David Adkison, MD
Sports Medicine · Birmingham, ALNPI 1396743779
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $31,400 of the $45,648 with a category attached, or 68.8%. Stryker accounts for 78.4% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2024 at $18,551 and has fallen 54.6% since, to $8,423 in 2025. Among sports medicine clinicians in AL 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 80 payments — averaging $570.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$36K
- Shoulder Innovations, Inc.$9K
- Smith+Nephew$158
- Zimmer Biomet$100
- Johnson & Johnson$39
- SPR Therapeutics, Inc$31
- plus $131 from 7 others
Across 2 payments — averaging $11,063 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.
- Smith+Nephew$22K
What the payments were for
- Royalty or licence$1,4733%
- Consulting fees$31,40069%
- Travel & lodging$8,82519%
- Food & beverage$3,8768%
- Gifts$740%
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 |
|---|---|---|
| Stryker | 53 | $35,802 |
| Shoulder Innovations, Inc. | 13 | $9,387 |
| Smith+Nephew | 3 | $158 |
| Zimmer Biomet | 1 | $100 |
| Johnson & Johnson(2 entities) | 2 | $39 |
| SPR Therapeutics, Inc | 1 | $31 |
| Pacira Pharmaceuticals Incorporated | 1 | $29 |
| Baudax Bio Inc. | 1 | $25 |
| Conmed Corporation | 1 | $18 |
| Globus Medical | 1 | $17 |
| Ferring Pharmaceuticals Inc. | 1 | $16 |
| Vericel Corporation | 1 | $14 |
| Kowa Pharmaceuticals America, Inc. | 1 | $12 |
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.
- REUNION$19,554
- InSet System$9,227
- AEQUALIS PERFORM$9,200
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$7,646
- AEQUALIS$3,602
- AEQUALIS ASCEND FLEX$3,600
- AEQUALIS PERFORM REVERSED$2,200
- MAKO$2,171
- AEQUALIS REVERSED II$1,600
- TRAUMA NAVIGATION SYSTEM$295
How this compares
$45,648 in reported general payments places this provider in the 90th percentile of 108 sports medicine providers in Alabama.
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 |
|---|---|---|
| Methylprednisolone | 66 | $618 |
| Prednisone | 92 | $528 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 104 | $442 |
| Ondansetron Hcl | 65 | $381 |
| Naproxen | 67 | $299 |
| Cefdinir | 43 | $261 |
| Methocarbamol | 23 | $209 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 12 | $166 |
| Clindamycin Hcl | 43 | $139 |
| Tramadol Hcl | 37 | $122 |
| Cefadroxil | 19 | $121 |
| Clonazepam | 27 | $94 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $84 |
| Meloxicam | 13 | $42 |
| Gabapentin | 12 | $31 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Birmingham
- Edward CainBirmingham$12.7M
- Mark RogersBirmingham$94K
- Amit MomayaBirmingham$77K
- Christoper GarrettBirmingham$58K
- Reaves CrabtreeBirmingham$47K
- Amir ShahienBirmingham$45K
- Christopher CarterBirmingham$42K
- Christian MerrillBirmingham$40K
- Thomas EvelyBirmingham$34K
- Aaron JoinerBirmingham$32K
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.