Brett Rocos, MD
Orthopaedic Surgery of the Spine · Durham, NCNPI 1972226322
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (40.9%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Bioventus LLC at 43.1% of the total. 2025 is the largest year on record at $18,072, more than ten times the $531 reported in 2022.
Across 222 payments — averaging $181.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bioventus LLC$17K
- Medtronic$9K
- Globus Medical$4K
- Alphatec Spine, Inc$4K
- Silony Medical Corp.$3K
- Medical Device Business Services, Inc.$1K
- plus $2K from 7 others
What the payments were for
- Consulting fees$3,1258%
- Speaking & faculty fees$16,50041%
- Travel & lodging$10,37226%
- Food & beverage$10,35726%
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 |
|---|---|---|
| Bioventus LLC | 16 | $17,378 |
| Medtronic | 125 | $9,219 |
| Globus Medical(2 entities) | 40 | $4,121 |
| Alphatec Spine, Inc | 9 | $3,612 |
| Silony Medical Corp. | 1 | $3,125 |
| Medical Device Business Services, Inc. | 7 | $1,101 |
| Orthofix Medical, Inc. | 5 | $744 |
| Johnson & Johnson | 11 | $412 |
| Si-bone, Inc. | 2 | $202 |
| Medacta USA, Inc. | 2 | $156 |
| Cerapedics Inc. | 2 | $139 |
| MML US, Inc. | 1 | $109 |
| Providence Medical Technology, Inc. | 1 | $36 |
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.
- BONESCALPEL & SONICONE (O.R.)$17,127
- Verticale MIS$3,125
- Other - Miscellaneous$1,732
- CD HORIZON SPINAL SYSTEM$1,595
- STEALTHSTATION S8 PLATFORM$1,537
- RELINE$1,419
- UNID_PASS$1,376
- ANTERALIGN SPINAL SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY$1,178
- Teligen$929
- Mariner Deformity$640
- Sable$417
- VersaTie$366
- ExcelsiusGPS Robotic Navigation System$231
- XLIF$154
- TLIF$154
- Pulse$154
- Excelsius3D Imaging System$115
- ReActiv8$109
- Excelsius Robotics System$103
- MYSPINE$103
How this compares
$40,354 in reported general payments places this provider in the 70th percentile of 32 orthopaedic surgery of the spine providers in North Carolina.
See all orthopaedic surgery of the spine providers in North 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 |
|---|---|---|
| Oxycodone Hcl | 39 | $311 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $109 |
| Gabapentin | 14 | $66 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Durham
- Peter PassiasDurham$553K
- Olumide DanisaDurham$198K
- Daniel WilliamsPinehurst$443K
- Alexander LemonsPinehurst$389K
- Daniel CavanaughChapel Hill$246K
- Conor ReganRaleigh$149K
- Michael MooreGreensboro$83K
- Phillip HorneCary$45K
- Daniel LeasConcord$42K
- Ryan GentryRaleigh$39K
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.