Adam Starr, MD
Orthopaedic Trauma · Dallas, TXNPI 1861454928
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (48.6%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by Smith+Nephew at 57.3% of the total.
Across 218 payments — averaging $510.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$64K
- Osteocentric Technologies, Inc.$23K
- Biocomposites Inc$9K
- Arthrex$8K
- Pylant Medical$2K
- Globus Medical$2K
- plus $4K from 12 others
What the payments were for
- Royalty or licence$6811%
- Consulting fees$54,10249%
- Speaking & faculty fees$32,42529%
- Travel & lodging$12,78011%
- Food & beverage$7,6437%
- Education$3,6853%
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 | 88 | $63,738 |
| Osteocentric Technologies, Inc. | 38 | $22,520 |
| Biocomposites Inc | 5 | $9,107 |
| Arthrex | 17 | $7,981 |
| Pylant Medical | 30 | $2,272 |
| Globus Medical | 9 | $2,158 |
| Stryker | 15 | $1,101 |
| Skeletal Dynamics Inc | 2 | $1,074 |
| Philips North America LLC | 1 | $600 |
| Polynovo North America LLC | 4 | $154 |
| Novastep Inc. | 1 | $148 |
| Galderma Laboratories, L.p. | 1 | $125 |
| Heron Therapeutics, Inc. | 1 | $125 |
| Johnson & Johnson | 2 | $112 |
| Next Science LLC | 1 | $38 |
| Integra Lifesciences Corporation | 1 | $37 |
| US Implant Solutions, LLC | 1 | $17 |
| Aap Implants Inc | 1 | $9 |
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.
- EVOS$91,568
- EVOS MINI$27,613
- TRIGEN InterTAN$26,828
- TRIGEN$15,771
- Taylor Spatial Frame$13,517
- Unifi Technology$11,294
- Stimulan$9,071
- Peri-Loc$7,748
- META TAN$7,367
- CANNULATED SCREWS$7,367
- Conquest FN$7,125
- Jet-X$7,125
- OsteoCentric 4.0 x 130mm LOCKING BONE SCREW FASTENER ST$6,553
- Clavical Fixation (16-186)$1,184
- (9768) Other actvitities$600
- Pelvic Screws$500
- T2$442
- TRIGEN Sureshot$425
- ExcelsiusGPS Robotic Navigation System$404
- Peri-Loc VLP$183
How this compares
$111,316 in reported general payments places this provider in the 80th percentile of 74 orthopaedic trauma 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.
Other orthopaedic trauma in Dallas
- Edgar AraizaDallas$270K
- Ishvinder GrewalDallas$43K
- Niladri BasuDallas$15K
- Justin FriedmanDallas$9K
- David DromskyDallas$8K
- Danny HollandDallas$4K
- Cory CollingeFort Worth$2.8M
- John MunzHouston$1M
- Kyle DicksonHouston$975K
- Timothy AchorHouston$561K
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.