James Hubbard, MD
Hand Surgery · Saint Louis, MONPI 1104232255
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $515 of the $765 with a category attached, or 67.3%. 12 manufacturers reported payments, led by Medical Device Business Services, Inc. at 32.7% of the total. Reporting peaked in 2020 at $456 and has fallen 89.2% since, to $49 in 2025. That places this record below the midpoint for hand surgery clinicians in MO, where the typical reported total is $4,263.
Across 18 payments — averaging $42.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$250
- Stryker$206
- Integra Lifesciences Corporation$71
- Acumed LLC$67
- Medtronic$50
- Elite Orthopedics, LLC$34
- plus $87 from 6 others
What the payments were for
- Food & beverage$51567%
- Education$25033%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 1 | $250 |
| Stryker | 2 | $206 |
| Integra Lifesciences Corporation | 4 | $71 |
| Acumed LLC | 2 | $67 |
| Medtronic | 1 | $50 |
| Elite Orthopedics, LLC | 2 | $34 |
| Endo Pharmaceuticals Inc. | 1 | $24 |
| Axogen | 1 | $17 |
| Zimmer Biomet | 1 | $14 |
| Sanara Medtech Inc. | 1 | $13 |
| Ferring Pharmaceuticals Inc. | 1 | $13 |
| Sonex Health, Inc. | 1 | $7 |
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.
- VARIAX$155
How this compares
$765 in reported general payments places this provider in the 20th percentile of 36 hand 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Naloxone Hcl | 12 | $658 |
| Oxycodone Hcl | 181 | $297 |
| Cephalexin | 17 | $124 |
| Ibuprofen | 30 | $120 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Saint Louis
- Richard GelbermanSaint Louis$30K
- Tyler KrummenacherSaint Louis$26K
- Wassim MouradSaint Louis$24K
- Robert BellSaint Louis$20K
- Matthew WintertonSaint Louis$10K
- Nathan FisherSaint Louis$10K
- Nathanael OlsonSaint Louis$9K
- Schuyler HalversonSaint Louis$8K
- William FeinsteinSaint Louis$6K
- David StregeSaint Louis$4K
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.