John Holds, MD
Plastic and Reconstructive Surgery · Saint Louis, MONPI 1134117732
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $32,220 of the $39,800 with a category attached, or 81.0%. Amgen accounts for 92.6% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2023 at $13,367 and has fallen 93.5% since, to $874 in 2025. Among plastic and reconstructive surgery clinicians in MO 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 197 payments — averaging $202.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$37K
- AbbVie$1K
- ANI Pharmaceuticals, Inc.$223
- Bausch & Lomb, A Division Of Bausch Health US, LLC$206
- Galderma Laboratories, L.p.$193
- Revance Therapeutics, Inc.$174
- plus $702 from 12 others
What the payments were for
- Speaking & faculty fees$32,22081%
- Travel & lodging$2,6437%
- Food & beverage$4,93712%
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 |
|---|---|---|
| Amgen(2 entities) | 100 | $36,843 |
| AbbVie(2 entities) | 61 | $1,460 |
| ANI Pharmaceuticals, Inc. | 7 | $223 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 2 | $206 |
| Galderma Laboratories, L.p. | 7 | $193 |
| Revance Therapeutics, Inc. | 2 | $174 |
| Stryker | 2 | $140 |
| Argenx US, Inc. | 1 | $125 |
| Biotissue Holdings Inc. | 2 | $115 |
| Harrow Eye, LLC | 3 | $81 |
| Alcon | 3 | $56 |
| Bausch & Lomb Americas Inc. | 1 | $40 |
| Johnson & Johnson Surgical Vision, Inc. | 1 | $35 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $28 |
| Sight Sciences, Inc. | 1 | $27 |
| Merck | 1 | $23 |
| Merz Pharmaceuticals, LLC | 1 | $18 |
| Merz North America, Inc. | 1 | $14 |
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
$39,800 in reported general payments places this provider in the 90th percentile of 61 plastic and reconstructive surgery providers in Missouri.
See all plastic and reconstructive 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 |
|---|---|---|
| Doxycycline Hyclate | 28 | $2,764 |
| ErythromycinErythromycin Base | 239 | $2,182 |
| Prednisolone Acetate | 37 | $958 |
| Cephalexin | 34 | $369 |
| Neomycin-Polymyxin-DexamethNeomycin/Polymyxin B/Dexametha | 41 | $291 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 86 | $271 |
| Fluticasone Propionate | 12 | $103 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 18 | $78 |
| Ondansetron OdtOndansetron | 22 | $71 |
| Lorazepam | 11 | $68 |
| Tramadol Hcl | 17 | $38 |
| Clonazepam | 12 | $35 |
Paid to pharmacies, not to this prescriber.
Other plastic and reconstructive surgery in Saint Louis
- Terence MyckatynSaint Louis$399K
- David CaplinSaint Louis$81K
- Patricia McGuireSaint Louis$66K
- Mitchell PetSaint Louis$42K
- Kamlesh PatelSaint Louis$41K
- Marissa Morningstar TenenbaumSaint Louis$28K
- Charles NathanSaint Louis$19K
- Brock RidenourSaint Louis$9K
- Milind KachareSaint Louis$6K
- Amanda BrownSaint Louis$5K
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.