Tathyana Fensterer, MD
Plastic and Reconstructive Surgery · Louisville, KYNPI 1225337934
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (51.7%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. 31 manufacturers reported payments, led by AbbVie at 59.9% of the total. 2025 is the largest year on record at $5,198, 4.5 times the $1,144 reported in 2019. Among plastic and reconstructive surgery clinicians in KY with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 247 payments — averaging $77.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$11K
- RTI Surgical, Inc$1K
- Medtronic$940
- Integra Lifesciences Corporation$916
- Stryker$899
- Sientra, Inc.$513
- plus $3K from 25 others
What the payments were for
- Consulting fees$1,6809%
- Travel & lodging$7,50439%
- Food & beverage$9,84252%
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 |
|---|---|---|
| AbbVie(2 entities) | 98 | $11,394 |
| RTI Surgical, Inc | 22 | $1,456 |
| Medtronic(2 entities) | 7 | $940 |
| Integra Lifesciences Corporation | 23 | $916 |
| Stryker | 5 | $899 |
| Sientra, Inc. | 26 | $513 |
| Aroa Biosurgery Incorporated | 5 | $443 |
| Musculoskeletal Transplant Foundation Inc. | 7 | $407 |
| Kls-martin L.p. | 8 | $383 |
| Smith+Nephew | 9 | $321 |
| Davol Inc. | 4 | $257 |
| Pacira Pharmaceuticals Incorporated | 5 | $255 |
| Baxter Healthcare | 3 | $245 |
| Kerecis Limited | 2 | $87 |
| Lifenet Health | 1 | $84 |
| Urgo Medical North America, LLC | 1 | $54 |
| Galderma Laboratories, L.p. | 4 | $52 |
| Vertex | 2 | $34 |
| Organogenesis Inc. | 2 | $33 |
| Baudax Bio Inc. | 2 | $30 |
| Merz North America, Inc. | 1 | $25 |
| Polynovo North America LLC | 1 | $24 |
| TEI Biosciences Inc | 1 | $23 |
| Convatec Inc. | 1 | $23 |
| Mentor Worldwide LLC | 1 | $21 |
| Biotissue Holdings Inc. | 1 | $20 |
| TELA Bio, Inc. | 1 | $20 |
| Axogen | 1 | $18 |
| Acelrx Pharmaceuticals, Inc. | 1 | $18 |
| Acacia Pharma Inc | 1 | $17 |
| Tepha Inc | 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.
- NATRELLE SALINE-FILLED BREAST IMPLANTS$12,323
- STRATTICE RECONSTRUCTIVE TISSUE MATRIX BPS$3,543
- REVOLVE$3,267
- CORTIVA ALLOGRAFT DERMIS$1,112
- FUSION$870
- SPY-PHI SYSTEM$676
- INTEGRA$496
- ALLODERM$277
- SURGIMEND$240
- TISSEEL$229
- INTEGRA DERMAL REGENERATION TEMPLATE$165
- PRIMATRIX$165
- Phasix Mesh$127
- NATRELLE$122
- EXPAREL$116
- NA$112
- SIENTRA HIGH STRENGTH COHESIVE SILICONE GEL BREAST IMPLANT$102
- PICO$102
- RENASYS TOUCH$102
How this compares
$19,026 in reported general payments places this provider in the 90th percentile of 43 plastic and reconstructive surgery providers in Kentucky.
See all plastic and reconstructive surgery providers in Kentucky →
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 |
|---|---|---|
| Ondansetron Hcl | 51 | $321 |
| Cephalexin | 47 | $171 |
| Gabapentin | 48 | $111 |
| Naproxen | 45 | $46 |
Paid to pharmacies, not to this prescriber.
Other plastic and reconstructive surgery in Louisville
- Brian ThorntonLouisville$1.1M
- Mark CharikerLouisville$48K
- Joseph BanisLouisville$15K
- Angela PrescottLouisville$7K
- Terry McCurryLouisville$6K
- Thomas OdanielLouisville$5K
- Bradon WilhelmiLouisville$5K
- Joshua SpiegelLouisville$4K
- Dexter WeeksLouisville$3K
- Alexander DigenisLouisville$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.