Robert Bell, MD
Hand Surgery · Saint Louis, MONPI 1851371082
Payments from drug & device makers
What this record shows
This record is dominated by education: $12,117 of the $19,982 with a category attached, or 60.6%. 26 manufacturers reported payments, led by Arthrex at 39.7% of the total. Reporting peaked in 2019 at $4,258 and has fallen 85.3% since, to $625 in 2025.
Across 93 payments — averaging $214.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$8K
- Elite Orthopedics, LLC$7K
- Axogen$2K
- Catalyst Orthoscience$1K
- US Implant Solutions, LLC$417
- Smith+Nephew$399
- plus $1K from 20 others
Across 1 payment — averaging $1706.40 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.
- Pfizer$2K
What the payments were for
- Consulting fees$3662%
- Travel & lodging$3,19116%
- Food & beverage$4,30922%
- Education$12,11761%
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 |
|---|---|---|
| Arthrex | 22 | $7,930 |
| Elite Orthopedics, LLC | 20 | $6,873 |
| Axogen | 9 | $1,994 |
| Catalyst Orthoscience | 9 | $1,133 |
| US Implant Solutions, LLC | 4 | $417 |
| Smith+Nephew | 3 | $399 |
| Maxx Health Inc | 2 | $314 |
| Skeletal Dynamics Inc | 2 | $219 |
| CPM Medical Consultants, LLC | 1 | $147 |
| Spinesmith Holdings, LLC | 1 | $120 |
| Sanofi Pasteur Inc. | 3 | $85 |
| Zimmer Biomet | 1 | $65 |
| Endo Pharmaceuticals Inc. | 2 | $45 |
| Tris Pharma Inc | 2 | $37 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $26 |
| Bayer | 1 | $23 |
| Davol Inc. | 1 | $22 |
| Pacira Therapeutics, Inc. | 1 | $22 |
| Heron Therapeutics, Inc. | 1 | $18 |
| Organogenesis Inc. | 1 | $16 |
| Fidia Pharma USA Inc. | 1 | $16 |
| Johnson & Johnson | 1 | $13 |
| Medacta USA, Inc. | 1 | $13 |
| Kowa Pharmaceuticals America, Inc. | 1 | $13 |
| Ferring Pharmaceuticals Inc. | 1 | $13 |
| Next Science LLC | 1 | $10 |
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.
- AVANCE NERVE GRAFT$1,866
- AxoGuard Nerve Connector$1,699
- AxoGuard Nerve Protector$1,699
- Catalyst Total CSR$516
- Summa Ortho Distal Radius 2$314
- Summa Ortho Cannulated Screw$314
- Bioinductive Implant with Arthroscopic Delivery System - Medium$298
- Summa Ortho Anterolateral Fibula$200
- Geminus$188
- Align$188
- IJS$188
- Implate$188
- Archer CSR Total Shoulder System$157
- Archer R1 Reverse Shoulder System$157
- Summa Ortho Hand$114
- Catalyst TSR$108
- Bone Anchors with Arthroscopic Delivery System$101
How this compares
$19,982 in reported general payments places this provider in the 85th percentile of 36 hand 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 68 | $456 |
| Methylprednisolone | 19 | $131 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Saint Louis
- Richard GelbermanSaint Louis$30K
- Tyler KrummenacherSaint Louis$26K
- Wassim MouradSaint Louis$24K
- Matthew WintertonSaint Louis$10K
- Nathan FisherSaint Louis$10K
- Nathanael OlsonSaint Louis$9K
- Schuyler HalversonSaint Louis$8K
- William FeinsteinSaint Louis$6K
- David StregeSaint Louis$4K
- Colleen GlissonSaint Louis$1K
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.