Robert Knetsche, MD
Orthopaedic Surgery of the Spine · Danville, KYNPI 1891805982
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $1,030,176 of the $1,239,470 with a category attached, or 83.1%. Choice Spine, LLC accounts for 100.0% of it on its own, with 2 other manufacturers making up the rest. 2025 is the largest year on record at $256,785, 2.2 times the $116,303 reported in 2019.
Across 59 payments — averaging $21,008 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Choice Spine, LLC$1.2M
- Spineart USA Inc$263
- Abbott$39
What the payments were for
- Royalty or licence$1,030,17683%
- Consulting fees$154,96213%
- Travel & lodging$46,5174%
- Food & beverage$3,4910%
- Education$4,0000%
- Entertainment$3240%
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 |
|---|---|---|
| Choice Spine, LLC | 55 | $1,239,168 |
| Spineart USA Inc | 2 | $263 |
| Abbott | 2 | $39 |
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.
- Thunderbolt Minimally Invasive Pedicle Screw Systems$903,416
- Thunderbolt$263,951
- VEO Lateral Interbody Fusion System$104,310
- Stratofuse$49,742
- Blackhawk Cervical Spacer System$46,808
- Triton$33,959
- Tiger Shark TL$20,800
- Raven Lumbar Plate System$19,073
- Boomerang$15,783
- Tiger Shark C$9,073
- Stealth Anterior Cervical Interbody Spacer$7,350
- Ambassador$7,350
- Harpoon Lumbar Spacer System$7,350
- TIGERSHARK C$6,710
- Harrier SA Lumbar Interbody System$6,710
- Tiger Shark L$6,000
- Blackhawk$5,571
- Tiger Shark$5,571
- Blackbird$5,571
- Tomcat$5,571
How this compares
$1,239,470 in reported general payments places this provider in the 85th percentile of 29 orthopaedic surgery of the spine providers in Kentucky.
See all orthopaedic surgery of the spine providers in Kentucky →
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 |
|---|---|---|
| Gabapentin | 701 | $5,688 |
| Pregabalin | 185 | $3,631 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 316 | $3,002 |
| Fentanyl | 11 | $2,654 |
| Tramadol Hcl | 444 | $2,648 |
| Oxycodone Hcl | 64 | $785 |
| Carisoprodol | 111 | $350 |
| Celecoxib | 24 | $268 |
| Methocarbamol | 26 | $186 |
| Prednisone | 73 | $148 |
| Ondansetron Hcl | 11 | $76 |
| Diazepam | 19 | $8 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Danville
- Jeffery GumLouisville$3.5M
- Mladen DjurasovicLouisville$3.1M
- Keneth StrengePaducah$2.6M
- Roger OwensLouisville$1.3M
- Charles CrawfordLouisville$836K
- Joseph LarattaLouisville$819K
- Venu VemuriLouisville$796K
- Kathryn McCarthy MulloolyLouisville$426K
- John DimarLouisville$266K
- Steven GlassmanLouisville$249K
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.