Chester Royals, MD
Surgery · Douglas, GANPI 1194974816
Payments from drug & device makers
Across 115 payments — averaging $64.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Covidien LP$4K
- Organogenesis Inc.$1K
- Intuitive Surgical$566
- Medtronic$489
- W. L. Gore & Associates, Inc.$138
- AstraZeneca$110
- plus $501 from 18 others
What the payments were for
- Consulting fees$3,85052%
- Travel & lodging$4256%
- Food & beverage$3,15342%
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 |
|---|---|---|
| Covidien LP | 11 | $4,262 |
| Organogenesis Inc. | 61 | $1,361 |
| Intuitive Surgical | 6 | $566 |
| Medtronic | 9 | $489 |
| W. L. Gore & Associates, Inc. | 2 | $138 |
| AstraZeneca | 1 | $110 |
| Davol Inc. | 5 | $101 |
| Johnson & Johnson | 3 | $60 |
| Hologic Sales And Service, LLC | 2 | $47 |
| Integra Lifesciences Corporation | 1 | $42 |
| Innocoll Pharmaceuticals Limited | 1 | $28 |
| Solventum Corporation | 1 | $26 |
| TELA Bio, Inc. | 1 | $24 |
| Quidel Corporation | 1 | $23 |
| Teleflex LLC | 1 | $18 |
| Smith+Nephew | 1 | $18 |
| Kerecis Limited | 1 | $18 |
| Conmed Corporation | 1 | $16 |
| Avita Medical Americas, LLC | 1 | $16 |
| Olympus America Inc. | 1 | $15 |
| Acacia Pharma Inc | 1 | $14 |
| Bard Access Systems, Inc. | 1 | $13 |
| Novo Nordisk | 1 | $13 |
| Silk Road Medical, Inc. | 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.
How this compares
$7,428 in reported general payments places this provider in the 70th percentile of 855 surgery 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 157 | $1,473 |
| Clindamycin Hcl | 22 | $247 |
| Tramadol Hcl | 24 | $85 |
| Alprazolam | 12 | $21 |
Paid to pharmacies, not to this prescriber.
Other surgery in Douglas
- Idelberto BadellAtlanta$3.9M
- Chad CopperGainesville$999K
- Zachary KlaassenAugusta$763K
- Kendra GrubbAtlanta$761K
- Stephen OdomAustell$599K
- Fritz Jean-PierreMarietta$464K
- Nelson RoyallGainesville$415K
- Denise LoAtlanta$309K
- Christian LarsenAtlanta$308K
- Harry LightfootSmyrna$241K
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.