Bruce Ziran, MD
Orthopaedic Trauma · Lawrenceville, GANPI 1538274592
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $2,295,033 of the $2,448,151 with a category attached, or 93.7%. Depuy Synthes Products, Inc. accounts for 83.7% of it on its own, with 29 other manufacturers making up the rest. 2025 is the largest year on record at $833,621, 8.3 times the $100,247 reported in 2019. Among orthopaedic trauma clinicians in GA 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 215 payments — averaging $11,387 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Depuy Synthes Products, Inc.$2M
- Acumed LLC$278K
- Carbofix Orthopedics Inc$56K
- Citieffe, Inc.$51K
- Synthes USA Products LLC$6K
- Carbofix Spine Inc$3K
- plus $4K from 24 others
Across 1 payment — averaging $1575.00 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.
- Acera Surgical, Inc.$2K
What the payments were for
- Royalty or licence$2,295,03394%
- Consulting fees$81,2953%
- Speaking & faculty fees$40,3752%
- Travel & lodging$26,3141%
- Food & beverage$5,1350%
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 |
|---|---|---|
| Depuy Synthes Products, Inc. | 19 | $2,049,654 |
| Acumed LLC | 61 | $277,856 |
| Carbofix Orthopedics Inc | 53 | $56,480 |
| Citieffe, Inc. | 27 | $50,828 |
| Synthes USA Products LLC | 3 | $6,475 |
| Carbofix Spine Inc | 1 | $2,899 |
| Acera Surgical, Inc. | 12 | $2,063 |
| Medical Device Business Services, Inc. | 5 | $613 |
| Extremity Medical | 1 | $200 |
| Globus Medical | 2 | $186 |
| Smith+Nephew | 3 | $184 |
| Johnson & Johnson | 5 | $145 |
| Ossdsign USA Incorporated | 2 | $134 |
| Vertex | 1 | $122 |
| Si-bone, Inc. | 2 | $43 |
| Bioventus LLC | 2 | $42 |
| ERMI LLC | 2 | $27 |
| Orthofix Medical, Inc. | 2 | $26 |
| Kyocera Medical Technologies, Inc. | 1 | $24 |
| Convatec Inc. | 1 | $22 |
| Kerecis Limited | 1 | $20 |
| Edwards Lifesciences | 1 | $18 |
| Integra Lifesciences Corporation | 1 | $17 |
| Medline Industries LP | 1 | $15 |
| Organogenesis Inc. | 1 | $14 |
| Treace Medical Concepts, Inc. | 1 | $14 |
| Aap Implants Inc | 1 | $11 |
| Reprise Biomedical, Inc. | 1 | $10 |
| Aroa Biosurgery Incorporated | 1 | $7 |
| Ambu Inc. | 1 | $4 |
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.
- NA$2,050,454
- Ankle Plating System$142,894
- ACUMED$90,720
- Clavicle Plating System$37,804
- Small Fragment Base Set$31,785
- Forefoot/Midfoot Plating System$31,785
- Calcaneal Plating System$31,785
- Fibula Rod System$31,785
- U-Bar$25,143
- Elbow Plating System$18,835
- Anatomic Radial Head System$15,335
- Polarus 3 Solution$14,950
- Ubar$14,634
- EX NAILS$6,397
- IM NAILS$6,397
- INSTRUMENTS$6,397
- L bar$3,700
- Dolphix$3,500
- Restrata Wound Matrix$1,776
- Hand Fracture System$1,420
How this compares
$2,448,151 in reported general payments places this provider in the 95th percentile of 28 orthopaedic trauma providers in Georgia.
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 |
|---|---|---|
| Tramadol Hcl | 15 | $37 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic trauma in Lawrenceville
- William MinLawrenceville$18K
- William TerrellMarietta$669K
- James BlairAugusta$417K
- Michael MaceroliAtlanta$385K
- Daniel ChanMacon$253K
- Daniel SchlattererAtlanta$69K
- Mara SchenkerAtlanta$59K
- Matthew MartellMacon$48K
- Jarrod DumpeMacon$27K
- Robert SimpsonColumbus$19K
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.