Jacob Gire, MD
Orthopaedic Surgery · Palo Alto, CANPI 1174898696
Payments from drug & device makers
Across 22 payments — averaging $574.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$10K
- Acumed LLC$1K
- Trimed, Inc.$307
- Johnson & Johnson$292
- Bioventus LLC$237
- Skeletal Dynamics Inc$203
- plus $558 from 4 others
What the payments were for
- Grants$10,00079%
- Travel & lodging$3823%
- Food & beverage$2,26618%
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 |
|---|---|---|
| Arthrex | 1 | $10,000 |
| Acumed LLC | 8 | $1,052 |
| Trimed, Inc. | 1 | $307 |
| Johnson & Johnson | 2 | $292 |
| Bioventus LLC | 2 | $237 |
| Skeletal Dynamics Inc | 3 | $203 |
| Stryker | 2 | $182 |
| Axogen | 1 | $140 |
| KCI USA, Inc. | 1 | $122 |
| Medical Device Business Services, Inc. | 1 | $114 |
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.
- Acu-Loc Wrist Plating System$416
- Hand Fracture System$271
- Acutrak Headless Compression Screw System$260
- Exogen$237
- Polarus 3 Solution$208
- Clavicle Plating System$208
- Elbow Plating System$208
- DYNACORD$176
- NA$176
- HEALIX KNOTLESS PEEK$176
- Total Wrist Fusion Plating System$144
- T2$144
- AXSOS$144
- VARIAX$144
- Osteotomy System$142
- AVANCE NERVE GRAFT$140
- AxoGuard Nerve Connector$140
- AxoGuard Nerve Protector$140
- AXOGUARD HA+ NERVE PROTECTOR$140
- AxoGuard Nerve Cap$140
How this compares
$12,649 in reported general payments places this provider in the 70th percentile of 1,808 orthopaedic surgery providers in California.
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 |
|---|---|---|
| Ibuprofen | 34 | $418 |
| Clindamycin Hcl | 15 | $231 |
| Meloxicam | 34 | $227 |
| Oxycodone Hcl | 23 | $163 |
| Tramadol Hcl | 13 | $76 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Palo Alto
- Bradford HackArcadia$18.3M
- Robert GorabOrange$14.5M
- Kelly VinceLos Angeles$9.6M
- Stephen HowellSacramento$9.4M
- Thomas CoonRed Bluff$9.2M
- Peter NewtonSan Diego$7M
- Nirav AminPlacentia$5.8M
- Tom NorrisSan Francisco$5.3M
- Jay LiebermanLos Angeles$4.8M
- Sigurd BervenSan Francisco$4.1M
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.