Ryan Gaines, MD
Plastic Surgery within the Head & Neck · Denver, CONPI 1295898187
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $681 of the $1,051 with a category attached, or 64.8%. Intuitive Surgical accounts for 64.8% of it on its own, with 5 other manufacturers making up the rest. 2025 is the largest year on record at $850, more than ten times the $14 reported in 2019. That places this record below the midpoint for plastic surgery within the head & neck clinicians in CO, where the typical reported total is $1,176.
Across 11 payments — averaging $95.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$681
- Stryker$168
- Organogenesis Inc.$103
- Bristol Myers Squibb$66
- Olympus America Inc.$18
- Johnson & Johnson$14
What the payments were for
- Travel & lodging$68165%
- Food & beverage$37035%
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 |
|---|---|---|
| Intuitive Surgical | 4 | $681 |
| Stryker | 1 | $168 |
| Organogenesis Inc. | 1 | $103 |
| Bristol Myers Squibb | 3 | $66 |
| Olympus America Inc. | 1 | $18 |
| Johnson & Johnson | 1 | $14 |
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.
- Da Vinci Surgical System$632
- NA$337
- SONOPET IQ$168
- CORE$168
- PuraPly$103
How this compares
$1,051 in reported general payments places this provider in the 45th percentile of 23 plastic surgery within the head & neck providers in Colorado.
See all plastic surgery within the head & neck providers in Colorado →
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.
Other plastic surgery within the head & neck in Denver
- Kelly PettijohnDenver$1K
- Gregory HogleDenver$768
- Phyllis BouvierDenver$401
- David GrindlerDenver$120
- Conrad TirreDenver$89
- Brent SmithCentennial$29K
- Keith LadnerGreenwood Village$26K
- Carissa ThomasAurora$4K
- Jessica BishopHighlands Ranch$4K
- Kevin MeakinColorado Springs$3K
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.