Bruce Byrd, MD
Orthopaedic Surgery · Christiansburg, VANPI 1851828735
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (53.8%), food and beverage and education — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by Stryker at 34.9% of the total. Reporting peaked in 2023 at $4,698 and has fallen 54.0% since, to $2,160 in 2025.
Across 155 payments — averaging $93.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$5K
- Zimmer Biomet$5K
- Medical Device Business Services, Inc.$2K
- Globus Medical$1K
- Johnson & Johnson$544
- Next Science LLC$230
- plus $1K from 14 others
What the payments were for
- Travel & lodging$7,81754%
- Food & beverage$5,81440%
- Education$9096%
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 |
|---|---|---|
| Stryker | 50 | $5,067 |
| Zimmer Biomet | 56 | $4,584 |
| Medical Device Business Services, Inc. | 7 | $1,710 |
| Globus Medical | 6 | $1,360 |
| Johnson & Johnson | 14 | $544 |
| Next Science LLC | 2 | $230 |
| KCI USA, Inc. | 3 | $139 |
| Baxter Healthcare | 2 | $126 |
| Heron Therapeutics, Inc. | 1 | $122 |
| Vericel Corporation | 1 | $117 |
| AbbVie | 1 | $105 |
| Bioventus LLC | 4 | $97 |
| Biotissue Holdings Inc. | 1 | $91 |
| ERMI LLC | 1 | $88 |
| Smith+Nephew | 1 | $59 |
| Omnilife Science, Inc | 1 | $37 |
| Cumberland Pharmaceuticals, Inc. | 1 | $18 |
| Axogen | 1 | $17 |
| Solventum Corporation | 1 | $16 |
| Pfizer | 1 | $13 |
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.
- MAKO$3,725
- ROSA$1,342
- Knees Product Portfolio$1,111
- INHANCE$900
- Legacy Stelkast Knee$866
- Persona$367
- Ankle Fracture System$302
- NA$203
- INSIGNIA$158
- TRIATHLON$158
- ACCOLADE$158
- TRIDENT$142
- ROSA-Knee$135
- SurgX$133
- Xperience$133
- BlastX$133
- T2$128
- Zynrelef$122
- Comprehensive Shoulder System$121
- Hips Product Portfolio$118
How this compares
$14,540 in reported general payments places this provider in the 75th percentile of 473 orthopaedic surgery providers in Virginia.
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 | 18 | $893 |
| Ondansetron Hcl | 99 | $505 |
| Dexamethasone | 86 | $463 |
| Oxycodone Hcl | 95 | $455 |
| Pantoprazole Sodium | 61 | $285 |
| Mupirocin | 35 | $260 |
| Meloxicam | 100 | $209 |
| Amoxicillin | 95 | $175 |
| Doxycycline Hyclate | 11 | $162 |
| Methylprednisolone | 15 | $101 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 19 | $92 |
| Clindamycin Hcl | 16 | $63 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Christiansburg
- Steven BalticChristiansburg$98K
- Dale YoungNorth Chesterfield$10.9M
- James DowdVirginia Beach$6.1M
- Mark de BloisNorth Chesterfield$4M
- Cato LaurencinCharlottesville$3.5M
- Randall PeytonSterling$2.9M
- William MihalkoCharlottesville$2M
- David MillerNorth Chesterfield$1.7M
- Keith LawhornFairfax$1.6M
- Joseph GonduskyVirginia Beach$1.2M
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.