David Fehnel, MD
Adult Reconstructive Orthopaedic Surgery · Peabody, MANPI 1609854215
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (59.1%), royalties or licence payments and travel and lodging — rather than concentrated in one kind of arrangement. Shoulder Innovations, Inc. accounts for 79.0% of it on its own, with 22 other manufacturers making up the rest. 2025 is the largest year on record at $62,856, 5.7 times the $11,032 reported in 2019.
Across 185 payments — averaging $806.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Shoulder Innovations, Inc.$118K
- Stryker$19K
- Medical Device Business Services, Inc.$8K
- Depuy Synthes Products, Inc.$3K
- Johnson & Johnson$767
- Innovation Technologies Inc$238
- plus $1K from 17 others
What the payments were for
- Royalty or licence$25,65217%
- Consulting fees$88,18559%
- Speaking & faculty fees$4500%
- Travel & lodging$24,18416%
- Food & beverage$10,1357%
- Gifts$5610%
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 |
|---|---|---|
| Shoulder Innovations, Inc. | 59 | $117,774 |
| Stryker(2 entities) | 51 | $18,558 |
| Medical Device Business Services, Inc. | 6 | $7,736 |
| Depuy Synthes Products, Inc. | 2 | $2,768 |
| Johnson & Johnson(3 entities) | 18 | $767 |
| Innovation Technologies Inc | 2 | $238 |
| Bioventus LLC | 9 | $237 |
| Ferring Pharmaceuticals Inc. | 12 | $197 |
| Smith+Nephew | 3 | $175 |
| Abbott | 1 | $148 |
| Baudax Bio Inc. | 1 | $102 |
| Pacira Pharmaceuticals Incorporated | 4 | $93 |
| Pacira Therapeutics, Inc. | 3 | $92 |
| Orthofix Medical, Inc. | 3 | $90 |
| Zimmer Biomet | 2 | $36 |
| Access Pro Medical, LLC | 1 | $26 |
| Heraeus Medical, LLC. | 2 | $20 |
| Collegium Pharmaceutical, Inc. | 1 | $20 |
| Sanofi-aventis U.S. LLC | 1 | $19 |
| KCI USA, Inc. | 1 | $19 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $17 |
| Acumed LLC | 1 | $17 |
| Fidia Pharma USA Inc. | 1 | $16 |
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.
- InSet System$117,480
- AEQUALIS PERFORM$6,458
- AEQUALIS ASCEND FLEX$6,300
- SIMPLICITI$5,850
- FMS Duo$4,553
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$4,441
- GRYPHON$3,600
- HEALIX$3,600
- BLUEPRINT PSI SYSTEM$3,085
- VISUALIZATION$2,250
- AEQUALIS REVERSED II$450
- Irrisept$169
- DYNACORD$150
- HEALIX KNOTLESS PEEK$150
- OCTRODE$148
- Bone Anchors with Arthroscopic Delivery System$143
- Bioinductive Implant with Arthroscopic Delivery System - Medium$143
- MAKO$141
- PERFORM GLENOID$129
- AEQUALIS$109
How this compares
$149,167 in reported general payments places this provider in the 75th percentile of 24 adult reconstructive orthopaedic surgery providers in Massachusetts.
See all adult reconstructive orthopaedic surgery providers in Massachusetts →
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 |
|---|---|---|
| Celecoxib | 32 | $754 |
| Meloxicam | 137 | $351 |
| Cyclobenzaprine Hcl | 15 | $89 |
| Amoxicillin | 18 | $9 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Peabody
- James BonoBoston$6.3M
- Michael MasonBrighton$1.5M
- Vivek ShahBoston$1.4M
- Eric SmithBoston$649K
- David MattinglyChestnut Hill$198K
- Jay PatelFall River$52K
- Richard IorioBurlington$29K
- Hayden BoxBoston$17K
- Aman SharmaPlymouth$11K
- Peter WhiteBoston$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.