David Kirn
Plastic Surgery · Lexington, KYNPI 1659484681
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $3,010,312 of the $3,145,290 with a category attached, or 95.7%. Applied Medical Technology Inc accounts for 99.2% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2021 at $1,158,141 and has fallen 98.5% since, to $17,527 in 2025. Among plastic surgery clinicians in KY with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 314 payments — averaging $10,017 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Applied Medical Technology Inc$3.1M
- AbbVie$21K
- Merz North America, Inc.$1K
- Galderma Laboratories, L.p.$943
- Mentor Worldwide LLC$868
- Revance Therapeutics, Inc.$193
- plus $374 from 4 others
What the payments were for
- Royalty or licence$3,010,31296%
- Consulting fees$9000%
- Speaking & faculty fees$113,1984%
- Travel & lodging$12,1550%
- Food & beverage$8,4080%
- Education$3170%
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 |
|---|---|---|
| Applied Medical Technology Inc | 108 | $3,120,620 |
| AbbVie(2 entities) | 145 | $21,010 |
| Merz North America, Inc. | 8 | $1,282 |
| Galderma Laboratories, L.p. | 27 | $943 |
| Mentor Worldwide LLC | 15 | $868 |
| Revance Therapeutics, Inc. | 5 | $193 |
| RTI Surgical, Inc | 1 | $168 |
| Motiva USA, LLC | 2 | $145 |
| Baxter Healthcare | 2 | $38 |
| Pacira Pharmaceuticals Incorporated | 1 | $23 |
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.
- Bridle$1,549,263
- AMT Bridle$1,534,415
- NutraGlide Nasal Feeding Tube$20,118
- EXPLANT EXPRESS$15,784
- ARTOURA Breast Tissue Expander$289
- CORTIVA ALLOGRAFT DERMIS$168
- XEOMIN$150
- MENTOR MemoryGel Resterilizable Gel Sizer$136
- MENTOR MemoryGel Breast Implant$133
- Motiva Implant Matrix$125
- DAXXIFY$100
How this compares
$3,145,290 in reported general payments places this provider in the 95th percentile of 48 plastic surgery providers in Kentucky.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 40 | $166 |
| Ondansetron Hcl | 25 | $22 |
Paid to pharmacies, not to this prescriber.
Other plastic surgery in Lexington
- Stephen SchantzLexington$32K
- Jared NimtzLexington$11K
- Jessica VavraLexington$6K
- Evan MooreLexington$4K
- Joseph HillLexington$4K
- Henry WellsLexington$4K
- Michael LynchLexington$2K
- Bruce BartonLexington$1K
- John TurnerLexington$1K
- Theodore GerstleLexington$494
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.