Michael Franco, MD
Plastic Surgery · Saint Louis, MONPI 1972732089
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,244 of the $1,389 with a category attached, or 89.6%. It is spread thinly across 11 manufacturers, the largest accounting for just 14.3% — the pattern of someone who eats at a lot of different presentations. That places this record below the midpoint for plastic surgery clinicians in MO, where the typical reported total is $2,622.
Across 17 payments — averaging $81.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Polynovo North America LLC$198
- Eclipse Technology Solutions Inc.$193
- Checkpoint Surgical, Inc$182
- Integra Lifesciences Corporation$145
- Stryker$135
- Johnson & Johnson$134
- plus $402 from 5 others
What the payments were for
- Food & beverage$1,24490%
- Other$14510%
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 |
|---|---|---|
| Polynovo North America LLC | 1 | $198 |
| Eclipse Technology Solutions Inc. | 2 | $193 |
| Checkpoint Surgical, Inc | 3 | $182 |
| Integra Lifesciences Corporation | 1 | $145 |
| Stryker | 1 | $135 |
| Johnson & Johnson | 2 | $134 |
| Axogen | 1 | $113 |
| Mentor Worldwide LLC | 1 | $113 |
| Arthrex | 3 | $105 |
| Liberty Surgical Inc. | 1 | $44 |
| Acera Surgical, Inc. | 1 | $27 |
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
$1,389 in reported general payments places this provider in the 35th percentile of 88 plastic 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 |
|---|---|---|
| Naproxen | 120 | $1,177 |
| Gabapentin | 22 | $433 |
| Baclofen | 12 | $261 |
| Ibuprofen | 18 | $163 |
Paid to pharmacies, not to this prescriber.
Other plastic surgery in Saint Louis
- Donald BuckSaint Louis$945K
- Amber LeisSaint Louis$133K
- Nicholas CalottaSaint Louis$47K
- Justin SacksSaint Louis$36K
- Rachel AnolikSaint Louis$33K
- Dennis NguyenSaint Louis$32K
- Alexander LinSaint Louis$31K
- Robert HaganSaint Louis$23K
- Ketan SharmaSaint Louis$22K
- Michael CurtisSaint Louis$21K
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.