Bryan Smith, MD
Orthopaedic Surgery · Clarksville, ARNPI 1578592895
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (46.7%), education and food and beverage — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Stryker at 25.1% of the total. Reporting peaked in 2019 at $17,628 and has fallen 89.5% since, to $1,857 in 2025.
Across 117 payments — averaging $275.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$8K
- Smith+Nephew$8K
- Medical Device Business Services, Inc.$7K
- Midsouth Orthopedics Inc.$6K
- Zimmer Biomet$1K
- Arthrex$1K
- plus $548 from 6 others
What the payments were for
- Travel & lodging$15,04547%
- Food & beverage$2,9879%
- Education$14,19344%
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 | 48 | $8,094 |
| Smith+Nephew | 2 | $7,611 |
| Medical Device Business Services, Inc. | 16 | $6,645 |
| Midsouth Orthopedics Inc. | 13 | $6,414 |
| Zimmer Biomet | 10 | $1,489 |
| Arthrex | 5 | $1,423 |
| Johnson & Johnson | 18 | $454 |
| Vericel Corporation | 1 | $41 |
| Kowa Pharmaceuticals America, Inc. | 1 | $20 |
| KCI USA, Inc. | 1 | $17 |
| Convatec Inc. | 1 | $12 |
| Sonex Health, Inc. | 1 | $5 |
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.
How this compares
$32,224 in reported general payments places this provider in the 85th percentile of 168 orthopaedic surgery providers in Arkansas.
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 | $443 |
| Diclofenac Sodium | 12 | $237 |
| Celecoxib | 12 | $174 |
| Meloxicam | 30 | $131 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 20 | $117 |
| Tramadol Hcl | 13 | $31 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Clarksville
- Benjamin StronachLittle Rock$2.5M
- Charles BarnesLittle Rock$2.1M
- Kenneth MartinLittle Rock$322K
- Wesley CoxFayetteville$309K
- William HefleyNorth Little Rock$306K
- David BumpassLittle Rock$175K
- Lawrence O'MalleyLittle Rock$151K
- Jason BrandtJonesboro$104K
- Jason SmithLittle Rock$102K
- Richard McCarthyLittle Rock$75K
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.