Ida Fox, MD
Plastic and Reconstructive Surgery · Saint Louis, MONPI 1629099031
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 14 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 9 manufacturers, the largest accounting for just 20.4% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $349 and has fallen 54.5% since, to $158 in 2025. That places this record below the midpoint for plastic and reconstructive surgery clinicians in MO, where the typical reported total is $3,093.
Across 14 payments — averaging $78.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axogen$226
- RTI Surgical, Inc$187
- Polynovo North America LLC$158
- Sientra, Inc.$158
- Baxter Healthcare$133
- Integra Lifesciences Corporation$126
- plus $117 from 3 others
What the payments were for
- Food & beverage$1,106100%
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 |
|---|---|---|
| Axogen | 2 | $226 |
| RTI Surgical, Inc | 1 | $187 |
| Polynovo North America LLC | 2 | $158 |
| Sientra, Inc. | 1 | $158 |
| Baxter Healthcare | 1 | $133 |
| Integra Lifesciences Corporation | 3 | $126 |
| AbbVie(2 entities) | 2 | $86 |
| Elite Orthopedics, LLC | 1 | $17 |
| Smith+Nephew | 1 | $14 |
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.
- CORTIVA ALLOGRAFT DERMIS$187
- SIENTRA HIGH STRENGTH COHESIVE SILICONE GEL BREAST IMPLANT$158
- AVANCE NERVE GRAFT$148
- BioSurgery - TISSEEL$133
How this compares
$1,106 in reported general payments places this provider in the 30th percentile of 61 plastic and reconstructive surgery providers in Missouri.
See all plastic and reconstructive surgery providers in Missouri →
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 plastic and reconstructive surgery in Saint Louis
- Terence MyckatynSaint Louis$399K
- David CaplinSaint Louis$81K
- Patricia McGuireSaint Louis$66K
- Mitchell PetSaint Louis$42K
- Kamlesh PatelSaint Louis$41K
- John HoldsSaint Louis$40K
- Marissa Morningstar TenenbaumSaint Louis$28K
- Charles NathanSaint Louis$19K
- Brock RidenourSaint Louis$9K
- Milind KachareSaint Louis$6K
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.