Mackenzie Lesh, DO
Surgery · Kirksville, MONPI 1154817286
Payments from drug & device makers
Across 26 payments — averaging $124.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axogen$2K
- Leica Microsystems Inc.$370
- Hologic Inc$342
- Endomagnetics Ltd$288
- Johnson & Johnson$135
- Sanofi$121
- plus $301 from 7 others
What the payments were for
- Travel & lodging$1,57749%
- Food & beverage$1,44945%
- Education$2106%
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 |
|---|---|---|
| Axogen | 5 | $1,679 |
| Leica Microsystems Inc. | 3 | $370 |
| Hologic Inc | 1 | $342 |
| Endomagnetics Ltd | 3 | $288 |
| Johnson & Johnson(2 entities) | 2 | $135 |
| Sanofi | 1 | $121 |
| Myriad Genetic Laboratories, Inc. | 3 | $96 |
| Amarin Pharma, Inc. | 2 | $55 |
| Biocomposites Inc | 1 | $52 |
| Stryker | 2 | $40 |
| KARL Storz Endoscopy-america | 1 | $25 |
| KCI USA, Inc. | 1 | $17 |
| Medtronic | 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.
- AXOGUARD$3,301
- AXOGUARD HA+ NERVE PROTECTOR$1,651
- AxoGuard Nerve Cap$1,651
- BioZorb$342
- Localizer$342
- Magseed$278
- Magtrace$278
- LIBTAYO$121
- XARELTO$118
How this compares
$3,236 in reported general payments places this provider in the 60th percentile of 612 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 |
|---|---|---|
| Ondansetron OdtOndansetron | 16 | $93 |
| Tramadol Hcl | 12 | $14 |
Paid to pharmacies, not to this prescriber.
Other surgery in Kirksville
- Tiffany OsbornSaint Louis$493K
- Jeffrey BlatnikSaint Louis$422K
- Varun PuriSaint Louis$346K
- Victor VidalsKansas City$327K
- James ScottSaint Louis$307K
- Andrew WheelerColumbia$298K
- Omar GuerraSaint Louis$249K
- Michael AwadSaint Louis$248K
- Carl FreemanSaint Louis$233K
- John TannColumbia$216K
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.