James Gardiner, MD
Orthopaedic Surgery · Lexington, KYNPI 1912010901
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,711 of the $5,180 with a category attached, or 71.7%. 13 manufacturers reported payments, led by Smith+Nephew at 31.4% of the total. Reporting peaked in 2019 at $2,899 and has fallen 84.8% since, to $442 in 2025. That places this record below the midpoint for orthopaedic surgery clinicians in KY, where the typical reported total is $5,371.
Across 59 payments — averaging $87.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$2K
- Arthrex$1K
- Zimmer Biomet$907
- Active Medical, LLC$555
- Johnson & Johnson$306
- Vericel Corporation$266
- plus $374 from 7 others
What the payments were for
- Travel & lodging$1,46828%
- Food & beverage$3,71172%
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 |
|---|---|---|
| Smith+Nephew | 21 | $1,629 |
| Arthrex | 10 | $1,143 |
| Zimmer Biomet | 9 | $907 |
| Active Medical, LLC | 3 | $555 |
| Johnson & Johnson | 4 | $306 |
| Vericel Corporation | 3 | $266 |
| Stryker | 3 | $154 |
| Encore Medical, LP | 1 | $77 |
| Maruho Medical, Inc. | 1 | $50 |
| Pacira Therapeutics, Inc. | 1 | $34 |
| Legacy Ortho LLC | 1 | $29 |
| Pacira Pharmaceuticals Incorporated | 1 | $17 |
| Blue Surgical LLC | 1 | $13 |
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.
How this compares
$5,180 in reported general payments places this provider in the 45th percentile of 322 orthopaedic surgery providers in Kentucky.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 21 | $96 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 23 | $95 |
| Tramadol Hcl | 16 | $38 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Lexington
- Brent MorrisLexington$815K
- Paul MatuszewskiLexington$370K
- Christian ChristensenLexington$207K
- Kaveh SajadiLexington$195K
- Daniel HackettLexington$104K
- Victor MarwinLexington$86K
- Kevin DenehyLexington$85K
- Camden BurnsLexington$62K
- Srinath KamineniLexington$44K
- Syed MehdiLexington$39K
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.