Alexander Ching, MD
Orthopaedic Surgery · Tualatin, ORNPI 1932263845
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (43.7%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 19 manufacturers reported payments, led by Globus Medical at 57.6% of the total. Reporting peaked in 2019 at $30,482 and has fallen 96.6% since, to $1,037 in 2025. Among orthopaedic surgery clinicians in OR with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 123 payments — averaging $355.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$25K
- Medical Device Business Services, Inc.$10K
- Aesculap, Inc.$3K
- Providence Medical Technology, Inc.$2K
- Abbott$978
- Johnson & Johnson$925
- plus $2K from 13 others
What the payments were for
- Consulting fees$11,46626%
- Speaking & faculty fees$19,12544%
- Travel & lodging$6,56515%
- Food & beverage$3,7719%
- Education$2521%
- Gifts$2,6016%
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 |
|---|---|---|
| Globus Medical(2 entities) | 33 | $25,207 |
| Medical Device Business Services, Inc. | 15 | $10,375 |
| Aesculap, Inc. | 2 | $2,601 |
| Providence Medical Technology, Inc. | 36 | $1,589 |
| Abbott | 10 | $978 |
| Johnson & Johnson(2 entities) | 3 | $925 |
| Alphatec Spine, Inc | 3 | $677 |
| Depuy Synthes Products, Inc. | 1 | $524 |
| Zimvie Inc. | 1 | $252 |
| Centinel Spine, LLC | 2 | $199 |
| MML US, Inc. | 5 | $160 |
| Surgalign Spine Technologies, Inc. | 3 | $74 |
| Prosidyan, Inc | 1 | $54 |
| Vertex | 2 | $50 |
| Medtronic | 2 | $41 |
| Arteriocyte Medical Systems, Inc. | 1 | $32 |
| Biotronik NRO, Inc. | 1 | $22 |
| Pacira Pharmaceuticals Incorporated | 1 | $14 |
| Augmedics Inc. | 1 | $6 |
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.
- CREO MIS$10,263
- CREO$10,135
- VIPER$8,188
- EXPEDIUM$4,746
- CONDUIT$3,510
- BRAINLAB$2,925
- ALIF$2,400
- XLIF$2,400
- SYNAPSE$1,236
- ExcelsiusGPS Robotic Navigation System$1,102
- Teligen$661
- Other - Miscellaneous$652
- PROCLAIM$586
- Spine & Trauma 3D Navigation$585
- Pulse$445
- PENTA$257
- Biomet SpinalPak Non-invasive Spine Fusion Stimulator System$252
- Spine$186
- PRODISC L$150
- Excelsius Deformity$123
How this compares
$43,779 in reported general payments places this provider in the 90th percentile of 228 orthopaedic surgery providers in Oregon.
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 |
|---|---|---|
| Methocarbamol | 71 | $1,246 |
| Oxycodone Hcl | 60 | $1,124 |
| Tramadol Hcl | 56 | $406 |
| Baclofen | 24 | $238 |
| Gabapentin | 18 | $186 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Tualatin
- Joseph SchenckTualatin$18K
- Patrick DenardMedford$11.5M
- James BallardOregon City$2.4M
- Steven MadeyLake Oswego$1.2M
- Daniel FitzpatrickEugene$481K
- Michelle WelbornPortland$364K
- Elizabeth LiebermanPortland$353K
- Jonathan SalesPortland$303K
- James HaydenPortland$264K
- Paul DuweliusPortland$144K
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.