Joshua Pfeiffer, MD
Surgery · la Crosse, WINPI 1962658336
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (43.5%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Medtronic accounts for 75.1% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2024 at $13,990 and has fallen 93.2% since, to $955 in 2025. Among surgery clinicians in WI 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 142 payments — averaging $175.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$19K
- Intuitive Surgical$3K
- W. L. Gore & Associates, Inc.$2K
- KARL Storz Endoscopy-america$339
- Covidien LP$282
- Stryker$280
- plus $553 from 6 others
Across 1 payment — averaging $5000.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Medtronic$5K
What the payments were for
- Consulting fees$2,2509%
- Speaking & faculty fees$10,87544%
- Travel & lodging$3,94916%
- Food & beverage$7,91232%
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 |
|---|---|---|
| Medtronic | 73 | $18,767 |
| Intuitive Surgical | 34 | $3,149 |
| W. L. Gore & Associates, Inc. | 18 | $1,615 |
| KARL Storz Endoscopy-america | 4 | $339 |
| Covidien LP | 4 | $282 |
| Stryker | 2 | $280 |
| Ambu Inc. | 2 | $142 |
| Merit Medical Systems Inc | 1 | $121 |
| Boston Scientific | 1 | $93 |
| Stimwave Technologies Incorporated | 1 | $93 |
| Johnson & Johnson | 1 | $54 |
| Endolumik, Inc. | 1 | $50 |
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.
- Signia$2,438
- LigaSure$1,998
- Da Vinci Surgical System$1,960
- GORE SEAMGUARD Bioabsorbable Staple Line Reinforce$565
- Sonicision$234
- SEAMGUARD Bioabsorbable Staple Line Reinforcement$186
- 1688$155
- EsoFlip$149
- GORE ENFORM Preperitoneal Biomaterial$133
- SPY-PHI SYSTEM$126
- N/A$126
- CCU,MODULAR,IMAGE1 CONNECT,US$123
- ESOPHYX$121
How this compares
$24,986 in reported general payments places this provider in the 90th percentile of 499 surgery providers in Wisconsin.
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 surgery in la Crosse
- Travis Smithla Crosse$56K
- Brandon Groverla Crosse$27K
- Shelley Gabel Lewisla Crosse$23K
- Michael Morellla Crosse$20K
- Peter UllrichAppleton$18M
- Matthew GoldblattMilwaukee$594K
- Raymond GeorgenNeenah$325K
- Cynthia GeocarisGreen Bay$263K
- Rana HigginsMilwaukee$148K
- Mustafa BadruddujaKenosha$134K
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.