John Kirchner, MD
Foot and Ankle Surgery · Hoover, ALNPI 1952379521
Payments from drug & device makers
What this record shows
This record is dominated by other: $60,077 of the $84,289 with a category attached, or 71.3%. Medshape, Inc. accounts for 71.6% of it on its own, with 30 other manufacturers making up the rest. Reporting peaked in 2021 at $60,279 and has fallen 98.0% since, to $1,215 in 2025. Among foot and ankle surgery clinicians in AL 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 116 payments — averaging $726.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medshape, Inc.$60K
- Trimed, Inc.$6K
- Osteomed LLC$4K
- Ascension Orthopedics, Inc.$4K
- Integra Lifesciences Corporation$3K
- Acumed LLC$3K
- plus $5K from 25 others
What the payments were for
- Royalty or licence$2,6503%
- Consulting fees$12,31315%
- Travel & lodging$5,3346%
- Food & beverage$3,7945%
- Entertainment$1210%
- Other$60,07771%
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 |
|---|---|---|
| Medshape, Inc. | 3 | $60,311 |
| Trimed, Inc. | 7 | $5,650 |
| Osteomed LLC | 4 | $4,131 |
| Ascension Orthopedics, Inc. | 1 | $3,688 |
| Integra Lifesciences Corporation | 17 | $2,977 |
| Acumed LLC | 11 | $2,650 |
| Crossroads Extremity Systems, LLC | 4 | $2,108 |
| Treace Medical Concepts, Inc. | 3 | $687 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $497 |
| Amgen(2 entities) | 20 | $365 |
| Stryker(2 entities) | 5 | $354 |
| Johnson & Johnson(2 entities) | 7 | $178 |
| Kerecis Limited | 3 | $87 |
| Pacira Therapeutics, Inc. | 5 | $83 |
| Arthrosurface Incorporated | 1 | $71 |
| Bioventus LLC | 4 | $68 |
| ERMI LLC | 2 | $45 |
| Boston Scientific | 2 | $43 |
| Zimmer Biomet | 1 | $40 |
| Solventum Corporation | 2 | $40 |
| Smith+Nephew | 2 | $33 |
| Endo Pharmaceuticals Inc. | 2 | $30 |
| Davol Inc. | 1 | $24 |
| Paragon 28, Inc. | 1 | $24 |
| Vertex | 1 | $19 |
| AbbVie | 1 | $18 |
| Access Pro Medical, LLC | 1 | $17 |
| Arteriocyte Medical Systems, Inc. | 1 | $16 |
| Pfizer | 1 | $14 |
| Avanos Medical | 1 | $12 |
| Si-bone, Inc. | 1 | $10 |
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.
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$6,438
- CADENCE ANKLE REPLACEMENT SYSTEM$6,438
- PANTA NAIL$6,107
- TOTAL FOOT SYSTEM$6,107
- EXT-ExtremiLock Ankle$4,094
- OsteoMed$2,510
- HALLU-LOCK$1,420
- Lapiplasty System$561
- GRAVITY SYNCHFIX$148
How this compares
$84,289 in reported general payments places this provider in the 90th percentile of 40 foot and ankle surgery providers in Alabama.
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 |
|---|---|---|
| Enoxaparin Sodium | 14 | $1,393 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 121 | $864 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 111 | $849 |
| Gabapentin | 76 | $794 |
| Cephalexin | 115 | $719 |
| Doxycycline Hyclate | 35 | $335 |
| Clindamycin Hcl | 25 | $198 |
| Tramadol Hcl | 51 | $174 |
| Cyclobenzaprine Hcl | 13 | $161 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 18 | $131 |
| Tizanidine Hcl | 11 | $15 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Hoover
- Norman WaldropBirmingham$3.6M
- Justin DaigreDecatur$372K
- Jefferson SabatiniHuntsville$56K
- Matthew DeorioHuntsville$49K
- Patricia AnteroTuscaloosa$35K
- Ashish ShahBirmingham$28K
- Alfred RicciMontgomery$25K
- Swapnil SinghBirmingham$14K
- Derek KlavasMobile$12K
- Adam LukasiewiczBirmingham$10K
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.