Adam Brekke, MD
Adult Reconstructive Orthopaedic Surgery · Durham, NCNPI 1366862666
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (30.0%), consulting fees and speaking fees — rather than concentrated in one kind of arrangement. Smith+Nephew accounts for 91.2% of it on its own, with 16 other manufacturers making up the rest. 2025 is the largest year on record at $29,908, 2.0 times the $14,747 reported in 2019.
Across 160 payments — averaging $534.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$78K
- Heraeus Medical, LLC.$4K
- Zimmer Biomet$1K
- Stryker$957
- Johnson & Johnson$368
- Total Joint Orthopedics, Inc.$249
- plus $666 from 11 others
What the payments were for
- Consulting fees$24,73429%
- Speaking & faculty fees$16,25619%
- Travel & lodging$11,10913%
- Food & beverage$7,7569%
- Education$25,66730%
- Entertainment$400%
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 |
|---|---|---|
| Smith+Nephew | 71 | $78,023 |
| Heraeus Medical, LLC. | 19 | $4,236 |
| Zimmer Biomet | 13 | $1,063 |
| Stryker | 24 | $957 |
| Johnson & Johnson | 10 | $368 |
| Total Joint Orthopedics, Inc. | 3 | $249 |
| Encore Medical, LP | 4 | $239 |
| Conmed Corporation | 2 | $97 |
| Ferring Pharmaceuticals Inc. | 5 | $82 |
| Dynasplint Systems Inc. | 1 | $58 |
| Heron Therapeutics, Inc. | 2 | $55 |
| Pacira Pharmaceuticals Incorporated | 1 | $36 |
| Vertex | 1 | $35 |
| Boston Scientific | 1 | $20 |
| Solventum Corporation | 1 | $19 |
| Bioventus LLC | 1 | $14 |
| Onkos Surgical, Inc. | 1 | $11 |
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.
- Journey II$42,899
- REAL INTELLIGENCE$36,775
- K-15 PORK$16,471
- Tandem$10,600
- OR3O Dual Mobility$10,584
- POLARSTEM$8,977
- POLARCUP$8,553
- Engage Partial Knee System$7,703
- REDAPT$7,703
- Legion$7,416
- PALACOS$3,723
- RI.HIP NAVIGATION$3,697
- JOURNEY$2,842
- Anthology$1,504
- PICO$1,392
- Legion Revision$1,165
- REDAPT Revision Hip System$803
- HIP7$455
- Journey II XR$424
- Persona$372
How this compares
Too few adult reconstructive orthopaedic surgery providers in North Carolinato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Celecoxib | 22 | $732 |
| Meloxicam | 129 | $400 |
| Amoxicillin | 16 | $32 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Durham
- Thorsten SeylerDurham$2.2M
- Andrew SchwartzDurham$75K
- David PollockBermuda Run$4.8M
- John ShieldsWinston Salem$78K
- Jason NorcrossHickory$55K
- Eric DilboneMorrisville$28K
- Walter FruehWilmington$26K
- David CaseyPinehurst$20K
- Charles LongHendersonville$18K
- Bernard KemkerRocky Mount$13K
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.