Brian Straus, MD
Orthopaedic Surgery · Irving, TXNPI 1629137815
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (43.0%), consulting fees and other — rather than concentrated in one kind of arrangement. Extremity Medical accounts for 70.8% of it on its own, with 18 other manufacturers making up the rest. Among orthopaedic 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 174 payments — averaging $1223.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Extremity Medical$151K
- Linvatec Corporation$29K
- Restor3d, Inc.$16K
- Theramicro, Inc.$7K
- Stryker$4K
- Vilex LLC$3K
- plus $4K from 13 others
Across 10 payments — averaging $2289.32 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.
- Vilex LLC$23K
Across 1 payment — averaging $51,896 each. An ownership or investment interest held by the physician or an immediate family member.
- Restor3d, Inc.$52K
What the payments were for
- Royalty or licence$91,48043%
- Consulting fees$68,37232%
- Travel & lodging$15,2607%
- Food & beverage$9,0714%
- Other$28,69113%
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 |
|---|---|---|
| Extremity Medical | 75 | $150,692 |
| Linvatec Corporation | 6 | $28,793 |
| Restor3d, Inc. | 14 | $16,063 |
| Theramicro, Inc. | 11 | $6,554 |
| Stryker(2 entities) | 35 | $3,932 |
| Vilex LLC | 7 | $2,813 |
| Ossio Inc | 6 | $1,734 |
| Trilliant Surgical LLC. | 4 | $506 |
| Osteomed LLC | 1 | $500 |
| Pacira Pharmaceuticals Incorporated | 4 | $469 |
| International Life Sciences | 1 | $187 |
| Pylant Medical | 3 | $166 |
| Bone Support Inc. | 1 | $136 |
| Zimmer Biomet | 1 | $111 |
| Paragon 28, Inc. | 1 | $87 |
| In2bones USA, LLC | 1 | $69 |
| Innovation Technologies Inc | 1 | $25 |
| Boston Scientific | 1 | $21 |
| Amgen | 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.
- OMNI$105,309
- AVENGER RADIAL HEAD, +4 STEMS$28,691
- TekBrace Solo$6,432
- HINTERMANN$2,662
- INFINITY$1,732
- EXT-Other$500
- Iovera$425
- Arsenal Sinus Support Plate$389
- IO FiX$377
- PROPHECY$203
- INBONE$166
- AXS INFINITY LS$166
- CERAMENTBONE VOID FILLER$136
- DYNEX$112
- Juggerknot-Foot & Ankle$111
- BioBrace 23mm$103
How this compares
$212,873 in reported general payments places this provider in the 95th percentile of 1,337 orthopaedic 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 | 55 | $509 |
| Ondansetron OdtOndansetron | 36 | $295 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Irving
- Stephen BurkhartSan Antonio$185.3M
- Kirby HittTemple$9.1M
- Robert GrahamAustin$6.3M
- Richard JonesDallas$6.3M
- Stefan KreuzerHouston$6.2M
- Michael WirthSan Antonio$4.5M
- Stephen IncavoHouston$4.3M
- Thomas EdwardsHouston$4.1M
- James BrodskyDallas$2.5M
- Robert SchmidtFort Worth$2M
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.