James Jastifer, MD
Orthopaedic Surgery · Elkhart, INNPI 1821257957
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $83,050 of the $94,736 with a category attached, or 87.7%. Stryker accounts for 89.0% of it on its own, with 2 other manufacturers making up the rest. Reporting peaked in 2022 at $38,825 and has fallen 99.2% since, to $303 in 2025. Among orthopaedic surgery clinicians in IN with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 101 payments — averaging $937.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$84K
- Linvatec Corporation$6K
- Trimed, Inc.$4K
What the payments were for
- Consulting fees$83,05088%
- Travel & lodging$9,52110%
- Food & beverage$2,1652%
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 |
|---|---|---|
| Stryker | 90 | $84,356 |
| Linvatec Corporation | 6 | $6,226 |
| Trimed, Inc. | 5 | $4,155 |
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$24,118
- STAR$18,102
- AXSOS$9,508
- NEW PRODUCT DEVELOPMENT$8,600
- LINVATEC EXTREMITIES$6,120
- HOFFMANN$5,720
- EVEREST$4,800
- ANCHORAGE$4,606
- T2$4,304
- OMEGA$4,000
- ASNIS$3,800
- SURG - HEAVY DUTY - OTHER$3,200
- Tools - WFS$2,654
- FIXOS$1,200
- STRYKER NAV3$1,200
- ICONIX$1,200
- EZOUT$1,200
- Tools - FPS$978
- PRIME SERIES$727
- Tools - AFS$524
How this compares
$94,736 in reported general payments places this provider in the 90th percentile of 400 orthopaedic surgery providers in Indiana.
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 orthopaedic surgery in Elkhart
- Mark KlaassenElkhart$1.3M
- Frank KolisekGreenwood$7.5M
- David FisherIndianapolis$5.9M
- Michael BerendIndianapolis$4M
- John WilliamsFort Wayne$2.7M
- Sanford KunkelIndianapolis$1.9M
- Hill HastingsIndianapolis$1.6M
- Alan McGeeFort Wayne$1.1M
- Lindsey RolstonNew Castle$1.1M
- John MedingMooresville$998K
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.