Has Randall Otto, MD received payments from drug or device companies?

Yes. Drug and device makers reported $264,699 in general payments to Randall Otto, MD across 355 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Randall Otto, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Randall Otto, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Randall Otto, MD

Orthopaedic Surgery · Fenton, MONPI 1841494689

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $235,388 of the $264,699 with a category attached, or 88.9%. Encore Medical, LP accounts for 94.4% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2022 at $64,840 and has fallen 70.7% since, to $19,027 in 2025. Among orthopaedic surgery clinicians in MO with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$264,699in general payments, 2019–2025

Across 355 payments — averaging $745.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Encore Medical, LP$250K
Next Science LLC$6K
Zimmer Biomet$2K
Restor3d, Inc.$2K
Elite Orthopedics, LLC$1K
Arthrex$1K
plus $2K from 10 others

$82,194in research payments, 2019–2025

Across 31 payments — averaging $2651.42 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.

Encore Medical, LP$62K
Next Science LLC$20K

What the payments were for

Consulting fees$235,38889%
Travel & lodging$18,7087%
Food & beverage$9,7114%
Education$8920%

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
Encore Medical, LP	264	$249,800
Next Science LLC	4	$6,403
Zimmer Biomet	27	$2,056
Restor3d, Inc.	2	$2,000
Elite Orthopedics, LLC	22	$1,497
Arthrex	7	$1,397
Stryker(2 entities)	14	$715
Anika Therapeutics, Inc.	2	$195
Johnson & Johnson(2 entities)	5	$169
Kinamed, Inc.	1	$137
Osteocentric Technologies, Inc.	1	$124
Sanara Medtech Inc.	2	$73
Medacta USA, Inc.	1	$56
Smith+Nephew	1	$31
Solventum Corporation	1	$23
Kerecis Limited	1	$23

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.

DJO SURGICAL$304,079
DJO Surgical AltiVate Reverse$56,112
DJO Surgical AltiVate Anatomic System$50,805
DJO Surgical Turon Modular Shoulder System$14,400
SurgX$6,308
Xperience$6,308
DJO Surgical Match Point System$2,697
DJO Surgical 3DKnee System$777
Identity$343
Comprehensive Shoulder System$343
Quatro Link$265
Ventix$191
Draw Tight$153
BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$147
AEQUALIS FLEX REVIVE$147
Alliance Glenoid$146
Juggerknot-Sports Medicine$146
Extremities-None$141
OsteoCentric 4.0 x 130mm LOCKING BONE SCREW FASTENER ST$124
Quatro Suture Passer$124

How this compares

$264,699 in reported general payments places this provider in the 95th percentile of 455 orthopaedic surgery providers in Missouri.

See all orthopaedic surgery providers in Missouri →

Medicare billing

Part B allowed, 2024

$166,619

Medicare patients

384

Services billed

834

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
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	197	$2,116
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen	206	$2,062
Tramadol Hcl	155	$558
Doxycycline Hyclate	28	$404
Cyclobenzaprine Hcl	24	$279
Naproxen	17	$239
Acetaminophen-CodeineAcetaminophen With Codeine	42	$231
Meloxicam	74	$149
Methylprednisolone	20	$118
Gabapentin	16	$117
Amoxicillin	109	$106
Zolpidem Tartrate	14	$84
Clindamycin Hcl	16	$31

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in Fenton

Matthew SmithColumbia$2.9M
Jay KeenerSaint Louis$2.2M
John WatsonSaint Louis$1.7M
Peter ChalmersSaint Louis$603K
Katherine BurnsBridgeton$491K
Jeremy StattonLees Summit$457K
Lionel MetzSaint Louis$428K
Michael HellmanLees Summit$365K
Jon CarlsonSaint Louis$354K
Akin CilKansas City$318K

See the full list for Missouri →

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.

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