Carlos Perez Lopez, MD
Orthopaedic Surgery · Mayaguez, PRNPI 1427253145
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,435 of the $2,043 with a category attached, or 70.2%. 11 manufacturers reported payments, led by Encore Medical, LP at 37.1% of the total. Reporting peaked in 2019 at $1,203 and has fallen 93.7% since, to $76 in 2025. That places this record below the midpoint for orthopaedic surgery clinicians in PR, where the typical reported total is $1,467.
Across 33 payments — averaging $61.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Encore Medical, LP$757
- Stryker$419
- Johnson And Johnson International$245
- Ferring Pharmaceuticals Inc.$139
- Smith+Nephew$124
- Incyte Corporation$92
- plus $267 from 5 others
What the payments were for
- Travel & lodging$60930%
- Food & beverage$1,43570%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Encore Medical, LP | 4 | $757 |
| Stryker | 5 | $419 |
| Johnson And Johnson International | 7 | $245 |
| Ferring Pharmaceuticals Inc. | 2 | $139 |
| Smith+Nephew | 1 | $124 |
| Incyte Corporation | 4 | $92 |
| AbbVie | 4 | $90 |
| Melinta Therapeutics, LLC | 3 | $78 |
| Merck | 1 | $52 |
| Sanofi-aventis U.S. LLC | 1 | $24 |
| ADC Therapeutics America, Inc. | 1 | $23 |
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.
- DJO Surgical AltiVate Anatomic System$611
- DJO Surgical AltiVate Reverse$295
- EVOS SMALL$124
- MICRORAPTOR Knotless Hip$124
- Regeneten$124
- OR3O$124
- REDAPT$124
- EUFLEXXA$122
How this compares
$2,043 in reported general payments places this provider in the 50th percentile of 94 orthopaedic surgery providers in Puerto Rico.
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 |
|---|---|---|
| Acetaminophen-CodeineAcetaminophen With Codeine | 171 | $2,257 |
| Celecoxib | 136 | $1,280 |
| Cephalexin | 154 | $521 |
| Diclofenac Potassium | 11 | $359 |
| Ciprofloxacin Hcl | 12 | $173 |
| Cefadroxil | 12 | $122 |
| Clindamycin Hcl | 21 | $78 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Mayaguez
- Jose Perez LopezMayaguez$12K
- Norberto BaezMayaguez$2K
- Ashwin DeshmukhMayaguez$597
- Alberto Rivera RosadoSanturce$197K
- Andres Muniz MartinezCayey$56K
- David Beaton ComuladaSan Juan$29K
- John KaganHumacao$27K
- Juan Santiago TorresHatillo$24K
- Ariel Davila-ParrillaSan Juan$21K
- Francisco Lopez-GonzalezSan Juan$16K
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.