Thomas Berkbigler, DO
Orthopaedic Surgery · Farmington, MONPI 1295983567
Payments from drug & device makers
Across 119 payments — averaging $256.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sonex Health, Inc.$25K
- Medacta USA, Inc.$2K
- Arthrex$1K
- Zimmer Biomet$517
- Amgen$246
- Elite Orthopedics, LLC$211
- plus $1K from 19 others
What the payments were for
- Travel & lodging$2,84141%
- Food & beverage$3,07545%
- Education$99014%
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 |
|---|---|---|
| Sonex Health, Inc. | 18 | $25,143 |
| Medacta USA, Inc. | 14 | $2,230 |
| Arthrex | 3 | $1,018 |
| Zimmer Biomet | 16 | $517 |
| Amgen | 13 | $246 |
| Elite Orthopedics, LLC | 7 | $211 |
| Pacira Therapeutics, Inc. | 12 | $178 |
| Stryker | 2 | $149 |
| Johnson & Johnson | 5 | $145 |
| FX Shoulder Solutions, Inc | 3 | $139 |
| Pacira Pharmaceuticals Incorporated | 6 | $134 |
| Endo Pharmaceuticals Inc. | 6 | $98 |
| Acera Surgical, Inc. | 1 | $84 |
| Bioventus LLC | 2 | $39 |
| Axogen | 1 | $27 |
| Abbott | 1 | $22 |
| Polarityte, Inc. | 1 | $18 |
| Avanir Pharmaceuticals, Inc. | 1 | $16 |
| Zyla Life Sciences, Inc. | 1 | $15 |
| Convatec Inc. | 1 | $13 |
| Baudax Bio Inc. | 1 | $13 |
| Kowa Pharmaceuticals America, Inc. | 1 | $13 |
| Avanos Medical | 1 | $13 |
| AbbVie | 1 | $13 |
| Smith+Nephew | 1 | $12 |
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.
- ULTRAGUIDECTR$1,148
- ULTRAGUIDETFR$1,148
- AMIStem H Femoral Stems$849
- GMK SPHERE$615
- GMK Sphere Revision System$440
- Persona$149
- OSS Orthopedic Salvage System$149
- mymobility Platform$149
- TRIATHLON$132
- INSIGNIA$132
- MAKO$132
How this compares
$30,506 in reported general payments places this provider in the 80th percentile of 455 orthopaedic 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 | 63 | $889 |
| Oxycodone Hcl | 91 | $368 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 68 | $236 |
| Ondansetron OdtOndansetron | 13 | $124 |
| Ibuprofen | 13 | $76 |
| Gabapentin | 18 | $48 |
| Tramadol Hcl | 14 | $35 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Farmington
- Matthew SmithColumbia$4M
- Jay KeenerSaint Louis$2.2M
- John WatsonSaint Louis$1.7M
- Alexandra StrongN Kansas City$1.1M
- Thomas McCormackKansas City$852K
- Michael SnyderJefferson City$676K
- Peter ChalmersSaint Louis$674K
- Paul FrewinSullivan$630K
- Katherine BurnsBridgeton$491K
- Jeremy StattonLees Summit$457K
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.