Christpher Klifto, MD
Hand Surgery · Durham, NCNPI 1164713947
Payments from drug & device makers
Across 673 payments — averaging $973.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$571K
- Integra Lifesciences Corporation$47K
- Acumed LLC$14K
- Stryker$8K
- Restor3d, Inc.$7K
- Southtech Orthopedics$3K
- plus $5K from 19 others
What the payments were for
- Consulting fees$416,39972%
- Speaking & faculty fees$79,91614%
- Travel & lodging$56,28210%
- Food & beverage$19,9053%
- Education$2,9101%
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 |
|---|---|---|
| Smith+Nephew | 517 | $571,399 |
| Integra Lifesciences Corporation | 67 | $47,332 |
| Acumed LLC | 13 | $13,534 |
| Stryker | 27 | $7,949 |
| Restor3d, Inc. | 3 | $6,839 |
| Southtech Orthopedics | 4 | $2,599 |
| Medartis Inc. | 6 | $1,209 |
| Exactech, Inc. | 5 | $676 |
| Ascension Orthopedics, Inc. | 1 | $500 |
| Bioventus LLC | 5 | $426 |
| Johnson & Johnson | 5 | $415 |
| Checkpoint Surgical, Inc | 2 | $290 |
| Zimmer Biomet | 2 | $268 |
| Encore Medical, LP | 2 | $249 |
| Osteocentric Technologies, Inc. | 2 | $215 |
| Trimed, Inc. | 2 | $190 |
| Axogen | 1 | $143 |
| Arthrosurface Incorporated | 1 | $129 |
| Onkos Surgical, Inc. | 1 | $126 |
| Exsomed Corporation | 1 | $118 |
| Biocircuit Technologies Inc | 1 | $118 |
| Next Science LLC | 2 | $111 |
| Ossio Inc | 1 | $91 |
| ERMI LLC | 1 | $24 |
| Endo Pharmaceuticals Inc. | 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.
- REAL INTELLIGENCE$147,327
- AETOS Shoulder System$111,420
- TWINFIX$109,650
- ACUMED$53,328
- TITAN-SHOULDER$51,403
- FREEDOM WRIST$45,805
- External Fixation System$42,055
- REVERSE SHOULDER$37,918
- Bioinductive Implant with Arthroscopic Delivery System - Medium$36,462
- Q-FIX$35,962
- EVOS$34,151
- FAST-FIX$28,820
- Healicoil$28,139
- Bone Anchors with Arthroscopic Delivery System$26,944
- Mini-Open Latarjet$23,572
- SPATIAL FRAME$19,831
- EVOS MINI$13,728
- Hat-Trick$13,728
- Cadence$8,550
- TSS$8,499
How this compares
$654,963 in reported general payments places this provider in the 95th percentile of 79 hand surgery providers in North Carolina.
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 |
|---|---|---|
| Diclofenac Sodium | 11 | $251 |
| Meloxicam | 57 | $186 |
| Methylprednisolone | 23 | $175 |
| Gabapentin | 12 | $91 |
| Oxycodone Hcl | 20 | $86 |
| Ibuprofen | 13 | $62 |
| Tramadol Hcl | 23 | $53 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Durham
- Kenneth LindleyDurham$2K
- Julian AldridgeDurham$1K
- Steven WintersDurham$487
- Raymond GastonCharlotte$648K
- Ryan GarciaCharlotte$381K
- Tyler PidgeonMorrisville$193K
- Richard MooreWilmington$177K
- Erica TaylorRaleigh$97K
- Zhongyu LiWinston Salem$41K
- Marshall KuremskyRaleigh$40K
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.