Damien Doute, MD
Orthopedic Surgery · Decatur, GANPI 1033106158
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,811 of the $7,785 with a category attached, or 61.8%. 24 manufacturers reported payments, led by Nexxt Spine LLC at 31.7% of the total. Reporting peaked in 2023 at $4,136 and has fallen 92.2% since, to $322 in 2024.
Across 83 payments — averaging $93.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nexxt Spine LLC$2K
- Spine Wave, Inc.$2K
- Aesculap Implant Systems, LLC$1K
- Medtronic$508
- Kuros Biosciences USA, Inc$205
- Arteriocyte Medical Systems, Inc.$205
- plus $1K from 18 others
What the payments were for
- Travel & lodging$2,97538%
- Food & beverage$4,81162%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Nexxt Spine LLC | 12 | $2,469 |
| Spine Wave, Inc. | 30 | $1,685 |
| Aesculap Implant Systems, LLC | 7 | $1,394 |
| Medtronic | 6 | $508 |
| Kuros Biosciences USA, Inc | 1 | $205 |
| Arteriocyte Medical Systems, Inc. | 2 | $205 |
| Spineology Inc. | 2 | $203 |
| Stryker | 1 | $169 |
| United Orthopedics LLC | 1 | $160 |
| Janssen Scientific Affairs, LLC | 1 | $145 |
| Titan Spine, LLC | 3 | $135 |
| Trice Medical, Inc. | 1 | $124 |
| Providence Medical Technology, Inc. | 1 | $81 |
| Johnson & Johnson(2 entities) | 3 | $65 |
| Kyocera Medical Technologies, Inc. | 2 | $37 |
| Paragon 28, Inc. | 2 | $34 |
| Boston Scientific | 1 | $24 |
| Bioventus LLC | 1 | $23 |
| Surgalign Spine Technologies, Inc. | 1 | $23 |
| Si-bone, Inc. | 1 | $23 |
| Zimmer Biomet | 1 | $21 |
| Axogen | 1 | $21 |
| Vertex | 1 | $18 |
| Orthofix Medical, Inc. | 1 | $13 |
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.
- Nexxt Spine Product Portfolio$1,426
- ACTIVL$1,314
- nanoLOCK-L$376
- Nexxt Matrixx Systems$258
- Connexx System$235
- Spinal Implants$207
- Nexxt 5 Pillars & Cadaver Lab$173
- MAKO$169
- XARELTO$145
- Posterior Fusion$135
- Segway blade or mieye camera$124
- SPINAL IMPLANT$124
- Rampart Duo Interbody Fusion System$109
- Product Development Preview$108
- Magellan$107
How this compares
Too few orthopedic surgery providers in Georgiato place this figure against a meaningful peer group, so we don't.
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.
Other orthopedic surgery in Decatur
- Eric FurieAtlanta$2K
- John GreenfieldStockbridge$2K
- Brandon BoyceThomaston$1K
- William MoellerSnellville$753
- Clark GlassMarietta$0
- Fred KochSnellville$0
- Robert BachnerPeachtree Corners$0
- Horace MurrayAtlanta$0
- Robert ComerfordLagrange$0
- Daniel KingloffAtlanta$0
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.