Thomas Fischer
Orthopaedic Surgery · Indianapolis, INNPI 1528077229
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (39.5%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. Synthes GmbH accounts for 77.9% of it on its own, with 18 other manufacturers making up the rest. Reporting peaked in 2021 at $42,069 and has fallen 98.8% since, to $504 in 2025. Among orthopaedic surgery clinicians in IN 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 178 payments — averaging $656.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Synthes GmbH$91K
- Medical Device Business Services, Inc.$21K
- Synthes USA Products LLC$1K
- Integra Lifesciences Corporation$544
- Johnson & Johnson$493
- Axogen$392
- plus $2K from 13 others
What the payments were for
- Consulting fees$20,20817%
- Speaking & faculty fees$46,15140%
- Travel & lodging$46,13239%
- Food & beverage$4,3424%
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 |
|---|---|---|
| Synthes GmbH | 111 | $91,020 |
| Medical Device Business Services, Inc. | 12 | $20,642 |
| Synthes USA Products LLC | 11 | $1,377 |
| Integra Lifesciences Corporation | 6 | $544 |
| Johnson & Johnson | 7 | $493 |
| Axogen | 3 | $392 |
| Trice Medical, Inc. | 2 | $372 |
| Zimmer Biomet | 3 | $353 |
| Medartis Inc. | 3 | $288 |
| Medacta USA, Inc. | 2 | $261 |
| Acumed LLC | 5 | $260 |
| Smith+Nephew | 2 | $214 |
| Crossroads Orthopedics, LLC | 3 | $171 |
| DJO, LLC | 3 | $138 |
| Stryker | 1 | $114 |
| Checkpoint Surgical, Inc | 1 | $97 |
| Access Pro Medical, LLC | 1 | $57 |
| Encore Medical, LP | 1 | $25 |
| Hologic Sales And Service, LLC | 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.
- VA-LCP$11,541
- VA-LCP PLATES & SCREWS$10,200
- NA$354
- PRIMARY SHOULDER$261
- INTEGRA WOUND MATRIX (IWM)$255
- APTUS$214
- Persona$144
- BILAYER WOUND MATRIX (BWM)$133
- AMNIOEXCEL$133
- IDRT$133
- FLOWABLE$133
- NUGRIP CMC IMPLANT SYSTEM$128
- Ascension$128
- Hat-Trick$128
- AETOS Shoulder System$128
- INTEGRA$128
- INTEGRA MESHED BILAYER WOUND MATRIX$122
- PRIMATRIX$122
- INTEGRA DERMAL REGENERATION TEMPLATE$122
- INTEGRA FLOWABLE WOUND MATRIX$122
How this compares
$116,832 in reported general payments places this provider in the 90th percentile of 400 orthopaedic surgery providers in Indiana.
Other orthopaedic surgery in Indianapolis
- David FisherIndianapolis$5.9M
- Michael BerendIndianapolis$4M
- Sanford KunkelIndianapolis$1.9M
- Hill HastingsIndianapolis$1.6M
- Michael CrossIndianapolis$870K
- Brian MullisIndianapolis$632K
- Dean MaarIndianapolis$589K
- Russell SwannIndianapolis$135K
- Wesley LackeyIndianapolis$115K
- Mark DillonIndianapolis$98K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.