William Kesto, MD
Sports Medicine · Novi, MINPI 1609006279
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $37,367 of the $61,910 with a category attached, or 60.4%. Exactech, Inc. accounts for 76.7% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2022 at $18,736 and has fallen 57.7% since, to $7,931 in 2025. Among sports medicine clinicians in MI 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 203 payments — averaging $304.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Exactech, Inc.$47K
- Pinnacle, Inc$4K
- Arthrex$4K
- Encore Medical, LP$3K
- Stryker$2K
- Johnson & Johnson$185
- plus $984 from 12 others
Across 1 payment — averaging $3375.00 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.
- Exactech, Inc.$3K
Across 6 payments — averaging $1891.55 each. An ownership or investment interest held by the physician or an immediate family member.
- Catalyst Orthoscience$11K
What the payments were for
- Consulting fees$37,36760%
- Travel & lodging$11,63719%
- Food & beverage$9,86916%
- Education$3,0385%
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 |
|---|---|---|
| Exactech, Inc. | 45 | $47,479 |
| Pinnacle, Inc | 43 | $4,389 |
| Arthrex | 41 | $4,233 |
| Encore Medical, LP | 18 | $2,738 |
| Stryker | 35 | $1,902 |
| Johnson & Johnson | 3 | $185 |
| Smith+Nephew | 3 | $181 |
| Aroa Biosurgery Incorporated | 2 | $173 |
| Miach Orthopaedics, Inc. | 1 | $171 |
| Catalyst Orthoscience | 2 | $129 |
| Zimmer Biomet | 1 | $94 |
| Shoulder Innovations, Inc. | 1 | $70 |
| Linvatec Corporation | 2 | $40 |
| Next Science LLC | 2 | $38 |
| Caerus Corp. | 1 | $37 |
| Convatec Inc. | 1 | $19 |
| Boston Scientific | 1 | $18 |
| Vericel Corporation | 1 | $15 |
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.
- EQUINOXE$47,010
- DJO SURGICAL$1,922
- DJO Surgical AltiVate Anatomic System$1,015
- DJO Surgical AltiVate Reverse$697
- DJO Surgical Match Point System$697
- REUNION$266
- MAKO$258
- PANGEA$175
- GRAVITY SYNCHFIX$175
- TRIATHLON$157
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$144
- PICO7$143
- Renasys$143
- ACCOLADE$142
- EXETER$142
- AXSOS$140
- Catalyst Total CSR$108
- IM NAILS$106
How this compares
$61,910 in reported general payments places this provider in the 95th percentile of 145 sports medicine providers in Michigan.
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 |
|---|---|---|
| Ibuprofen | 32 | $240 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 16 | $155 |
| Naproxen | 21 | $106 |
| Tramadol Hcl | 35 | $90 |
| Celecoxib | 11 | $70 |
| Methocarbamol | 13 | $59 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $52 |
| Amoxicillin | 28 | $34 |
| Clindamycin Hcl | 17 | $23 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Novi
- Nicholas MooreNovi$11K
- Steven KarageanesNovi$6K
- Tariq AwanFarmington Hills$113K
- Michael YusafAuburn Hills$101K
- Jack PinneyMidland$67K
- Kendall HamiltonGrand Rapids$61K
- Carl WierksGrand Rapids$59K
- Manuel SchubertYpsilanti$42K
- Hussein SaadDearborn$40K
- Vasilios MoutzourosDetroit$40K
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.