Christopher Chuinard, MD
Orthopaedic Surgery · Traverse City, MINPI 1205926268
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $1,103,583 of the $1,442,179 with a category attached, or 76.5%. 19 manufacturers reported payments, led by Stryker at 56.4% of the total. 2025 is the largest year on record at $422,497, 2.9 times the $147,394 reported in 2019. Among orthopaedic surgery clinicians in MI with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 284 payments — averaging $5078.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$813K
- Shoulder Innovations, Inc.$573K
- Encore Medical, LP$49K
- Medical Device Business Services, Inc.$2K
- Depuy Synthes Products, Inc.$2K
- Azurmeds, Inc.$718
- plus $2K from 13 others
Across 7 payments — averaging $1743.33 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Stryker$12K
What the payments were for
- Royalty or licence$1,103,58377%
- Consulting fees$269,15019%
- Speaking & faculty fees$16,5001%
- Travel & lodging$41,9913%
- Food & beverage$10,1691%
- Gifts$7250%
- Entertainment$610%
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(2 entities) | 84 | $813,381 |
| Shoulder Innovations, Inc. | 117 | $573,472 |
| Encore Medical, LP | 44 | $48,883 |
| Medical Device Business Services, Inc. | 2 | $2,395 |
| Depuy Synthes Products, Inc. | 2 | $1,545 |
| Azurmeds, Inc. | 3 | $718 |
| Catalyst Orthoscience | 4 | $452 |
| Exactech, Inc. | 3 | $372 |
| Medacta USA, Inc. | 3 | $294 |
| Ossur Americas, Inc. | 2 | $112 |
| Sunovion Pharmaceuticals Inc. | 10 | $100 |
| Johnson & Johnson | 1 | $99 |
| Surgalign Spine Technologies, Inc. | 1 | $76 |
| Integrity Orthopaedics, Inc. | 1 | $75 |
| Linvatec Corporation | 2 | $70 |
| Medwest Associates | 1 | $67 |
| Embody, Inc. | 2 | $27 |
| Arthrex | 1 | $20 |
| Zimvie Inc. | 1 | $19 |
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.
- InSet System$530,645
- AEQUALIS PERFORM$522,664
- AEQUALIS$197,560
- PHALINX$45,947
- DJO Surgical Discovery Elbow System$27,828
- DJO SURGICAL$27,454
- R&D UPPER EXT$18,000
- Shoulder Innovations Humeral Short Stem System$16,896
- DJO Surgical AltiVate Reverse$11,123
- DJO Surgical AltiVate Anatomic System$10,813
- BLUEPRINT PSI SYSTEM$9,500
- PROstep$6,969
- ORTHOLOC$3,135
- NEW PRODUCT DEVELOPMENT$2,877
- HEALIX KNOTLESS PEEK$2,318
- DYNACORD$2,318
- INTRAFIX$2,318
- NA$2,318
- TORNIER PERFORM REVERSED AUGMENTED GLENOID$1,125
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$1,000
How this compares
$1,442,179 in reported general payments places this provider in the 95th percentile of 829 orthopaedic surgery providers in Michigan.
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 |
|---|---|---|
| Meloxicam | 464 | $1,390 |
| Calcitonin-SalmonCalcitonin,salmon,synthetic | 11 | $564 |
| Nabumetone | 20 | $363 |
| Tizanidine Hcl | 52 | $230 |
| Gabapentin | 37 | $219 |
| Ondansetron Hcl | 39 | $208 |
| Doxycycline Hyclate | 29 | $200 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 17 | $83 |
| Mupirocin | 15 | $80 |
| Amoxicillin | 13 | $25 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Traverse City
- Asheesh BediAnn Arbor$9.4M
- Jerome WiaterBeverly Hills$3.9M
- Mark PintoChelsea$3.2M
- Kyle AndersonBingham Farms$3.1M
- Stephen BartolDetroit$2.6M
- Jad KhalilSouthfield$1.9M
- Jeffrey FischgrundSouthfield$1.8M
- John BlahaAnn Arbor$1.5M
- David MarkelSouthfield$1.5M
- Shariff BishaiTroy$1.2M
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.