
| Cephalexin | 329 | $784 |
| Famotidine | 81 | $494 |
| Ondansetron Hcl | 127 | $289 |
| Methylprednisolone | 247 | $241 |
| Meloxicam | 73 | $225 |
| Celecoxib | 14 | $192 |
| Amoxicillin | 77 | $51 |
| Tramadol Hcl | 17 | $46 |
| Azithromycin | 15 | $25 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Toledo
- Satheesh RamineniToledo$1K
- Adolph LombardiNew Albany$14.7M
- Ray WasielewskiColumbus$9.6M
- Viktor KrebsCleveland$7.5M
- Keith BerendNew Albany$4.6M
- Nicolas PiuzziCleveland$1.2M
- Michael BloomfieldCleveland$321K
- Matthew BealColumbus$319K
- Jason HurstNew Albany$255K
- Michael MorrisNew Albany$252K
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.