Ian Gradisar, MD
Orthopaedic Surgery · Akron, OHNPI 1053530311
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $46,822 of the $53,251 with a category attached, or 87.9%. Exactech, Inc. accounts for 96.9% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2019 at $38,760 and has fallen 99.0% since, to $392 in 2025. Among orthopaedic surgery clinicians in OH 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 58 payments — averaging $918.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Exactech, Inc.$52K
- Zimmer Biomet$637
- Hikma Pharmaceuticals USA$344
- Stryker$318
- Smith+Nephew$312
- Vertex$15
- plus $12 from 1 others
Across 12 payments — averaging $5676.54 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Exactech, Inc.$68K
What the payments were for
- Consulting fees$46,82288%
- Travel & lodging$3,5007%
- Food & beverage$2,9296%
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 |
|---|---|---|
| Exactech, Inc. | 37 | $51,614 |
| Zimmer Biomet | 5 | $637 |
| Hikma Pharmaceuticals USA | 1 | $344 |
| Stryker | 7 | $318 |
| Smith+Nephew | 6 | $312 |
| Vertex | 1 | $15 |
| Medtronic | 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.
- NOVATION HIP$39,281
- TRULIANT$8,479
- EQUINOXE$1,889
- OPTETRAK$1,708
- COMBOGESIC IV$344
- ROSA$280
- TRIATHLON$140
- REAL INTELLIGENCE$127
- Journey II$127
- Hips Product Portfolio$124
- Z1 HIP SYSTEM$121
- ROSA-Knee$112
How this compares
$53,251 in reported general payments places this provider in the 90th percentile of 794 orthopaedic surgery providers in Ohio.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 53 | $398 |
| Amoxicillin | 190 | $148 |
| Tramadol Hcl | 39 | $96 |
| Clindamycin Hcl | 60 | $44 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Akron
- Curtis NoelAkron$634K
- Michael SmithAkron$72K
- Kiel PfefferleAkron$65K
- Reuben GobezieCleveland$12M
- Gregory BerletWorthington$9.6M
- Wael BarsoumCleveland$8.9M
- Brian CohenChillicothe$8.8M
- Joseph IannottiCleveland$7.1M
- John SontichYoungstown$3.6M
- Anthony MiniaciCleveland$3.1M
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.