Christian Gaffney, MD
Orthopaedic Surgery · Rapid City, SDNPI 1972860534
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $21,264 of the $25,515 with a category attached, or 83.3%. 21 manufacturers reported payments, led by Globus Medical at 51.7% of the total. Reporting peaked in 2023 at $7,523 and has fallen 61.6% since, to $2,886 in 2025.
Across 121 payments — averaging $210.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$13K
- Stryker$4K
- Zimmer Biomet$3K
- Abbott$3K
- Centinel Spine, LLC$2K
- Medtronic$147
- plus $1K from 15 others
What the payments were for
- Consulting fees$610%
- Travel & lodging$21,26483%
- Food & beverage$4,09116%
- Education$990%
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 |
|---|---|---|
| Globus Medical | 27 | $13,181 |
| Stryker | 23 | $3,724 |
| Zimmer Biomet | 26 | $2,988 |
| Abbott | 15 | $2,748 |
| Centinel Spine, LLC | 9 | $1,607 |
| Medtronic(2 entities) | 4 | $147 |
| 7d Surgical Inc. | 1 | $145 |
| Alphatec Spine, Inc | 1 | $133 |
| Johnson & Johnson | 1 | $125 |
| KCI USA, Inc. | 1 | $125 |
| Wenzel Spine, Inc. | 1 | $104 |
| Cerapedics Inc. | 1 | $99 |
| Nevro Corp. | 3 | $85 |
| Relievant Medsystems, Inc. | 1 | $73 |
| VB Spine LLC | 1 | $53 |
| Orthofix Medical, Inc. | 1 | $45 |
| Novartis | 1 | $38 |
| Pacira Pharmaceuticals Incorporated | 1 | $35 |
| Innovation Technologies Inc | 1 | $22 |
| Davol Inc. | 1 | $20 |
| Brainlab, Inc. | 1 | $18 |
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.
- Excelsius3D Imaging System$5,665
- ELSA$3,163
- PROCLAIM$2,313
- CASCADIA INTERBODY SYSTEM$1,578
- Virage$1,550
- PRODISC L$1,427
- CREO MIS Stabilization System$1,348
- CORBEL$1,251
- EVEREST SPINAL SYSTEM$1,151
- ELSA ATP$981
- Mobi-C$767
- SPINEJACK$344
- Timberline$253
- VAC VERAFLO$125
- PREVENA$125
- BRAINLAB$125
- RISE-L . RISE-L A/L$124
- Varilift$104
- AIRO$101
How this compares
$25,515 in reported general payments places this provider in the 85th percentile of 92 orthopaedic surgery providers in South Dakota.
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 |
|---|---|---|
| Pregabalin | 13 | $289 |
| Methylprednisolone | 25 | $161 |
| Gabapentin | 25 | $158 |
| Baclofen | 13 | $142 |
| Meloxicam | 13 | $28 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Rapid City
- Stuart FrommRapid City$13.3M
- Clark DucheneRapid City$107K
- Nathan JacobsonRapid City$38K
- Jeffrey MarrsRapid City$36K
- Joshua KolzRapid City$7K
- Joseph HumpherysRapid City$6K
- Robert WoodruffRapid City$5K
- Lew PapendickRapid City$4K
- Emmett McEleneyRapid City$4K
- Steven GiuseffiRapid City$3K
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.