Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Robert Sigmund

Orthopaedic Surgery Saint Louis, MO Medical Doctor

NPI 1447201991 CMS profile 156201

12639 Old Tesson Rd, Suite115, Saint Louis, MO 63128

Open in the dashboard

General payments

$6,095

53 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Robert Sigmund of Saint Louis, MO is reported in the CMS Open Payments database as having received $6,095 across 53 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 60th percentile of Orthopaedic Surgery profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $315 3
2024 General $202 5
2023 General $78 1
2022 General $176 3
2021 General $4,240 23
2020 General $782 6
2019 General $303 12

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Robert Sigmund
  • Orthopaedic Surgery median
  • Middle half of Orthopaedic Surgery
  • National median

In program year 2025, general payments to Robert Sigmund were reported at $315. Among 15,343 Orthopaedic Surgery profiles paid that year, the median was $563 and the middle half received between $147 and $2,717.

Show as a table
Year Robert Sigmund Orthopaedic Surgery median Middle half National median
2019 $303 $644 $140–$2,844 $163
2020 $782 $312 $75–$1,860 $114
2021 $4,240 $520 $117–$2,495 $132
2022 $176 $598 $128–$2,731 $149
2023 $78 $461 $128–$2,264 $160
2024 $202 $497 $134–$2,475 $164
2025 $315 $563 $147–$2,717 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Elite Orthopedics, LLC $3,041 15 payments
  2. Arthrex, Inc. $1,893 12 payments
  3. MicroPort Orthopedics Inc $644 5 payments
  4. Orthalign Inc $121 1 payment
  5. Zimmer Biomet Holdings, Inc. $78 1 payment
  6. DePuy Synthes Sales Inc. $57 4 payments
  7. Otsuka America Pharmaceutical, Inc. $49 3 payments
  8. Fresenius USA Marketing, Inc. $47 3 payments
  9. Horizon Therapeutics plc $37 3 payments
  10. Davol Inc. $27 1 payment
  11. Other $101 5 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Education $3,013 3 payments
  2. Food and Beverage $1,843 47 payments
  3. Travel and Lodging $1,239 3 payments
Products named General payments · program years 2019–2025
  1. MPO Hip System Orthopedic Product $245 2 payments
  2. MPO Medial Pivot Knee $135 1 payment
  3. MPO Hip System Hip Arthroplasty $131 1 payment
  4. ORTHALIGN PLUS $121 1 payment
  5. ROSA $78 1 payment
  6. JYNARQUE $49 3 payments
  7. MONOVISC $45 3 payments
  8. ARISTA AH FLEXITIP $27 1 payment
  9. VIMOVO Vimovo $26 2 payments
  10. VIMOVO Vimovo $26 2 payments
  11. Other $230 13 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 14 drugs

Part D claims

1,305

Median for Orthopedic Surgery: 203

Drug cost

$5,306

Median for Orthopedic Surgery: $1,433

Branded share of claims

28.3%

Median for Orthopedic Surgery: 11.6%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen Brand 274 $2,409
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen Brand 82 $839
Amoxicillin Generic 495 $482
Meloxicam Generic 154 $337
Cyclobenzaprine Hcl Generic 42 $244
Ondansetron Odt Ondansetron Brand 13 $217
Methocarbamol Generic 48 $205
Methylprednisolone Generic 28 $202
Gabapentin Generic 26 $128
Clindamycin Hcl Generic 77 $95

The 10 drugs with the highest cost, of 14 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 18,934 Part D prescribers listed as Orthopedic Surgery; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 52 billing codes

Paid by Medicare

$200,167

Of which drugs: $13,004

Medicare patients

446

Average age 74

Services billed

3,200

280 women, 166 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
Arthritis 75%
High blood pressure 72%
Ischemic heart disease 28%
Depression 26%
Diabetes 25%
Chronic kidney disease 22%
Atrial fibrillation 19%
Osteoporosis 18%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702 Office 153 802 $4,227
Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg J7331 Office 15 360 $2,977
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301 Office 14 60 $50

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Records

53 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Orthopaedic Surgery in Missouri

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

How to dispute or correct a record