Justin Ernat, MD
Sports Medicine · Vail, CONPI 1205120177
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $130,912 of the $181,333 with a category attached, or 72.2%. Medical Device Business Services, Inc. accounts for 62.9% of it on its own, with 9 other manufacturers making up the rest. Among sports medicine clinicians in CO 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 137 payments — averaging $1323.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$114K
- Depuy Synthes Products, Inc.$26K
- Arthrex$25K
- Smith+Nephew$13K
- Gemini Mountain Medical, LLC$1K
- Stryker$1K
- plus $940 from 4 others
Across 2 payments — averaging $2500.00 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.
- Medical Device Business Services, Inc.$5K
What the payments were for
- Consulting fees$130,91272%
- Grants$20,00011%
- Travel & lodging$10,1926%
- Food & beverage$2,3421%
- Education$17,88810%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 77 | $114,146 |
| Depuy Synthes Products, Inc. | 11 | $25,951 |
| Arthrex | 27 | $25,079 |
| Smith+Nephew | 2 | $12,938 |
| Gemini Mountain Medical, LLC | 1 | $1,200 |
| Stryker | 7 | $1,081 |
| Johnson & Johnson | 6 | $691 |
| Vericel Corporation | 3 | $155 |
| Active Medical, LLC | 2 | $81 |
| Bioventus LLC | 1 | $13 |
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.
- RIGIDLOOP$126,741
- INTRAFIX$124,672
- MILAGRO$124,672
- MONOVISC$124,672
- HEALIX KNOTLESS PEEK$7,345
- NA$1,508
- Mitek$1,069
- GLOBAL$933
- Bioknotless Ethibond$412
- INSPACE$306
- SALVATION$280
- ALPHAVENT$242
- PROCINCH$175
- MACI$117
- TRUESPAN ORTHOCORD$115
How this compares
$181,333 in reported general payments places this provider in the 90th percentile of 196 sports medicine providers in Colorado.
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 sports medicine in Vail
- Peter MillettVail$21.6M
- Matthew ProvencherVail$3.4M
- Randall ViolaVail$551K
- Armando VidalVail$220K
- Leslie VidalVail$60K
- Samuel HuntleyVail$41K
- Ali NoorzadVail$38K
- Mikalyn DefoorVail$18K
- Rachel FrankAurora$1.6M
- David WeinsteinColorado Springs$1.5M
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.