Kevin Middlemist, DO
Sports Medicine · Jefferson City, MONPI 1740641851
Payments from drug & device makers
What this record shows
This record is dominated by education: $21,429 of the $33,978 with a category attached, or 63.1%. 23 manufacturers reported payments, led by Pylant Medical at 45.0% of the total. Reporting peaked in 2022 at $9,481 and has fallen 53.3% since, to $4,426 in 2025.
Across 184 payments — averaging $184.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pylant Medical$15K
- Stryker$7K
- Arthrex$5K
- Zimmer Biomet$2K
- Legacy Ortho LLC$2K
- Elite Orthopedics, LLC$786
- plus $1K from 17 others
What the payments were for
- Travel & lodging$6,99121%
- Food & beverage$5,55916%
- Education$21,42963%
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 |
|---|---|---|
| Pylant Medical | 13 | $15,300 |
| Stryker | 52 | $6,998 |
| Arthrex | 25 | $4,909 |
| Zimmer Biomet | 19 | $2,487 |
| Legacy Ortho LLC | 2 | $2,400 |
| Elite Orthopedics, LLC | 16 | $786 |
| Kowa Pharmaceuticals America, Inc. | 16 | $212 |
| Lundbeck LLC | 9 | $143 |
| Vericel Corporation | 6 | $125 |
| Heraeus Medical, LLC. | 3 | $118 |
| Vertex | 4 | $105 |
| Catalyst Orthoscience | 1 | $58 |
| Bioventus LLC | 3 | $51 |
| Amgen | 2 | $49 |
| Pacira Pharmaceuticals Incorporated | 2 | $46 |
| Johnson & Johnson | 2 | $42 |
| Fidia Pharma USA Inc. | 2 | $31 |
| Ferring Pharmaceuticals Inc. | 2 | $28 |
| Avanos Medical | 1 | $24 |
| Innovation Technologies Inc | 1 | $18 |
| Orthofix Medical, Inc. | 1 | $16 |
| Ultragenyx Pharmaceutical Inc. | 1 | $16 |
| Endo Pharmaceuticals Inc. | 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.
- SALVATION$1,938
- Comprehensive Shoulder System$1,781
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$1,273
- INSPACE$963
- ICONIX$659
- PROCINCH$646
- ALPHAVENT$474
- ROSA$283
- Persona$219
- NA$169
- CHAMPION$163
- CROSSFLOW$151
- KNOTILUS ANCHOR, 3.5MM$151
- mymobility Platform$144
- TAPESTRY$138
How this compares
$33,978 in reported general payments places this provider in the 85th percentile of 127 sports medicine 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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 283 | $2,749 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 223 | $2,455 |
| Methocarbamol | 166 | $1,678 |
| Tramadol Hcl | 96 | $295 |
| Ondansetron Hcl | 26 | $221 |
| Methylprednisolone | 35 | $214 |
| Gabapentin | 23 | $188 |
| Meloxicam | 60 | $181 |
| Prednisone | 49 | $133 |
| Cephalexin | 27 | $97 |
| Ibuprofen | 12 | $75 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 14 | $61 |
| Amoxicillin | 45 | $42 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Jefferson City
- Bradley SloanJefferson City$5K
- Timothy GalbraithJefferson City$4K
- Kristin OliverColumbia$209K
- Steven DefrodaColumbia$101K
- Clayton NuelleColumbia$89K
- Justin DragerColumbia$78K
- Derrick KnapikSaint Louis$72K
- Shawn SahotaColumbia$69K
- James StannardColumbia$68K
- Joshua HamannColumbia$57K
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.