Dirk Kiner, MD
Orthopaedic Surgery · Chattanooga, TNNPI 1588698583
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (56.2%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Globus Medical accounts for 94.5% of it on its own, with 15 other manufacturers making up the rest. Among orthopaedic surgery clinicians in TN with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 150 payments — averaging $726.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$103K
- Synthes GmbH$4K
- Innovation Technologies Inc$1K
- Smith+Nephew$346
- Stryker$142
- Smoky Mountain Surgical LLC$102
- plus $406 from 10 others
What the payments were for
- Royalty or licence$61,18556%
- Consulting fees$31,03128%
- Speaking & faculty fees$4,7504%
- Travel & lodging$8,7798%
- Food & beverage$3,1793%
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 |
|---|---|---|
| Globus Medical | 110 | $102,986 |
| Synthes GmbH | 3 | $3,588 |
| Innovation Technologies Inc | 9 | $1,354 |
| Smith+Nephew | 11 | $346 |
| Stryker | 2 | $142 |
| Smoky Mountain Surgical LLC | 2 | $102 |
| Lifenet Health | 1 | $96 |
| Medartis Inc. | 1 | $70 |
| Radius Health, Inc. | 3 | $69 |
| Johnson & Johnson | 2 | $62 |
| Axogen | 1 | $24 |
| Kyowa Kirin, Inc. | 1 | $19 |
| UCB, Inc. | 1 | $18 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $16 |
| AstraZeneca | 1 | $16 |
| Amgen | 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.
- TROCH NAIL$29,059
- A/R Femoral Nail$22,913
- Autobahn$22,449
- Proximal Femoral Nail$16,781
- Clavical Fixation (16-186)$4,498
- EVO Antegrade$2,545
- Irrisept$1,354
- AUTOBAHN Tibal Nail$1,032
- Anthem$777
- Antegrade Nail$656
- Spine$441
- Handpiece Power System$375
- REAL INTELLIGENCE$148
- SYNERGY$148
How this compares
$108,924 in reported general payments places this provider in the 90th percentile of 381 orthopaedic surgery providers in Tennessee.
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.
Other orthopaedic surgery in Chattanooga
- Jesse DotyChattanooga$2.3M
- Scott SteinmannChattanooga$209K
- Matthew BernardChattanooga$136K
- Warren GardnerChattanooga$80K
- Paul BradyKnoxville$20M
- Edwin SpencerKnoxville$2.5M
- Thomas ThrockmortonGermantown$1.7M
- Alton HunterColumbia$820K
- Jefferson MorrisonNashville$678K
- Michael BeebeMemphis$626K
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.