David Kiessling, DPM
Podiatrist · Little Rock, ARNPI 1235176843
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 38 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 16 manufacturers reported payments, led by Nevro Corp. at 24.2% of the total. That places this record below the midpoint for podiatrist clinicians in AR, where the typical reported total is $1,089.
Across 38 payments — averaging $21.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nevro Corp.$202
- Organogenesis Inc.$149
- Stryker$108
- Amgen$85
- Globus Medical$69
- Acera Surgical, Inc.$28
- plus $193 from 10 others
What the payments were for
- Food & beverage$834100%
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 |
|---|---|---|
| Nevro Corp. | 12 | $202 |
| Organogenesis Inc. | 2 | $149 |
| Stryker | 6 | $108 |
| Amgen(2 entities) | 4 | $85 |
| Globus Medical | 2 | $69 |
| Acera Surgical, Inc. | 2 | $28 |
| Treace Medical Concepts, Inc. | 1 | $27 |
| AbbVie | 1 | $26 |
| Biowound Solutions, Inc. | 1 | $24 |
| Misonix Inc | 1 | $24 |
| Convatec Inc. | 1 | $20 |
| Paratek Pharmaceuticals, Inc. | 1 | $18 |
| Polynovo North America LLC | 1 | $16 |
| Kerecis Limited | 1 | $13 |
| Dynasplint Systems Inc. | 1 | $13 |
| Integra Lifesciences Corporation | 1 | $11 |
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.
- PuraPly$125
How this compares
$834 in reported general payments places this provider in the 40th percentile of 35 podiatrist providers in Arkansas.
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 |
|---|---|---|
| Gabapentin | 97 | $515 |
| Ciclopirox | 26 | $506 |
| Clindamycin Hcl | 11 | $292 |
| Doxycycline Hyclate | 29 | $257 |
| Allopurinol | 30 | $170 |
| Methylprednisolone | 16 | $138 |
| Cephalexin | 23 | $118 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 18 | $83 |
Paid to pharmacies, not to this prescriber.
Other podiatrist in Little Rock
- Alexandra BukLittle Rock$2K
- Megan HerringLittle Rock$1K
- Calvin BrittonLittle Rock$380
- Terri CohenLittle Rock$198
- Dean BrightSpringdale$175K
- Brian HorowitzWest Memphis$9K
- Peyton BakerFayetteville$7K
- Christopher RowlettJonesboro$6K
- Stephen PirottaBentonville$4K
- Weldon MurryFayetteville$4K
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.