Terence Myckatyn, MD
Plastic and Reconstructive Surgery · Saint Louis, MONPI 1598781718
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $258,847 of the $399,168 with a category attached, or 64.8%. RTI Surgical, Inc accounts for 91.1% of it on its own, with 14 other manufacturers making up the rest. Reporting peaked in 2021 at $233,321 and has fallen 88.6% since, to $26,531 in 2025. Among plastic and reconstructive surgery clinicians in MO 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 98 payments — averaging $4073.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- RTI Surgical, Inc$364K
- Surgalign Spine Technologies, Inc.$32K
- AbbVie$2K
- Acera Surgical, Inc.$430
- Sientra, Inc.$387
- Mentor Worldwide LLC$214
- plus $760 from 9 others
Across 11 payments — averaging $17,529 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.
- Surgalign Spine Technologies, Inc.$131K
- AbbVie$62K
What the payments were for
- Royalty or licence$135,75434%
- Consulting fees$258,84765%
- Travel & lodging$1,2310%
- Food & beverage$3,3361%
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 |
|---|---|---|
| RTI Surgical, Inc | 40 | $363,507 |
| Surgalign Spine Technologies, Inc. | 11 | $31,847 |
| AbbVie(2 entities) | 21 | $2,024 |
| Acera Surgical, Inc. | 4 | $430 |
| Sientra, Inc. | 7 | $387 |
| Mentor Worldwide LLC | 4 | $214 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $162 |
| Stryker | 1 | $120 |
| W. L. Gore & Associates, Inc. | 1 | $106 |
| Axogen | 1 | $94 |
| BD | 1 | $87 |
| Revance Therapeutics, Inc. | 3 | $83 |
| KCI USA, Inc. | 1 | $67 |
| Integra Lifesciences Corporation | 1 | $26 |
| TELA Bio, Inc. | 1 | $13 |
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.
- CORTIVA TAILORED ALLOGRAFT DERMIS$189,865
- CORTIVA ALLOGRAFT DERMIS$117,622
- FORTIVA PORCINE DERMIS$86,175
- ALLOGRAFT$1,501
- BOTOX COSMETIC$1,125
- Restrata Wound Matrix$263
- NATRELLE$227
- SIENTRA HIGH STRENGTH COHESIVE SILICONE GEL BREAST IMPLANT$158
- NATRELLE SALINE-FILLED BREAST IMPLANTS$147
- SPY-PHI SYSTEM$120
- GORE ENFORM Preperitoneal Biomaterial$106
How this compares
$399,168 in reported general payments places this provider in the 95th percentile of 61 plastic and reconstructive surgery providers in Missouri.
See all plastic and reconstructive surgery 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 |
|---|---|---|
| Celecoxib | 26 | $388 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 26 | $150 |
| Pregabalin | 25 | $123 |
| Cyclobenzaprine Hcl | 21 | $82 |
| Tizanidine Hcl | 11 | $36 |
| Ondansetron OdtOndansetron | 22 | $26 |
Paid to pharmacies, not to this prescriber.
Other plastic and reconstructive surgery in Saint Louis
- David CaplinSaint Louis$81K
- Patricia McGuireSaint Louis$66K
- Mitchell PetSaint Louis$42K
- Kamlesh PatelSaint Louis$41K
- John HoldsSaint Louis$40K
- Marissa Morningstar TenenbaumSaint Louis$28K
- Charles NathanSaint Louis$19K
- Brock RidenourSaint Louis$9K
- Milind KachareSaint Louis$6K
- Amanda BrownSaint Louis$5K
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.