Kaleb Smithson, MD
Orthopaedic Surgery · Fort Smith, ARNPI 1659767531
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (58.4%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Arthrex accounts for 64.4% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2021 at $6,397 and has fallen 99.6% since, to $28 in 2024.
Across 46 payments — averaging $161.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$5K
- Stryker$992
- Skeletal Dynamics Inc$273
- Aptis Medical, LLC$243
- Liberty Surgical Inc.$242
- Acumed LLC$202
- plus $698 from 10 others
What the payments were for
- Travel & lodging$99913%
- Food & beverage$2,09428%
- Education$4,34458%
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 |
|---|---|---|
| Arthrex | 17 | $4,787 |
| Stryker | 8 | $992 |
| Skeletal Dynamics Inc | 2 | $273 |
| Aptis Medical, LLC | 1 | $243 |
| Liberty Surgical Inc. | 1 | $242 |
| Acumed LLC | 3 | $202 |
| Midsouth Orthopedics Inc. | 2 | $136 |
| Axogen | 1 | $124 |
| Checkpoint Surgical, Inc | 1 | $107 |
| Polynovo North America LLC | 2 | $80 |
| DJO, LLC | 2 | $77 |
| Trimed, Inc. | 1 | $66 |
| Kerecis Limited | 1 | $31 |
| AbbVie | 1 | $31 |
| Bioventus LLC | 2 | $30 |
| Johnson & Johnson | 1 | $16 |
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.
- VARIAX$668
- Geminus$273
- Align$273
- IJS$273
- Implate$273
- Aptis DRUJ$243
- T2$162
- AVANCE NERVE GRAFT$124
- Checkpoint Stimulators$107
How this compares
$7,437 in reported general payments places this provider in the 70th percentile of 168 orthopaedic surgery providers in Arkansas.
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 |
|---|---|---|
| Diclofenac Sodium | 18 | $438 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 61 | $312 |
| Meloxicam | 39 | $97 |
| Tramadol Hcl | 37 | $47 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Fort Smith
- Jonathan TobeyFort Smith$48K
- Keith BolyardFort Smith$7K
- Steven SmithFort Smith$6K
- Benjamin StronachLittle Rock$2.5M
- Charles BarnesLittle Rock$2.1M
- Kenneth MartinLittle Rock$322K
- Wesley CoxFayetteville$309K
- William HefleyNorth Little Rock$306K
- David BumpassLittle Rock$175K
- Lawrence O'MalleyLittle Rock$151K
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.