David Kirlin, DPM
Podiatrist · Gastonia, NCNPI 1265427710
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 108 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 39 manufacturers, the largest accounting for just 16.6% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $1,042 and has fallen 61.6% since, to $400 in 2024.
Across 108 payments — averaging $29.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$527
- Nevro Corp.$289
- Stryker$279
- Musculoskeletal Transplant Foundation Inc.$219
- Progenacare Global, LLC$195
- Paratek Pharmaceuticals, Inc.$191
- plus $1K from 33 others
What the payments were for
- Food & beverage$3,173100%
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 |
|---|---|---|
| Amgen(2 entities) | 15 | $527 |
| Nevro Corp. | 11 | $289 |
| Stryker | 5 | $279 |
| Musculoskeletal Transplant Foundation Inc. | 4 | $219 |
| Progenacare Global, LLC | 1 | $195 |
| Paratek Pharmaceuticals, Inc. | 11 | $191 |
| Convatec Inc. | 4 | $178 |
| AbbVie(2 entities) | 5 | $121 |
| Smith+Nephew | 7 | $116 |
| Organogenesis Inc. | 4 | $114 |
| Next Science LLC | 4 | $77 |
| Zimvie Inc. | 1 | $72 |
| Arthrosurface Incorporated | 3 | $64 |
| Peerless Surgical Inc. | 2 | $63 |
| Melinta Therapeutics, LLC | 2 | $54 |
| GRT US Holding, Inc. | 2 | $53 |
| Boston Scientific | 2 | $43 |
| Johnson & Johnson | 1 | $41 |
| Orthofix Medical, Inc. | 1 | $40 |
| Medtronic | 2 | $40 |
| Bioventus LLC | 2 | $36 |
| Nabriva Therapeutics, PLC | 1 | $35 |
| Hikma Pharmaceuticals USA | 2 | $35 |
| Acera Surgical, Inc. | 1 | $29 |
| Alfasigma USA, Inc. | 1 | $26 |
| Aroa Biosurgery Incorporated | 1 | $25 |
| Heron Therapeutics, Inc. | 1 | $22 |
| Fidia Pharma USA Inc. | 1 | $21 |
| Baudax Bio Inc. | 1 | $21 |
| Averitas Pharma Inc. | 1 | $21 |
| Triad Life Sciences Inc. | 1 | $17 |
| Tactile Systems Technology Inc | 1 | $17 |
| Treace Medical Concepts, Inc. | 1 | $16 |
| Osiris Therapeutics Inc. | 1 | $15 |
| Advanced Oxygen Therapy Inc. | 1 | $13 |
| Sebela Pharmaceuticals Inc. | 1 | $13 |
| Linvatec Corporation | 1 | $13 |
| Kowa Pharmaceuticals America, Inc. | 1 | $13 |
| Pfizer | 1 | $12 |
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.
How this compares
$3,173 in reported general payments places this provider in the 60th percentile of 109 podiatrist providers in North Carolina.
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 |
|---|---|---|
| Ammonium Lactate | 19 | $321 |
| Doxycycline Hyclate | 12 | $111 |
| Terbinafine Hcl | 39 | $88 |
Paid to pharmacies, not to this prescriber.
Other podiatrist in Gastonia
- Wagner SantiagoGastonia$7K
- Wilbur MeredithGastonia$4K
- Jordan MeyersRaleigh$343K
- Christopher GaulandGreenville$56K
- Scott MartinRocky Mount$14K
- Gretchen LawrenceForest City$12K
- William WeilyCharlotte$11K
- Kristin KirbyHuntersville$10K
- Robert PrzynoschWaynesville$9K
- William BanksWaynesville$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.