Scott Langford, MD
Surgery of the Hand · Lees Summit, MONPI 1639192123
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.0% of the total across 14 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 8 manufacturers reported payments, led by Stryker at 29.7% of the total. Reporting peaked in 2024 at $402 and has fallen 59.4% since, to $163 in 2025. That places this record below the midpoint for surgery of the hand clinicians in MO, where the typical reported total is $3,224.
Across 14 payments — averaging $94.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$391
- Axogen$276
- Skeletal Dynamics Inc$234
- Acumed LLC$144
- Endo Pharmaceuticals Inc.$122
- In2bones USA, LLC$106
- plus $44 from 2 others
What the payments were for
- Food & beverage$1,30499%
- Education$131%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Stryker | 4 | $391 |
| Axogen | 3 | $276 |
| Skeletal Dynamics Inc | 2 | $234 |
| Acumed LLC | 1 | $144 |
| Endo Pharmaceuticals Inc. | 1 | $122 |
| In2bones USA, LLC | 1 | $106 |
| Pacira Pharmaceuticals Incorporated | 1 | $24 |
| Vertex | 1 | $19 |
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.
- VARIAX$378
- AVANCE NERVE GRAFT$249
- Geminus$234
- Align$234
- IJS$234
- Implate$234
- ACUMED$144
- InFrame Implant$144
- NanoPhix Implant$144
- AxoGuard Nerve Connector$125
- AxoGuard Nerve Protector$125
- AXOGUARD HA+ NERVE PROTECTOR$125
- AxoGuard Nerve Cap$125
- XIAFLEX$122
- NeoSpan$106
- IBS$106
- CoLag$106
How this compares
$1,317 in reported general payments places this provider in the 20th percentile of 30 surgery of the hand 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 | 159 | $557 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 26 | $84 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Lees Summit
- Jason StrelzowSaint Louis$161K
- Charles GoldfarbSaint Louis$121K
- Christopher DySaint Louis$106K
- Jaimie ShoresChesterfield$61K
- Julia NuelleColumbia$60K
- David BroganSaint Louis$55K
- Sarah RidenourSaint Louis$34K
- Vikas DhawanSaint Louis$16K
- Marie MorrisSaint Louis$15K
- Nicholas RobbinsSaint Louis$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.