Brendan Mackay, MD
Hand Surgery · Lubbock, TXNPI 1083805758
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (39.9%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Axogen accounts for 61.5% of it on its own, with 32 other manufacturers making up the rest. Among hand 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 355 payments — averaging $770.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axogen$168K
- Globus Medical$29K
- Integra Lifesciences Corporation$19K
- Skeletal Dynamics Inc$18K
- Captiox LLC$14K
- Baxter Healthcare$13K
- plus $13K from 27 others
Across 47 payments — averaging $5685.65 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.
- Axogen$226K
- Polynovo North America LLC$25K
- Acera Surgical, Inc.$17K
Across 1 payment — averaging $6400.00 each. An ownership or investment interest held by the physician or an immediate family member.
- Overture Orthopaedics$6K
What the payments were for
- Consulting fees$94,96835%
- Speaking & faculty fees$109,23540%
- Travel & lodging$30,19611%
- Food & beverage$22,1788%
- Education$16,8006%
- Entertainment$2180%
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 |
|---|---|---|
| Axogen | 162 | $168,190 |
| Globus Medical | 41 | $28,859 |
| Integra Lifesciences Corporation | 29 | $19,347 |
| Skeletal Dynamics Inc | 14 | $17,719 |
| Captiox LLC | 18 | $13,784 |
| Baxter Healthcare | 4 | $13,018 |
| Polynovo North America LLC | 8 | $4,295 |
| Kerecis Limited | 8 | $2,667 |
| Checkpoint Surgical, Inc | 10 | $1,006 |
| Trimed, Inc. | 4 | $902 |
| Exsomed Corporation | 3 | $812 |
| Acera Surgical, Inc. | 8 | $810 |
| Alafair Biosciences, Inc. | 4 | $429 |
| Bioventus LLC | 10 | $350 |
| Medartis Inc. | 4 | $298 |
| Smith+Nephew | 4 | $191 |
| Tulavi Therapeutics, Inc. | 1 | $171 |
| FX Shoulder Solutions, Inc | 1 | $100 |
| Stryker | 3 | $97 |
| Access Pro Medical, LLC | 1 | $85 |
| Rattan And Associates | 2 | $69 |
| Convatec Inc. | 1 | $64 |
| Ensemble Orthopedics, Inc | 1 | $62 |
| Orthofix Medical, Inc. | 5 | $47 |
| Acumed LLC | 1 | $47 |
| Carbofix Orthopedics Inc | 1 | $38 |
| Argentum Medical | 1 | $27 |
| Acell, Inc. | 1 | $24 |
| Akcea Therapeutics, Inc. | 1 | $22 |
| Overture Orthopaedics | 1 | $19 |
| Sonex Health, Inc. | 1 | $18 |
| Si-bone, Inc. | 1 | $15 |
| Urgo Medical North America, LLC | 1 | $15 |
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.
- AxoGuard Nerve Connector$103,388
- AxoGuard Nerve Protector$103,388
- AVANCE NERVE GRAFT$100,813
- AXOGUARD HA+ NERVE PROTECTOR$79,322
- AxoGuard Nerve Cap$78,922
- AXOGUARD$48,547
- Geminus$17,364
- Align$17,364
- IJS$17,364
- Implate$17,364
- ADVANCED WOUND CARE$17,246
- Autobahn$15,183
- Captiox CMC Spacer$13,586
- Captiox Ulnar Shortening Implant$13,586
- No Related Product$13,018
- Anthem$12,478
- Kerecis SurgiClose$7,732
- Novosorb BTM$4,094
- INTEGRA$2,052
- Kerecis GraftGuide$1,933
How this compares
$273,595 in reported general payments places this provider in the 95th percentile of 170 hand 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 59 | $484 |
| Gabapentin | 36 | $306 |
| Tramadol Hcl | 12 | $32 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Lubbock
- Alejandro VerdugoLubbock$10K
- David RingAustin$536K
- Kourosh JafarniaHouston$278K
- John FaillaceWoodway$212K
- Daniel KoehlerDallas$208K
- Timothy NiacarisArlington$160K
- Steven NiedermeierArlington$152K
- William PientkaFort Worth$113K
- Ann GoldenDallas$107K
- Cameron AtkinsonArlington$103K
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.