Daniel Hoernschemeyer, MD
Pediatric Orthopaedic Surgery · Columbia, MONPI 1558312165
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $1,253,052 of the $1,438,534 with a category attached, or 87.1%. Orthopediatrics Corp. accounts for 89.3% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2022 at $271,082 and has fallen 71.2% since, to $78,039 in 2025. Among pediatric orthopaedic surgery clinicians in MO 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.
Across 344 payments — averaging $4181.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Orthopediatrics Corp.$1.3M
- Zimmer Biomet$62K
- Zimvie Inc.$45K
- Biomarin Pharmaceutical Inc.$28K
- Highridge Medical LLC$13K
- Globus Medical$4K
- plus $1K from 6 others
Across 117 payments — averaging $5681.03 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.
- Biomarin Pharmaceutical Inc.$470K
- Zimvie Inc.$81K
- Ascendis Pharma Endocrinology Inc$63K
- Zimmer Biomet$38K
- Therachon Holding GmbH$14K
What the payments were for
- Royalty or licence$1,253,05287%
- Consulting fees$150,19310%
- Speaking & faculty fees$15,5021%
- Travel & lodging$12,3021%
- Food & beverage$6,2840%
- Education$1,2000%
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 |
|---|---|---|
| Orthopediatrics Corp. | 114 | $1,285,285 |
| Zimmer Biomet | 90 | $62,218 |
| Zimvie Inc. | 62 | $45,120 |
| Biomarin Pharmaceutical Inc. | 35 | $27,594 |
| Highridge Medical LLC | 21 | $13,299 |
| Globus Medical(2 entities) | 13 | $3,624 |
| Arthrex | 1 | $1,200 |
| Alnylam Pharmaceuticals Inc. | 2 | $72 |
| Johnson & Johnson(2 entities) | 3 | $55 |
| Kyocera Medical Technologies, Inc. | 1 | $29 |
| Bioventus LLC | 1 | $26 |
| Elite Orthopedics, LLC | 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.
- Orthopediatric Implants$205,078
- The Tether$102,348
- VOXZOGO 1.2mg$5,127
- Vital Deformity, Degen, Hooks$4,200
- Vital$4,200
- Vitality Power$4,200
- RELINE$2,800
- PD-Spine-New Product$600
- Polaris S.S. Spinal System$515
- Virage$492
- Timberline$432
- Vitality$247
- XLIF$235
- MAGEC$131
- PRECICE$131
- Spine-None$102
How this compares
$1,438,534 in reported general payments places this provider in the 95th percentile of 28 pediatric orthopaedic surgery providers in Missouri.
See all pediatric 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.
Other pediatric orthopaedic surgery in Columbia
- Sumit GuptaColumbia$4K
- Scott LuhmannSaint Louis$2.2M
- Joe GordonSaint Louis$1M
- Jeffrey NeppleSaint Louis$177K
- Brian KellySaint Louis$17K
- Shaun ConleySaint Louis$15K
- Adam NasreddineSaint Louis$13K
- Blake MontgomerySaint Louis$8K
- Caroline TougasKansas City$8K
- Kenneth ShawKansas City$4K
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.