Kenneth Smith, MD
Orthopaedic Surgery · Saint Louis, MONPI 1952746521
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (52.7%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Linvatec Corporation at 54.9% of the total. 2025 is the largest year on record at $64,613, more than ten times the $2,473 reported in 2019. Among orthopaedic surgery clinicians in MO 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 269 payments — averaging $443.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Linvatec Corporation$65K
- Stryker$26K
- Arthrex$13K
- In2bones USA, LLC$9K
- Acera Surgical, Inc.$3K
- Elite Orthopedics, LLC$2K
- plus $487 from 11 others
What the payments were for
- Royalty or licence$2,7622%
- Consulting fees$62,87553%
- Speaking & faculty fees$14,75012%
- Grants$2,5002%
- Travel & lodging$24,46821%
- Food & beverage$8,4547%
- Education$3,4803%
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 |
|---|---|---|
| Linvatec Corporation | 74 | $65,460 |
| Stryker(2 entities) | 119 | $26,381 |
| Arthrex | 25 | $13,170 |
| In2bones USA, LLC | 14 | $9,099 |
| Acera Surgical, Inc. | 4 | $3,033 |
| Elite Orthopedics, LLC | 21 | $1,659 |
| Integra Lifesciences Corporation | 1 | $140 |
| Acumed LLC | 2 | $133 |
| Medshape, Inc. | 1 | $54 |
| Trilliant Surgical LLC. | 1 | $34 |
| Restor3d, Inc. | 1 | $23 |
| Biocomposites Inc | 1 | $22 |
| EBI, LLC | 1 | $19 |
| AbbVie | 1 | $18 |
| Kerecis Limited | 1 | $18 |
| Pacira Therapeutics, Inc. | 1 | $16 |
| Paragon 28, Inc. | 1 | $12 |
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.
- BioBrace 23mm$32,925
- COLINK MINI$12,779
- mild Device Kit$11,700
- COLINK PLATING SYSTEM$11,094
- HERCULES SUTURE ANCHOR SYSTEM$9,142
- CoLink$9,059
- AUGMENT INJECTABLE$9,044
- VARIAX$8,562
- ALLOPURE$6,149
- ORTHOLOC 3DI$5,850
- GRAFTJACKET$5,460
- BIOskin$5,460
- IGNITE$4,680
- QUANTUM$4,016
- IBS$3,926
- Restrata Wound Matrix$3,000
- PRIME SERIES$1,832
- INBONE$1,089
- COLINK SFX$1,087
- PROstep$969
How this compares
$119,289 in reported general payments places this provider in the 90th percentile of 455 orthopaedic surgery providers in Missouri.
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 |
|---|---|---|
| Cephalexin | 26 | $464 |
| Oxycodone Hcl | 100 | $453 |
| Gabapentin | 61 | $339 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 64 | $339 |
| Potassium Chloride | 11 | $202 |
| Tramadol Hcl | 29 | $107 |
| Meloxicam | 57 | $74 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 12 | $29 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Saint Louis
- Jay KeenerSaint Louis$2.2M
- John WatsonSaint Louis$1.7M
- Peter ChalmersSaint Louis$603K
- Lionel MetzSaint Louis$428K
- Jon CarlsonSaint Louis$354K
- Alexander AleemSaint Louis$230K
- Rhoderic MirkinSaint Louis$209K
- Sridhar PinnamaneniSaint Louis$188K
- Benjamin ZmistowskiSaint Louis$118K
- David MingesSaint Louis$95K
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.