Melissa Wright, MD
Orthopaedic Surgery · Saint Louis, MONPI 1255745576
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $46,155 of the $75,118 with a category attached, or 61.4%. 18 manufacturers reported payments, led by Smith+Nephew at 38.9% of the total. 2025 is the largest year on record at $32,832, 4.0 times the $8,283 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 115 payments — averaging $653.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$29K
- Medical Device Business Services, Inc.$21K
- Supreme Orthopedic Systems, LLC$7K
- Depuy Synthes Products, Inc.$5K
- Pacira Pharmaceuticals Incorporated$5K
- Synthes USA Products LLC$4K
- plus $4K from 12 others
What the payments were for
- Consulting fees$46,15561%
- Travel & lodging$5,4807%
- Food & beverage$3,8905%
- Education$19,59326%
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 | 21 | $29,256 |
| Medical Device Business Services, Inc. | 25 | $20,501 |
| Supreme Orthopedic Systems, LLC | 7 | $6,589 |
| Depuy Synthes Products, Inc. | 3 | $5,124 |
| Pacira Pharmaceuticals Incorporated | 3 | $4,990 |
| Synthes USA Products LLC | 4 | $4,343 |
| Arthrex | 3 | $1,412 |
| Stryker(2 entities) | 19 | $1,394 |
| Exactech, Inc. | 3 | $363 |
| Johnson & Johnson | 11 | $355 |
| Restor3d, Inc. | 1 | $215 |
| AbbVie(2 entities) | 2 | $156 |
| Elite Orthopedics, LLC | 2 | $118 |
| Zimmer Biomet | 1 | $102 |
| Eisai Inc. | 6 | $91 |
| Medacta USA, Inc. | 2 | $79 |
| Abbott | 1 | $20 |
| Checkpoint Surgical, Inc | 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.
- REAL INTELLIGENCE$7,550
- AETOS Shoulder System$7,098
- EXPAREL$4,990
- INHANCE$1,251
- VISIONAIRE$919
- EQUINOXE$310
- AEQUALIS PERFORM REVERSED$171
- AEQUALIS FLEX REVIVE$169
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$164
- MAKO$110
- AEQUALIS$109
- AEQUALIS ASCEND FLEX$104
- AEQUALIS PERFORM$104
- Comprehensive Shoulder System$102
- Sidus Stem-Free Shoulder$102
- Broadband Suture$102
- Identity$102
How this compares
$75,118 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 |
|---|---|---|
| Oxycodone Hcl | 67 | $385 |
| Mupirocin | 25 | $180 |
| Methocarbamol | 20 | $150 |
| Cyclobenzaprine Hcl | 25 | $137 |
| Methylprednisolone | 18 | $119 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 19 | $112 |
| Celecoxib | 12 | $105 |
| Amoxicillin | 24 | $41 |
| Meloxicam | 19 | $36 |
| Tramadol Hcl | 19 | $31 |
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
- Kenneth SmithSaint Louis$119K
- Benjamin ZmistowskiSaint Louis$118K
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.