Michael Gustavel, MD
Sports Medicine · Boise, IDNPI 1306842182
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $7,420 of the $11,769 with a category attached, or 63.0%. 17 manufacturers reported payments, led by Stryker at 37.9% of the total. Reporting peaked in 2019 at $4,237 and has fallen 72.7% since, to $1,159 in 2025. Among sports medicine clinicians in ID 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 112 payments — averaging $105.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$4K
- Smith+Nephew$3K
- Arthrex$2K
- Steelhead Surgical Inc$697
- Sawtooth Surgical Solutions Inc$694
- Globus Medical$309
- plus $582 from 11 others
What the payments were for
- Travel & lodging$4,34937%
- Food & beverage$7,42063%
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 |
|---|---|---|
| Stryker | 46 | $4,458 |
| Smith+Nephew | 25 | $2,998 |
| Arthrex | 17 | $2,032 |
| Steelhead Surgical Inc | 6 | $697 |
| Sawtooth Surgical Solutions Inc | 3 | $694 |
| Globus Medical | 3 | $309 |
| Miach Orthopaedics, Inc. | 1 | $181 |
| Embody, Inc. | 1 | $109 |
| Kerecis Limited | 1 | $103 |
| Johnson & Johnson | 2 | $70 |
| Dynasplint Systems Inc. | 1 | $37 |
| Vertex | 1 | $16 |
| Total Joint Orthopedics, Inc. | 1 | $15 |
| Bioventus LLC | 1 | $14 |
| Stimwave Technologies Incorporated | 1 | $12 |
| Pacira Pharmaceuticals Incorporated | 1 | $12 |
| Turn-key Medical, 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.
- HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET$995
- Navio Surgical System$726
- NAVIO$578
- MAKO$442
- INSPACE$419
- CINCHLOCK$330
- SALVATION$323
- Kerecis Omega3 SurgiClose$309
- Excelsius - GPS$292
- Journey II XR$251
- Journey II BCS$242
- StelKast Generic Knee instruments$175
- STELKAST GENERIC HIP INSTRUMENTS$175
- KNOTILUS ANCHOR, 3.5MM$160
- ALPHAVENT$148
- VERSITOMIC$146
- CINCHLOCK SS$139
- Journey II$138
- CORI$138
- BIOSTEON$133
How this compares
$11,769 in reported general payments places this provider in the 90th percentile of 33 sports medicine providers in Idaho.
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 Hcl | 24 | $647 |
| Diclofenac Sodium ErDiclofenac Sodium | 18 | $615 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 50 | $432 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 22 | $178 |
| Oxycodone Hcl | 26 | $126 |
| Tramadol Hcl | 33 | $99 |
| Gabapentin | 31 | $95 |
| Ibuprofen | 15 | $46 |
| Amoxicillin | 60 | $43 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Boise
- Nathan GrimmBoise$23K
- Jennifer MillerBoise$9K
- Richard RadnovichBoise$4K
- Darin JurgensmeierBoise$3K
- Kirk LewisBoise$2K
- Tobias GoponBoise$377
- Scot ScheffelBoise$300
- Justin McCoyBoise$291
- Alejandro HomaechevarriaBoise$184
- Tin VuongBoise$114
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.