Jacob Deister, MD
Orthopaedic Surgery · Topeka, KSNPI 1831486810
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $137,615 of the $185,429 with a category attached, or 74.2%. Exactech, Inc. accounts for 97.0% of it on its own, with 6 other manufacturers making up the rest. 2025 is the largest year on record at $81,227, more than ten times the $2,629 reported in 2019. Among orthopaedic surgery clinicians in KS 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 162 payments — averaging $1144.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Exactech, Inc.$180K
- Advita Ortho, LLC$3K
- Ortho Development Corporation$1K
- Johnson & Johnson$649
- Stryker$197
- Zimmer Biomet$74
- plus $12 from 1 others
What the payments were for
- Consulting fees$137,61574%
- Travel & lodging$35,72619%
- Food & beverage$12,0887%
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. | 141 | $179,912 |
| Advita Ortho, LLC | 4 | $3,200 |
| Ortho Development Corporation | 4 | $1,385 |
| Johnson & Johnson(2 entities) | 9 | $649 |
| Stryker | 2 | $197 |
| Zimmer Biomet | 1 | $74 |
| Bioventus LLC | 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.
- EQUINOXE$129,927
- EQUINOXE PHX SYSTEM$15,185
- ALTEON$4,628
- TRULIANT$3,345
- EXACTECHGPS$679
- OPTECURE+CCC$621
- MAKO$174
- OPTETRAK$149
- TFN ADVANCED$145
- BKS TriMax$120
- Balanced Knee Revision System$120
- JOINTPOINT$112
- Kincise Surgical Automated System$112
How this compares
$185,429 in reported general payments places this provider in the 95th percentile of 197 orthopaedic surgery providers in Kansas.
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 Hcl | 35 | $260 |
| Tizanidine Hcl | 46 | $188 |
| Gabapentin | 31 | $154 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 13 | $119 |
| Amoxicillin | 147 | $112 |
| Methylprednisolone | 18 | $103 |
| Cephalexin | 21 | $75 |
| Meloxicam | 13 | $58 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 20 | $50 |
| Tramadol Hcl | 15 | $32 |
| Clindamycin Hcl | 18 | $17 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Topeka
- Olusegun OnibonojeTopeka$65K
- Casey WhaleTopeka$42K
- Michael SmithTopeka$10K
- David AndersonKansas City$490K
- Brandon CarlsonKansas City$299K
- Harold EllsworthLeawood$154K
- Tyler BronWichita$107K
- William ReedLenexa$106K
- Alexander BaileyOverland Park$99K
- Brent WiseKansas City$97K
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.