Jeffrey Nepple
Pediatric Orthopaedic Surgery · Saint Louis, MONPI 1730386541
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (48.5%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Smith+Nephew accounts for 66.5% of it on its own, with 8 other manufacturers making up the rest.
Across 267 payments — averaging $661.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$117K
- Arthrex$39K
- Responsive Arthroscopy Inc$16K
- Elite Orthopedics, LLC$3K
- Stryker$606
- International Life Sciences$589
- plus $501 from 3 others
What the payments were for
- Royalty or licence$11,4977%
- Consulting fees$48,35027%
- Speaking & faculty fees$85,60148%
- Travel & lodging$21,86012%
- Food & beverage$8,1265%
- Education$1,2001%
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 | 141 | $117,378 |
| Arthrex | 57 | $38,546 |
| Responsive Arthroscopy Inc | 18 | $16,331 |
| Elite Orthopedics, LLC | 33 | $2,682 |
| Stryker | 8 | $606 |
| International Life Sciences | 1 | $589 |
| Medacta USA, Inc. | 4 | $241 |
| Xiros Inc | 4 | $155 |
| Orthopediatrics Corp. | 1 | $105 |
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.
- Q-FIX$37,187
- Healicoil$34,017
- CAP-FIX$29,063
- MICRORAPTOR$26,384
- Bone Anchors with Arthroscopic Delivery System$18,794
- Q-FIX Hip$15,683
- ACCUPASS DIRECT Crescent XL$12,692
- Hipstruments$11,902
- Responsive Arthroscopy Devices$11,023
- LENS 4K$10,105
- INTELLIO$9,994
- Q-Fix Mini$9,994
- SPATIAL FRAME$8,800
- Hip Pac$8,669
- AMBIENT HIPVAC$8,019
- BIORAPTOR$7,163
- Accu-pass$6,513
- Crosstrac$6,513
- Firstpass$6,513
- BIORAPTOR Hip$6,000
How this compares
$176,634 in reported general payments places this provider in the 85th percentile of 28 pediatric orthopaedic surgery providers in Missouri.
See all pediatric orthopaedic surgery providers in Missouri →
Other pediatric orthopaedic surgery in Saint Louis
- Scott LuhmannSaint Louis$2.2M
- Joe GordonSaint Louis$1M
- Brian KellySaint Louis$17K
- Shaun ConleySaint Louis$15K
- Adam NasreddineSaint Louis$13K
- Blake MontgomerySaint Louis$8K
- David AndersonSaint Louis$4K
- Matthew HooperSaint Louis$3K
- Dustin BakerSaint Louis$3K
- Cody SandersonSaint Louis$2K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.