---
title: What industry pays physicians in Missouri (CMS Open Payments 2024)
state: Missouri
program_year: 2024
general_payments: 53454361
physicians: 20146
source: CMS — Open Payments (Physician Payments Sunshine Act), program year 2024
sourceId: src:cms:open-payments:py2024
---

# Industry payments to physicians — Missouri (2024)

In Missouri, drug and device makers reported **$53,454,361** in general payments to **20,146** covered recipients (physicians and other clinicians) for program year 2024 (mean $2,653 each), plus $178,624,421 tied to research and $24,419,445 in ownership interests.

**A payment is a disclosed financial tie, not proof of wrongdoing** — many are research grants, consulting fees, or device royalties. Transparency, not a verdict.

## Top specialties

| Specialty | Total | Physicians | Mean per physician |
| --- | --- | --- | --- |
| Orthopaedic Surgery of the Spine | $10,901,537 | 40 | $272,538 |
| Orthopaedic Surgery | $3,098,797 | 351 | $8,828 |
| Adult Reconstructive Orthopaedic Surgery | $2,801,731 | 31 | $90,378 |
| Psychiatry | $2,332,574 | 274 | $8,513 |
| Neurology | $1,885,879 | 240 | $7,858 |
| Gastroenterology | $1,497,957 | 261 | $5,739 |
| Family | $1,463,021 | 2,532 | $578 |
| Interventional Cardiology | $1,293,789 | 165 | $7,841 |
| Pulmonary Disease | $1,101,500 | 205 | $5,373 |
| Surgery | $1,039,181 | 444 | $2,340 |
| Dermatology | $1,012,114 | 208 | $4,866 |
| Family Medicine | $989,083 | 1,243 | $796 |

## Highest-paid physicians (general payments)

| Physician | Specialty | Total | Top payer |
| --- | --- | --- | --- |
| Roger Jackson | Orthopaedic Surgery of the Spine | $10,635,152 | Alphatec Spine, Inc |
| Robert Barrack | Adult Reconstructive Orthopaedic Surgery | $1,728,569 | Stryker Corporation |
| Gregory Mattingley | Psychiatry | $827,012 | Axsome Therapeutics, Inc. |
| Ryan Nunley | Adult Reconstructive Orthopaedic Surgery | $736,703 | Smith+Nephew, Inc. |
| Mazyar Moshiri | Orthodontics and Dentofacial Orthopedics | $692,117 | Align Technology, Inc. |
| Jay Keener | Orthopaedic Surgery | $488,820 | Stryker Corporation |
| John Watson | Orthopaedic Surgery | $448,513 | Smith+Nephew, Inc. |
| Matthew Smith | Orthopaedic Surgery | $400,904 | DePuy Synthes Products, Inc. |
| Scott Luhmann | Pediatric Orthopaedic Surgery | $323,339 | Stryker Corporation |
| Leonid Shunyakov | Medical Oncology | $317,040 | AstraZeneca Pharmaceuticals LP |
| Gregory Sayuk | Gastroenterology | $314,534 | Genzyme Corporation |
| Howard Welgus | Unspecified | $312,272 | Arcutis Biotherapeutics, Inc. |
| Steven Gradney | Sleep Medicine | $297,141 | Avadel CNS Pharmaceuticals, LLC |
| William Rosenfeld | Neurology | $280,490 | SK Life Science, Inc. |
| Jeremy Mccormick | Foot and Ankle Surgery | $268,258 | Stryker Corporation |
| Jody Mcaleer | Foot Surgery | $262,000 | Treace Medical Concepts, Inc. |
| Jeffrey Tillinghast | Allergy & Immunology | $255,569 | Cipla USA Inc. |
| Barry Singer | Neurology | $233,230 | TG THERAPEUTICS, INC. |
| Ahmed Abdelmoity | Neurology with Special Qualifications in Child Neurology | $232,009 | LivaNova USA, Inc. |
| Adam Sky | Psychiatry | $218,592 | Teva Pharmaceuticals USA, Inc. |
| Adam Kilian | Rheumatology | $212,465 | Amgen Inc. |
| Anne Winkler | Rheumatology | $207,556 | AbbVie Inc. |
| Georges Chahoud | Cardiovascular Disease | $206,097 | ABIOMED |
| Elaine Siegfried | Dermatology | $202,286 | Genzyme Corporation |
| Vadim Baram | Psychiatry | $199,722 | Alkermes, Inc. |

RECORDED CMS Open Payments amounts/counts; totals, means, and rankings are DERIVED. A disclosure record — not evidence of improper influence, not a measure of physician quality, not advice. To verify a physician, search openpaymentsdata.cms.gov. Source: https://openpaymentsdata.cms.gov/

Structured data: `/care/open-payments/mo.jsonld` · National: `/care/open-payments`