Clark Duchene, MD
Orthopaedic Surgery · Rapid City, SDNPI 1376523969
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $84,807 of the $106,558 with a category attached, or 79.6%. Arthrex accounts for 99.8% of it on its own, with 5 other manufacturers making up the rest. Among orthopaedic surgery clinicians in SD 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 178 payments — averaging $598.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$106K
- Stryker$129
- Smith+Nephew$70
- Sioux Surgical Inc$30
- Boehringer Ingelheim$13
- Johnson & Johnson$11
What the payments were for
- Consulting fees$1750%
- Speaking & faculty fees$84,80780%
- Travel & lodging$18,34617%
- Food & beverage$3,0813%
- Education$1500%
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 |
|---|---|---|
| Arthrex | 170 | $106,305 |
| Stryker | 3 | $129 |
| Smith+Nephew | 2 | $70 |
| Sioux Surgical Inc | 1 | $30 |
| Boehringer Ingelheim | 1 | $13 |
| Johnson & Johnson | 1 | $11 |
How this compares
$106,558 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 34 | $258 |
| Oxycodone Hcl | 12 | $75 |
| Amoxicillin | 12 | $20 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Rapid City
- Stuart FrommRapid City$13.3M
- Nathan JacobsonRapid City$38K
- Jeffrey MarrsRapid City$36K
- Christian GaffneyRapid City$26K
- 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.