David Biesinger, DPM
Foot & Ankle Surgery · Las Vegas, NVNPI 1982641585
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,068 of the $5,899 with a category attached, or 85.9%. It is spread thinly across 22 manufacturers, the largest accounting for just 18.7% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $1,852 and has fallen 97.6% since, to $45 in 2025.
Across 96 payments — averaging $61.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$1K
- Organogenesis Inc.$1K
- Nevro Corp.$1K
- Abbott$642
- Linvatec Corporation$572
- Stimwave Technologies Incorporated$247
- plus $1K from 16 others
What the payments were for
- Travel & lodging$83014%
- Food & beverage$5,06886%
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) | 14 | $1,103 |
| Organogenesis Inc. | 9 | $1,031 |
| Nevro Corp. | 20 | $1,015 |
| Abbott | 10 | $642 |
| Linvatec Corporation | 7 | $572 |
| Stimwave Technologies Incorporated | 3 | $247 |
| In2bones USA, LLC | 2 | $235 |
| Biotissue Holdings Inc. | 4 | $208 |
| Smith+Nephew | 1 | $170 |
| Merz North America, Inc. | 3 | $168 |
| Lifenet Health | 2 | $140 |
| Paragon 28, Inc. | 2 | $94 |
| Goode Surgical Inc | 6 | $90 |
| Acera Surgical, Inc. | 2 | $32 |
| Merck | 2 | $31 |
| Orthofix Medical, Inc. | 3 | $25 |
| Johnson & Johnson | 1 | $20 |
| Curonix LLC | 1 | $20 |
| Globus Medical | 1 | $16 |
| Tactile Systems Technology Inc | 1 | $16 |
| Nalu Medical, Inc. | 1 | $14 |
| Omeza LLC | 1 | $9 |
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.
- Apligraf$859
- Omnia$399
- Senza$295
- QUANTUM$267
- ORTHOLOC 2 LAPIFUSE$256
- PROCLAIM$182
- T-Fix$170
- Journey II BCS$170
- PICO 7 Single Use Negative Pressure Wound Therapy$170
- REDAPT Revision Hip System$170
- ORTHOLOC$165
- HOFFMANN$156
- Proclaim IPG$153
- StimQ Receiver Stimulator Kit Channel A US w Receiver$144
- StimQ Freedom-4A Receiver Kit Channel A US w/ Receiver$144
- StimQ Freedom 8A Receiver Kit Channel A US w Receiver$144
- Freedom 4A Receiver Kit Channel A US w Receiver$144
- Freedom 8A Receiver Kit Channel A US w Receiver$144
- Axium INS DRG IPG$132
- FRACTURE AND CORRECTION COLAG 2$123
How this compares
$5,899 in reported general payments places this provider in the 65th percentile of 84 foot & ankle surgery providers in Nevada.
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 |
|---|---|---|
| JubliaEfinaconazole | 12 | $17,839 |
| Triamcinolone Acetonide | 83 | $1,402 |
| Gabapentin | 87 | $778 |
| Ammonium Lactate | 60 | $769 |
| Pregabalin | 34 | $470 |
| Terbinafine Hcl | 41 | $204 |
| Allopurinol | 17 | $143 |
| Prednisone | 17 | $66 |
| Mupirocin | 24 | $56 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Las Vegas
- Troy WatsonLas Vegas$1.2M
- Ira WeinerLas Vegas$135K
- Abdolreza RaissiLas Vegas$110K
- Anthony BorgiaLas Vegas$47K
- Nahad WasselLas Vegas$24K
- Casey BurchillLas Vegas$20K
- Timothy BrookesLas Vegas$14K
- Daniel HallmanLas Vegas$12K
- Grant BeckLas Vegas$10K
- Thomman KuruvillaLas Vegas$9K
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.