Robert Paul, MD
Plastic and Reconstructive Surgery · Carmel, INNPI 1396903555
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (46.0%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Axogen at 26.7% of the total. 2025 is the largest year on record at $3,695, 6.8 times the $546 reported in 2019.
Across 37 payments — averaging $169.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axogen$2K
- Integra Lifesciences Corporation$2K
- AbbVie$955
- KCI USA, Inc.$944
- TELA Bio, Inc.$465
- Motiva USA, LLC$387
- plus $351 from 6 others
What the payments were for
- Consulting fees$2,35037%
- Travel & lodging$1,03316%
- Food & beverage$2,88546%
- Education$100%
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 |
|---|---|---|
| Axogen | 6 | $1,676 |
| Integra Lifesciences Corporation | 1 | $1,500 |
| AbbVie(2 entities) | 9 | $955 |
| KCI USA, Inc. | 3 | $944 |
| TELA Bio, Inc. | 6 | $465 |
| Motiva USA, LLC | 5 | $387 |
| Johnson & Johnson | 1 | $111 |
| Mentor Worldwide LLC | 1 | $104 |
| Sientra, Inc. | 1 | $69 |
| Stryker | 1 | $32 |
| Medline Industries LP | 2 | $24 |
| Osiris Therapeutics 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.
- AXOGUARD$3,292
- AXOGUARD HA+ NERVE PROTECTOR$1,646
- AxoGuard Nerve Cap$1,646
- CODMAN CERTAS$1,500
- SURGIMEND$1,500
- Cavilon Advanced Skin Protectant$850
- Cavilon No Sting Barrier Film$850
- Cavilon$850
- PREVENA$850
- Prevena Restor Bella Form$850
- NATRELLE SALINE-FILLED BREAST IMPLANTS$430
- ALLODERM$387
- Motiva Implant Matrix$344
- Ovitex$276
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex)$131
- XCM Biologic Tissue Matrix$111
- MATRIXMANDIBLE$111
- MENTOR MemoryGel Resterilizable Gel Sizer$104
How this compares
$6,279 in reported general payments places this provider in the 75th percentile of 47 plastic and reconstructive surgery providers in Indiana.
See all plastic and reconstructive surgery providers in Indiana →
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 |
|---|---|---|
| Ibuprofen | 25 | $85 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 13 | $47 |
| Oxycodone Hcl | 19 | $43 |
Paid to pharmacies, not to this prescriber.
Other plastic and reconstructive surgery in Carmel
- Janet TurkleCarmel$15K
- Justin HartCarmel$6K
- Joshua TiemanCarmel$2K
- Riesa BurnettCarmel$2K
- Elizabeth GraseeCarmel$1K
- Debra BergmanCarmel$831
- Barry EppleyCarmel$25
- Aladdin HassaneinIndianapolis$103K
- Leigh SperaIndianapolis$16K
- Dion ChavisIndianapolis$15K
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.