Tal David, MD
Sports Medicine · San Diego, CANPI 1629092473
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $340,485 of the $478,515 with a category attached, or 71.2%. Arthrex accounts for 96.6% of it on its own, with 33 other manufacturers making up the rest. 2025 is the largest year on record at $212,765, 7.5 times the $28,438 reported in 2019. Among sports medicine clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 542 payments — averaging $882.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$462K
- DJO, LLC$6K
- Johnson & Johnson$3K
- Impactortho, Inc.$2K
- Elevate Surgical Co$2K
- Sportstek Medical, Inc$678
- plus $3K from 28 others
Across 2 payments — averaging $27,262 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.
- Arthrex$55K
What the payments were for
- Royalty or licence$3210%
- Consulting fees$91,85519%
- Speaking & faculty fees$340,48571%
- Travel & lodging$27,4866%
- Food & beverage$13,7593%
- Education$1,5700%
- Other$3,0401%
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 |
|---|---|---|
| Arthrex | 402 | $462,154 |
| DJO, LLC | 6 | $5,693 |
| Johnson & Johnson(3 entities) | 11 | $3,251 |
| Impactortho, Inc. | 10 | $1,927 |
| Elevate Surgical Co | 22 | $1,540 |
| Sportstek Medical, Inc | 6 | $678 |
| Stryker | 7 | $396 |
| Smith+Nephew | 10 | $337 |
| BREG, Inc | 1 | $251 |
| Pacira Therapeutics, Inc. | 9 | $205 |
| Vericel Corporation | 4 | $188 |
| Zimmer Biomet | 3 | $186 |
| Acumed LLC | 3 | $184 |
| Amgen | 10 | $159 |
| Miach Orthopaedics, Inc. | 1 | $158 |
| Pacira Pharmaceuticals Incorporated | 2 | $143 |
| Nevro Corp. | 1 | $118 |
| Boston Scientific | 1 | $116 |
| Bioventus LLC | 6 | $103 |
| Shoulder Innovations, Inc. | 1 | $101 |
| ERMI LLC | 4 | $92 |
| Molnlycke Health Care US, LLC | 1 | $75 |
| Zyla Life Sciences, Inc. | 5 | $74 |
| Integra Lifesciences Corporation | 2 | $67 |
| Conformis, Inc. | 1 | $55 |
| OPUM Technologies | 2 | $49 |
| Biotissue Holdings Inc. | 2 | $47 |
| Baudax Bio Inc. | 2 | $31 |
| Globus Medical | 1 | $28 |
| Heraeus Medical, LLC. | 2 | $24 |
| Medartis Inc. | 1 | $24 |
| Si-bone, Inc. | 1 | $22 |
| Sientra, Inc. | 1 | $21 |
| Merck | 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.
- Breg$251
- Samples Biologics$149
- INSPACE$146
- ACUMED$144
- EXPAREL$122
- Omnia$118
- GENERAL - THERAPIES$116
- MACI$105
- InSet System$101
How this compares
$478,515 in reported general payments places this provider in the 95th percentile of 662 sports medicine providers in California.
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 |
|---|---|---|
| Diclofenac Sodium | 16 | $3,410 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 24 | $227 |
| Ondansetron Hcl | 20 | $126 |
| Methylprednisolone | 18 | $109 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in San Diego
- Okechukwu AnakwenzeSan Diego$304K
- Michelle LookSan Diego$206K
- Neal ElattracheLos Angeles$51M
- Nathaniel CohenLos Gatos$6.4M
- Thomas KnappSanta Monica$2.5M
- Michael FreehillStanford$1.6M
- Allan MishraMenlo Park$1.5M
- Heinz Hoeneckela Jolla$1.4M
- Seth ShermanStanford$1.1M
- Stephan YacoubianBurbank$1M
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.