David Brogan, MD
Surgery of the Hand · Saint Louis, MONPI 1710115712
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (49.7%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Checkpoint Surgical, Inc at 45.1% of the total. Reporting peaked in 2024 at $25,079 and has fallen 62.6% since, to $9,392 in 2025.
Across 59 payments — averaging $939.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Checkpoint Surgical, Inc$25K
- Medical Device Business Services, Inc.$19K
- Trimed, Inc.$7K
- Sonex Health, Inc.$1K
- Elite Orthopedics, LLC$1K
- Axogen$1K
- plus $579 from 6 others
Across 18 payments — averaging $30,726 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.
- Checkpoint Surgical, Inc$553K
What the payments were for
- Consulting fees$27,56550%
- Speaking & faculty fees$16,07729%
- Travel & lodging$6,92112%
- Food & beverage$3,5576%
- Education$1,3002%
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 |
|---|---|---|
| Checkpoint Surgical, Inc | 23 | $24,976 |
| Medical Device Business Services, Inc. | 4 | $18,893 |
| Trimed, Inc. | 3 | $7,162 |
| Sonex Health, Inc. | 10 | $1,467 |
| Elite Orthopedics, LLC | 1 | $1,300 |
| Axogen | 10 | $1,043 |
| Biocircuit Technologies Inc | 1 | $183 |
| Integra Lifesciences Corporation | 3 | $157 |
| Medartis Inc. | 1 | $87 |
| Zimmer Biomet | 1 | $82 |
| Johnson & Johnson | 1 | $52 |
| Acell, Inc. | 1 | $19 |
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.
- Checkpoint Stimulators$24,651
- ULTRAGUIDECTR$1,281
- ULTRAGUIDETFR$1,281
- AVANCE NERVE GRAFT$749
- AxoGuard Nerve Connector$346
- AxoGuard Nerve Protector$346
- Tools - WFS$206
- Nerve Tape$183
- AXOGUARD HA+ NERVE PROTECTOR$135
- AxoGuard Nerve Cap$135
- VA-LCP$128
- TENOGLIDE$113
How this compares
$55,420 in reported general payments places this provider in the 80th percentile of 30 surgery of the hand 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Pregabalin | 11 | $228 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 25 | $104 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 11 | $25 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Saint Louis
- Jason StrelzowSaint Louis$161K
- Charles GoldfarbSaint Louis$121K
- Christopher DySaint Louis$106K
- Sarah RidenourSaint Louis$34K
- Vikas DhawanSaint Louis$16K
- Marie MorrisSaint Louis$15K
- Nicholas RobbinsSaint Louis$15K
- Pradeep AttaluriSaint Louis$10K
- Martin BoyerSaint Louis$3K
- Jana DenglerSaint Louis$2K
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.