Adam Smith, DO
General Surgery · Fort Worth, TXNPI 1033109608
Payments from drug & device makers
What this record shows
This record is dominated by education: $56,073 of the $62,184 with a category attached, or 90.2%. Intuitive Surgical accounts for 93.2% of it on its own, with 23 other manufacturers making up the rest. Reporting peaked in 2023 at $22,576 and has fallen 89.8% since, to $2,313 in 2025. Among general surgery clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 116 payments — averaging $536.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$58K
- Reshape Lifesciences Inc.$1K
- Medical Device Business Services, Inc.$1K
- Lucid Diagnostics Inc.$392
- Apollo Endosurgery US Inc$258
- Johnson & Johnson$216
- plus $1K from 18 others
What the payments were for
- Speaking & faculty fees$7001%
- Travel & lodging$1,7353%
- Food & beverage$3,6766%
- Education$56,07390%
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 |
|---|---|---|
| Intuitive Surgical | 44 | $57,937 |
| Reshape Lifesciences Inc. | 7 | $1,200 |
| Medical Device Business Services, Inc. | 3 | $1,047 |
| Lucid Diagnostics Inc. | 5 | $392 |
| Apollo Endosurgery US Inc | 3 | $258 |
| Johnson & Johnson | 6 | $216 |
| Medtronic | 4 | $158 |
| Phathom Pharmaceuticals, Inc. | 7 | $127 |
| Lexington Medical, Inc. | 3 | $111 |
| Intra-sana Laboratories | 4 | $107 |
| Alnylam Pharmaceuticals Inc. | 1 | $107 |
| Baxter Healthcare | 5 | $93 |
| Novo Nordisk | 5 | $85 |
| Abbott | 3 | $67 |
| Covidien LP | 2 | $48 |
| TELA Bio, Inc. | 4 | $45 |
| Currax Pharmaceuticals LLC | 3 | $39 |
| Pacira Pharmaceuticals Incorporated | 1 | $29 |
| AbbVie | 1 | $23 |
| Avanos Medical | 1 | $20 |
| Boston Scientific | 1 | $20 |
| Olympus America Inc. | 1 | $20 |
| Lilly USA, LLC | 1 | $18 |
| Endo Pharmaceuticals Inc. | 1 | $14 |
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.
- DAVINCI XI$35,000
- Da Vinci Surgical System$22,132
- Echelon Flex$1,047
- OverStitch Endoscopic Suturing System$143
- ONPATTRO$107
- ECHELON ENDOPATH$104
How this compares
$62,184 in reported general payments places this provider in the 95th percentile of 61 general surgery providers in Texas.
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 |
|---|---|---|
| Omeprazole | 12 | $111 |
| Ondansetron OdtOndansetron | 19 | $104 |
| Pantoprazole Sodium | 19 | $72 |
| Promethazine Hcl | 13 | $38 |
Paid to pharmacies, not to this prescriber.
Other general surgery in Fort Worth
- Omar BarakatHouston$145K
- Aaron BranskyPlano$32K
- Michael DarnellFt Worth$18K
- Jay StaufferFredericksburg$17K
- Younan NowzaradanHouston$13K
- Dean KocayAustin$10K
- Rusty MilhoanArlington$9K
- Frank DuperierSan Antonio$8K
- David SynLubbock$8K
- Dana ReissSan Antonio$7K
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.