Stephen Smith, MD
Pain Medicine · Chesterfield, MONPI 1811988942
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 15 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 8 manufacturers, the largest accounting for just 23.6% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $148 and has fallen 89.5% since, to $15 in 2024. That places this record below the midpoint for pain medicine clinicians in MO, where the typical reported total is $2,454.
Across 15 payments — averaging $14.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nevro Corp.$51
- Medtronic$47
- Abbott$28
- Radius Health, Inc.$28
- Sun Pharmaceutical Industries Inc.$21
- Scilex Pharmaceuticals Inc.$17
- plus $26 from 2 others
Across 4 payments — averaging $1274.25 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.
- Boston Scientific$5K
What the payments were for
- Food & beverage$218100%
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 |
|---|---|---|
| Nevro Corp. | 3 | $51 |
| Medtronic | 4 | $47 |
| Abbott | 2 | $28 |
| Radius Health, Inc. | 2 | $28 |
| Sun Pharmaceutical Industries Inc. | 1 | $21 |
| Scilex Pharmaceuticals Inc. | 1 | $17 |
| Arbor Pharmaceuticals, Inc. | 1 | $14 |
| Boston Scientific | 1 | $12 |
How this compares
$218 in reported general payments places this provider in the 15th percentile of 124 pain medicine 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 | 215 | $3,106 |
| Gabapentin | 237 | $2,841 |
| Pregabalin | 70 | $1,847 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 58 | $1,270 |
| Tramadol Hcl | 194 | $1,022 |
| Oxycodone Hcl | 13 | $150 |
| Methylprednisolone | 27 | $136 |
| Metoclopramide Hcl | 127 | $97 |
| Cyclobenzaprine Hcl | 14 | $67 |
| Omeprazole | 50 | $63 |
| Cephalexin | 11 | $54 |
| Meloxicam | 12 | $30 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Chesterfield
- Anne ChristopherChesterfield$104K
- Christopher ReisCape Girardeau$113K
- Tyler ConcannonKansas City$64K
- Vinicius Tieppo FrancioSaint Louis$35K
- Luvell GlantonHannibal$33K
- Jooyoung MaengSaint Louis$25K
- Travis FoxxLiberty$23K
- Nabil AhmadSaint Louis$21K
- Chad SheltonSaint Peters$18K
- Katharine GurbaSaint Louis$18K
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.