Brayton Shirley, MD
Orthopaedic Surgery · Greer, SCNPI 1205890555
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $2,450 of the $3,696 with a category attached, or 66.3%. Conformis, Inc. accounts for 67.4% of it on its own, with 4 other manufacturers making up the rest. Reporting peaked in 2019 at $2,613 and has fallen 97.5% since, to $65 in 2025.
Across 28 payments — averaging $132.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Conformis, Inc.$2K
- Smith+Nephew$879
- Onkos Surgical, Inc.$125
- Zimmer Biomet$103
- Innovation Technologies Inc$100
Across 17 payments — averaging $7658.82 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Smith+Nephew$130K
What the payments were for
- Speaking & faculty fees$2,45066%
- Food & beverage$1,24634%
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 |
|---|---|---|
| Conformis, Inc. | 5 | $2,490 |
| Smith+Nephew | 18 | $879 |
| Onkos Surgical, Inc. | 1 | $125 |
| Zimmer Biomet | 3 | $103 |
| Innovation Technologies Inc | 1 | $100 |
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.
- Hip$2,450
- Journey II BCS$174
- Hip Positioning System$145
- REAL INTELLIGENCE$141
- Journey II$141
- Tandem$141
- Irrisept$100
How this compares
$3,696 in reported general payments places this provider in the 55th percentile of 325 orthopaedic surgery providers in South Carolina.
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 | 148 | $3,468 |
| Doxycycline Hyclate | 19 | $1,458 |
| Dexamethasone | 47 | $331 |
| Diclofenac Sodium | 28 | $268 |
| Amoxicillin | 159 | $207 |
| Meloxicam | 93 | $201 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 22 | $113 |
| Gabapentin | 24 | $103 |
| Tramadol Hcl | 27 | $75 |
| Naproxen | 15 | $58 |
| Prednisone | 28 | $53 |
| Cyclobenzaprine Hcl | 14 | $50 |
| Clindamycin Hcl | 39 | $48 |
| Hydromorphone Hcl | 12 | $33 |
| Cefadroxil | 13 | $33 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Greer
- Wesley ParkerGreer$32K
- Nathanael AdamsGreer$22K
- William SmithColumbia$7.7M
- Richard FrischMt Pleasant$1M
- Brent PonceCharleston$874K
- Chi LimSpartanburg$320K
- Todd LansfordNorth Charleston$286K
- Nicholas GrimaldiColumbia$203K
- Richard MarksWest Columbia$176K
- James LogingClinton$118K
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.