Joseph Brunkhorst Iii, DO
Orthopaedic Surgery · Ankeny, IANPI 1487849527
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (44.6%), food and beverage and education — rather than concentrated in one kind of arrangement. Stryker accounts for 73.5% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2021 at $3,205 and has fallen 64.9% since, to $1,125 in 2025.
Across 98 payments — averaging $89.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$6K
- Wardlow Enterprises$1K
- Johnson & Johnson$267
- Davol Inc.$175
- Prism Medical$150
- Smith+Nephew$116
- plus $313 from 6 others
What the payments were for
- Travel & lodging$3,89045%
- Food & beverage$3,71143%
- Education$1,12813%
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 | 72 | $6,416 |
| Wardlow Enterprises | 4 | $1,293 |
| Johnson & Johnson | 7 | $267 |
| Davol Inc. | 1 | $175 |
| Prism Medical | 1 | $150 |
| Smith+Nephew | 3 | $116 |
| Arthrosurface Incorporated | 1 | $69 |
| Zimmer Biomet | 1 | $65 |
| Vericel Corporation | 4 | $62 |
| Arthrex | 1 | $50 |
| Medical Device Business Services, Inc. | 1 | $35 |
| Heron Therapeutics, Inc. | 2 | $33 |
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.
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$2,410
- NA$1,233
- HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET$503
- ARISTA AH FLEXITIP$175
- HIPCHECK$139
- MAKO$120
- AEQUALIS PERFORM REVERSED$119
- ATTUNE$108
- SIGMA$108
- ACTIS$108
- PINNACLE$108
- GLOBAL$108
How this compares
$8,729 in reported general payments places this provider in the 75th percentile of 219 orthopaedic surgery providers in Iowa.
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 Ankeny
- Jeffrey BannisterAnkeny$30K
- Alexander VolkmarAnkeny$16K
- John CallaghanIowa City$23.3M
- Brian AdamsIowa City$865K
- Cesar de Cesar NettoIowa City$693K
- Lynn NelsonBelmond$285K
- Robert WestermannIowa City$182K
- Joseph BuckwalterIowa City$132K
- Brendan PattersonIowa City$122K
- Nicholas BedardIowa City$59K
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.