Bryan Castro, MD
Orthopaedic Surgery · Beaufort, SCNPI 1356388045
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $62,712 of the $65,346 with a category attached, or 96.0%. Medacta USA, Inc. accounts for 96.1% of it on its own, with 13 other manufacturers making up the rest. 2025 is the largest year on record at $15,377, more than ten times the $355 reported in 2019. Among orthopaedic surgery clinicians in SC 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 76 payments — averaging $859.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medacta USA, Inc.$63K
- Medical Device Business Services, Inc.$1K
- Johnson & Johnson$811
- Amgen$202
- QT Imaging, Inc.$147
- Stryker$93
- plus $197 from 8 others
Across 30 payments — averaging $416.39 each. An ownership or investment interest held by the physician or an immediate family member.
- Midwest Surgical Alliance, LLC$8K
- Central California Surgical Distributors, LLC$2K
- Sequoia Surgical Distributors, LLC$2K
- Senate Surgical Distribution, LLC$0
- Alpine Implant Alliance, LLC$0
- Renovis Surgical Technologies, Inc.$0
What the payments were for
- Royalty or licence$62,71296%
- Travel & lodging$1,0332%
- Food & beverage$1,6012%
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 |
|---|---|---|
| Medacta USA, Inc. | 21 | $62,777 |
| Medical Device Business Services, Inc. | 6 | $1,119 |
| Johnson & Johnson | 18 | $811 |
| Amgen | 21 | $202 |
| QT Imaging, Inc. | 1 | $147 |
| Stryker | 1 | $93 |
| Centinel Spine, LLC | 1 | $56 |
| Baxter Healthcare | 1 | $35 |
| Curonix LLC | 1 | $20 |
| Alphatec Spine, Inc | 1 | $20 |
| Medtronic | 1 | $19 |
| Sanara Medtech Inc. | 1 | $18 |
| Innovation Technologies Inc | 1 | $15 |
| Fidia Pharma USA Inc. | 1 | $14 |
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.
- MECTA-C$52,403
- Mecta-C Cervical Cages$10,309
- Velys$1,033
- EXPEDIUM$343
- QT Scanner Model 2000A$147
- Vivigen MIS Delivery System$119
How this compares
$65,346 in reported general payments places this provider in the 95th percentile of 325 orthopaedic surgery providers in South 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 |
|---|---|---|
| Diclofenac Sodium ErDiclofenac Sodium | 444 | $12,426 |
| Cephalexin | 35 | $879 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 53 | $425 |
| Cyclobenzaprine Hcl | 56 | $424 |
| Gabapentin | 22 | $271 |
| Methocarbamol | 25 | $248 |
| Methylprednisolone | 53 | $248 |
| Tramadol Hcl | 53 | $192 |
| Celecoxib | 11 | $159 |
| Tizanidine Hcl | 16 | $80 |
| Diazepam | 15 | $11 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Beaufort
- William SmithColumbia$7.7M
- Richard FrischMt Pleasant$1M
- Brent PonceCharleston$874K
- Chi LimSpartanburg$320K
- Todd LansfordNorth Charleston$286K
- Nicholas GrimaldiColumbia$203K
- Richard MarksWest Columbia$176K
- James LogingClinton$118K
- Justin SmithRock Hill$102K
- Matthew DuffinRock Hill$98K
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.