David Berken, MD
Orthopaedic Surgery · Houston, TXNPI 1790105153
Payments from drug & device makers
Across 327 payments — averaging $99.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$16K
- Arthrex$13K
- Midsouth Orthopedics Inc.$1K
- Medinc Of Texas$573
- Amgen$207
- Axogen$166
- plus $1K from 25 others
What the payments were for
- Grants$10,00031%
- Travel & lodging$1,8696%
- Food & beverage$17,11453%
- Education$3,53511%
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 |
|---|---|---|
| Stryker(2 entities) | 264 | $16,455 |
| Arthrex | 10 | $12,688 |
| Midsouth Orthopedics Inc. | 3 | $1,318 |
| Medinc Of Texas | 1 | $573 |
| Amgen(2 entities) | 8 | $207 |
| Axogen | 4 | $166 |
| Medical Device Business Services, Inc. | 1 | $124 |
| Kerecis Limited | 1 | $124 |
| Curonix LLC | 3 | $105 |
| Convatec Inc. | 2 | $74 |
| Vericel Corporation | 1 | $64 |
| Boston Scientific | 2 | $63 |
| Osteocentric Technologies, Inc. | 1 | $57 |
| Solventum Corporation | 2 | $50 |
| Innovation Technologies Inc | 2 | $41 |
| Nalu Medical, Inc. | 1 | $39 |
| Dynasplint Systems Inc. | 1 | $38 |
| Johnson & Johnson(2 entities) | 2 | $37 |
| Pacira Therapeutics, Inc. | 2 | $36 |
| Vertex | 2 | $34 |
| Ferring Pharmaceuticals Inc. | 2 | $29 |
| Medtronic | 2 | $29 |
| Sanara Medtech Inc. | 2 | $28 |
| Abbott | 1 | $23 |
| Sanofi-aventis U.S. LLC | 1 | $19 |
| Nevro Corp. | 1 | $19 |
| Bioventus LLC | 1 | $19 |
| Pacira Pharmaceuticals Incorporated | 1 | $17 |
| KCI USA, Inc. | 1 | $15 |
| Treace Medical Concepts, Inc. | 1 | $14 |
| Kowa Pharmaceuticals America, Inc. | 1 | $14 |
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.
- INFINITY$2,373
- MAKO$1,760
- INFINITY ADAPTIS$570
- PROstep$535
- AXSOS$517
- PANGEA$496
- Kerecis SurgiClose$495
- PROSTEP MICA$485
- AUGMENT INJECTABLE$281
- SALVATION$256
- GAMMA$227
- ORTHOLOC 2 LAPIFUSE$222
- PROPHECY$211
- 7 X 23MM CITRELOCK IMPLANT$167
- AEQUALIS ASCEND FLEX$155
- T2$152
- ANCHORAGE$142
- ARTHREX$140
- STAR$132
- EVENITY$125
How this compares
$32,518 in reported general payments places this provider in the 80th 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 108 | $794 |
| Methylprednisolone | 35 | $257 |
| Meloxicam | 86 | $238 |
| Ondansetron Hcl | 62 | $229 |
| Gabapentin | 44 | $214 |
| Doxycycline Hyclate | 28 | $181 |
| Celecoxib | 11 | $114 |
| Ondansetron OdtOndansetron | 11 | $95 |
| Tramadol Hcl | 17 | $46 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Houston
- Stefan KreuzerHouston$7M
- Tiffany HuynhHouston$4.6M
- Stephen IncavoHouston$4.3M
- Thomas EdwardsHouston$4.3M
- Adam FreedhandHouston$1.8M
- Jeffrey KozakHouston$1.1M
- Travis HansonHouston$1M
- David VanderweideHouston$741K
- Thomas TanousHouston$698K
- Alan RechterHouston$605K
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.