Physician profile
Ryan J Koehler
NPI 1609295369
$14,880.54
in general payments reported to CMS, 2019-2025
8 companies · $1,911 in 2025
The $1,911 reported for 2025 was more than what 81% of Pediatric Orthopaedic Surgery providers received nationally (typical 2025 total: $271).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2020: $6,495 · 2021: $4,578 · 2022: $1,200 · 2023: $638 · 2024: $58.98 · 2025: $1,911.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Travel and Lodging: $1,951 · Food and Beverage: $656.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Travel and Lodging | $1,951.22 |
| Food and Beverage | $656.45 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Smith+Nephew, INC. | $6,542.61 | 2020-2023 | Ultrabutton, Acufex |
| Conetic Solutions, INC. | $5,644.02 | 2020-2022 | |
| Miach Orthopaedics, INC. | $1,809.44 | 2025 | |
| Titan Surgical Group, LLC | $502.15 | 2023-2025 | |
| Arthrex, INC. | $220.40 | 2023 | |
| Medtronic USA, INC. | $63.16 | 2020 | |
| Stryker Corporation | $60.82 | 2025 | Iconix |
| Vericel Corporation | $37.94 | 2021 |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Ryan Koehler listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.