Daniel Williams, MD
Orthopaedic Surgery of the Spine · Pinehurst, NCNPI 1356462287
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (53.7%), consulting fees and speaking fees — rather than concentrated in one kind of arrangement. It is spread thinly across 29 manufacturers, the largest accounting for just 22.7%. 2025 is the largest year on record at $130,615, 5.1 times the $25,407 reported in 2019. Among orthopaedic surgery of the spine clinicians in NC 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 303 payments — averaging $1462.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Choice Spine, LLC$101K
- Spineart SA$68K
- Innovasis Inc$68K
- Degen Medical, Inc.$66K
- 4web, Inc.$47K
- Providence Medical Technology, Inc.$29K
- plus $64K from 23 others
Across 43 payments — averaging $15,172 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.
- Providence Medical Technology, Inc.$561K
- Si-bone, Inc.$79K
- Spinal Elements, Inc.$8K
- Orthofix Medical, Inc.$5K
What the payments were for
- Royalty or licence$237,72354%
- Consulting fees$114,50526%
- Speaking & faculty fees$50,60511%
- Travel & lodging$27,8296%
- Food & beverage$12,3123%
- Entertainment$490%
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 |
|---|---|---|
| Choice Spine, LLC | 11 | $100,756 |
| Spineart SA | 4 | $68,309 |
| Innovasis Inc | 27 | $68,158 |
| Degen Medical, Inc. | 39 | $65,515 |
| 4web, Inc. | 19 | $46,872 |
| Providence Medical Technology, Inc. | 24 | $28,993 |
| Spineart USA Inc | 25 | $15,886 |
| Nexxt Spine LLC | 12 | $12,383 |
| Royal Biologics, Inc. | 10 | $11,748 |
| Globus Medical | 18 | $10,419 |
| Surgalign Spine Technologies, Inc. | 3 | $8,501 |
| Abbott | 60 | $2,048 |
| Spinal Elements, Inc. | 15 | $1,388 |
| Si-bone, Inc. | 14 | $992 |
| Medtronic(2 entities) | 4 | $167 |
| Alevio, LLC | 1 | $164 |
| Osteocentric Technologies, Inc. | 1 | $125 |
| Boston Scientific | 3 | $114 |
| Intrinsic Therapeutics | 2 | $111 |
| Stryker | 1 | $69 |
| Orthofix Medical, Inc. | 1 | $69 |
| Seaspine Orthopedics Corporation | 1 | $59 |
| Corelink, LLC | 1 | $49 |
| Arbor Pharmaceuticals, Inc. | 2 | $28 |
| Vertex | 1 | $27 |
| Electronic Waveform Lab, Inc. | 1 | $21 |
| Precision Medical Products Inc. | 1 | $19 |
| Innovation Technologies Inc | 1 | $17 |
| Cardiva Medical, Inc. | 1 | $16 |
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.
- Cyclops$54,581
- Tiger Shark System$47,933
- SPINE TRUSS SYSTEM$46,591
- PERLA TL - DEFORMITY SCREW$40,486
- PLIF$35,668
- E3$35,559
- Tiger Shark L$28,782
- JULIET LL - LATERAL PLATE TI-LIFE$27,823
- TIGERSHARK L$23,487
- MIS E3$12,521
- CAVUX Cervical Cage$12,258
- DTRAX Spinal System$11,509
- ALLY Bone Screw$11,509
- BIOLOGIX Allograft Bone$11,509
- SI System$11,121
- COHERE$9,060
- E3 MIS$6,993
- coflex$4,895
- Connexx System$4,388
- Sacroiliac Fixation$4,388
How this compares
$443,023 in reported general payments places this provider in the 95th percentile of 32 orthopaedic surgery of the spine providers in North Carolina.
See all orthopaedic surgery of the spine 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 92 | $678 |
| Calcitonin-SalmonCalcitonin,salmon,synthetic | 11 | $624 |
| Gabapentin | 68 | $483 |
| Mupirocin | 35 | $239 |
| Pregabalin | 29 | $230 |
| Methylprednisolone | 32 | $201 |
| Tizanidine Hcl | 32 | $197 |
| Tramadol Hcl | 25 | $52 |
| Cyclobenzaprine Hcl | 15 | $31 |
| Diazepam | 16 | $21 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Pinehurst
- Alexander LemonsPinehurst$389K
- James RicePinehurst$718
- Peter PassiasDurham$553K
- Daniel CavanaughChapel Hill$246K
- Olumide DanisaDurham$198K
- Conor ReganRaleigh$149K
- Michael MooreGreensboro$83K
- Phillip HorneCary$45K
- Daniel LeasConcord$42K
- Brett RocosDurham$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.