Mitchell Pet, MD
Plastic and Reconstructive Surgery · Saint Louis, MONPI 1134428758
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $33,600 of the $42,010 with a category attached, or 80.0%. Vioptix Inc accounts for 80.2% of it on its own, with 18 other manufacturers making up the rest. 2025 is the largest year on record at $36,666, more than ten times the $876 reported in 2019. Among plastic and reconstructive 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 56 payments — averaging $750.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Vioptix Inc$34K
- Elite Orthopedics, LLC$2K
- Trimed, Inc.$2K
- Endo USA, Inc.$1K
- Axogen$1K
- Sientra, Inc.$426
- plus $2K from 13 others
Across 1 payment — averaging $9384.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Checkpoint Surgical, Inc$9K
What the payments were for
- Consulting fees$33,60080%
- Travel & lodging$2,1345%
- Food & beverage$4,52711%
- Education$1,7494%
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 |
|---|---|---|
| Vioptix Inc | 2 | $33,676 |
| Elite Orthopedics, LLC | 6 | $1,836 |
| Trimed, Inc. | 6 | $1,722 |
| Endo USA, Inc. | 7 | $1,077 |
| Axogen | 7 | $1,002 |
| Sientra, Inc. | 4 | $426 |
| Integra Lifesciences Corporation | 3 | $334 |
| Polynovo North America LLC | 3 | $317 |
| KCI USA, Inc. | 3 | $211 |
| AbbVie(2 entities) | 3 | $209 |
| RTI Surgical, Inc | 1 | $187 |
| Biocircuit Technologies Inc | 1 | $183 |
| Baxter Healthcare | 2 | $164 |
| Acera Surgical, Inc. | 1 | $157 |
| Davol Inc. | 1 | $150 |
| Acumed LLC | 1 | $145 |
| Zimmer Biomet | 1 | $144 |
| Kerecis Limited | 3 | $53 |
| Stryker | 1 | $17 |
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.
- Tools - WFS$886
- XIAFLEX$835
- AVANCE NERVE GRAFT$726
- INTEGRA$462
- ACUMED$436
- AxoGuard Nerve Connector$278
- AxoGuard Nerve Protector$278
- AXOGUARD HA+ NERVE PROTECTOR$278
- AxoGuard Nerve Cap$278
- SIENTRA HIGH STRENGTH COHESIVE SILICONE GEL BREAST IMPLANT$272
- CORTIVA ALLOGRAFT DERMIS$187
- Nerve Tape$183
- Novosorb BTM$159
- Restrata Wound Matrix$157
- INTEGRA DERMAL REGENERATION TEMPLATE$154
- PRIMATRIX$154
- Phasix Mesh$150
- A.L.P.S.$144
- NATRELLE SALINE-FILLED BREAST IMPLANTS$123
- SURGIMEND$121
How this compares
$42,010 in reported general payments places this provider in the 90th percentile of 61 plastic and reconstructive surgery providers in Missouri.
See all plastic and reconstructive 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 |
|---|---|---|
| Doxycycline Hyclate | 12 | $95 |
Paid to pharmacies, not to this prescriber.
Other plastic and reconstructive surgery in Saint Louis
- Terence MyckatynSaint Louis$399K
- David CaplinSaint Louis$81K
- Patricia McGuireSaint Louis$66K
- Kamlesh PatelSaint Louis$41K
- John HoldsSaint Louis$40K
- Marissa Morningstar TenenbaumSaint Louis$28K
- Charles NathanSaint Louis$19K
- Brock RidenourSaint Louis$9K
- Milind KachareSaint Louis$6K
- Amanda BrownSaint Louis$5K
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.