Physician profile
Karl Balch
NPI 1902127525
$2,580.13
in general payments reported to CMS, 2019-2025
16 companies · $404 in 2025
The $404 reported for 2025 was less than what a typical Orthopaedic Surgery provider received nationally (typical 2025 total: $569).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $1,831 · 2022: $198 · 2023: $60.94 · 2024: $86.60 · 2025: $404.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $551.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $551.22 |
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 |
|---|---|---|---|
| Encore Medical, LP | $1,501.84 | 2019 | |
| Stryker Corporation | $641.40 | 2019-2025 | Mako |
| Smith+Nephew, INC. | $68.67 | 2023-2024 | Bone Anchors With Arthroscopic Delivery System, Pico 14, Rf20000 |
| Medical Device Business Services, INC. | $60.24 | 2019 | |
| Sanofi-Aventis U.S. LLC | $40.98 | 2019 | |
| Vertex Pharmaceuticals Incorporated | $37.59 | 2024-2025 | |
| Nalu Medical, INC. | $36.52 | 2025 | Nalu Neurostimulation System |
| Orthosensor INC. | $31.90 | 2019 | |
| Becton, Dickinson and Company | $26.76 | 2024 | Arista Ah Flexitip |
| Depuy Synthes Sales INC. | $24.48 | 2025 | Monovisc |
| Medtronic, INC. | $22.82 | 2025 | Aquamantys(Tm) |
| Heraeus Medical, LLC. | $22.75 | 2022 | |
| Convatec INC. | $20.80 | 2023 | |
| Pacira Pharmaceuticals Incorporated | $17.80 | 2025 | Exparel, Zilretta |
| Avanos Medical | $14.06 | 2023 | On-Q* Pump and Accessories |
Show all 16 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Ferring Pharmaceuticals INC. | $11.52 | 2019 |
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 Karl Balch 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.