Christian Royer, MD
Orthopaedic Surgery · Dallas, TXNPI 1255321634
Payments from drug & device makers
Across 72 payments — averaging $333.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Integra Lifesciences Corporation$9K
- Trilliant Surgical LLC.$5K
- Smith+Nephew$4K
- Encore Medical, LP$3K
- Stryker$2K
- Ascension Orthopedics, Inc.$1K
- plus $850 from 10 others
What the payments were for
- Consulting fees$10,88045%
- Speaking & faculty fees$9,12538%
- Travel & lodging$1,5767%
- Food & beverage$2,41410%
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 |
|---|---|---|
| Integra Lifesciences Corporation | 9 | $8,739 |
| Trilliant Surgical LLC. | 3 | $4,561 |
| Smith+Nephew | 8 | $4,040 |
| Encore Medical, LP | 5 | $2,796 |
| Stryker(2 entities) | 32 | $2,008 |
| Ascension Orthopedics, Inc. | 1 | $1,000 |
| Pylant Medical | 5 | $322 |
| Restor3d, Inc. | 1 | $207 |
| Bone Support Inc. | 1 | $148 |
| GRT US Holding, Inc. | 1 | $35 |
| Ossdsign USA Incorporated | 1 | $32 |
| Innovation Technologies Inc | 1 | $29 |
| Sanofi-aventis U.S. LLC | 1 | $24 |
| Linvatec Corporation | 1 | $24 |
| Medline Industries LP | 1 | $17 |
| Merck | 1 | $12 |
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.
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$9,418
- CADENCE ANKLE REPLACEMENT SYSTEM$9,418
- PANTA NAIL$9,418
- TOTAL FOOT SYSTEM$9,418
- EVOS$920
- INFINITY$441
- Cadence$310
- HALLU-LOCK$293
- INBONE$212
- INVISION$205
- FLOWABLE$169
- BILAYER WOUND MATRIX (BWM)$169
- CERAMENTBONE VOID FILLER$148
- CERAMENT G$148
- INFINITY ADAPTIS$141
- HOFFMANN$117
How this compares
$23,994 in reported general payments places this provider in the 80th percentile of 1,337 orthopaedic surgery providers in Texas.
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 |
|---|---|---|
| Doxycycline Monohydrate | 73 | $1,045 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 97 | $830 |
| Ondansetron OdtOndansetron | 57 | $791 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 104 | $638 |
| Meloxicam | 152 | $538 |
| Ondansetron Hcl | 49 | $246 |
| Gabapentin | 29 | $235 |
| Tramadol Hcl | 44 | $169 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 15 | $154 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 13 | $107 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Dallas
- Richard JonesDallas$6.3M
- James BrodskyDallas$2.5M
- Sumant KrishnanDallas$1.9M
- Wayne BurkheadDallas$1.2M
- Kevin KruseDallas$824K
- Daniel WorrelDallas$741K
- Bradford WaddellDallas$442K
- Jay MabreyDallas$310K
- Stephen BurkhartSan Antonio$185.3M
- Kirby HittTemple$9.1M
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.