Keith Starkweather, MD
Orthopaedic Surgery · Clarksville, TNNPI 1407859598
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,109 of the $1,547 with a category attached, or 71.7%. Smith+Nephew accounts for 76.9% of it on its own, with 14 other manufacturers making up the rest. Reporting peaked in 2019 at $887 and has fallen 98.0% since, to $17 in 2025. That places this record below the midpoint for orthopaedic surgery clinicians in TN, where the typical reported total is $4,017.
Across 30 payments — averaging $51.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$1K
- Stryker$66
- Integra Lifesciences Corporation$56
- Heraeus Medical, LLC.$34
- FX Shoulder Solutions, Inc$34
- Fidia Pharma USA Inc.$25
- plus $143 from 9 others
What the payments were for
- Travel & lodging$43828%
- Food & beverage$1,10972%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Smith+Nephew | 14 | $1,189 |
| Stryker | 2 | $66 |
| Integra Lifesciences Corporation | 1 | $56 |
| Heraeus Medical, LLC. | 2 | $34 |
| FX Shoulder Solutions, Inc | 1 | $34 |
| Fidia Pharma USA Inc. | 1 | $25 |
| Pacira Pharmaceuticals Incorporated | 1 | $22 |
| Radius Health, Inc. | 1 | $19 |
| Ossur Americas, Inc. | 1 | $17 |
| Orthogenrx Inc. | 1 | $16 |
| Medtronic | 1 | $16 |
| Orthofix Medical, Inc. | 1 | $15 |
| Pacira Therapeutics, Inc. | 1 | $15 |
| Kinex Medical Company LLC | 1 | $12 |
| Amgen | 1 | $11 |
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.
How this compares
$1,547 in reported general payments places this provider in the 30th percentile of 381 orthopaedic surgery providers in Tennessee.
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 |
|---|---|---|
| Celecoxib | 39 | $2,007 |
| Meloxicam | 181 | $580 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 92 | $394 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 17 | $94 |
| Tramadol Hcl | 11 | $11 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Clarksville
- Paul BradyKnoxville$20M
- Edwin SpencerKnoxville$2.5M
- Jesse DotyChattanooga$2.3M
- Thomas ThrockmortonGermantown$1.7M
- Alton HunterColumbia$820K
- Jefferson MorrisonNashville$678K
- Michael BeebeMemphis$626K
- Gregory PolkowskiNashville$526K
- Matthew WillisNashville$498K
- Michael ChristieNashville$474K
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.