David Bear, MD
Hand Surgery · Eugene, ORNPI 1285804401
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (36.8%), education and food and beverage — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Arthrex at 43.1% of the total. Reporting peaked in 2019 at $3,796 and has fallen 63.0% since, to $1,404 in 2025.
Across 70 payments — averaging $127.88 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$4K
- Steelhead Surgical Inc$2K
- Sonex Health, Inc.$1K
- Stryker$668
- Novartis$598
- Anika Therapeutics, Inc.$268
- plus $364 from 6 others
Across 11 payments — averaging $29,630 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.
- Novartis$326K
What the payments were for
- Travel & lodging$3,29037%
- Food & beverage$2,38527%
- Education$2,62729%
- Gifts$6507%
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 | 19 | $3,856 |
| Steelhead Surgical Inc | 7 | $1,843 |
| Sonex Health, Inc. | 7 | $1,355 |
| Stryker(2 entities) | 2 | $668 |
| Novartis | 27 | $598 |
| Anika Therapeutics, Inc. | 2 | $268 |
| Shoulder Innovations, Inc. | 1 | $138 |
| Axogen | 1 | $82 |
| Wildwood Medical LLC | 1 | $71 |
| Endo USA, Inc. | 1 | $30 |
| Bioventus LLC | 1 | $25 |
| Johnson & Johnson | 1 | $17 |
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.
- Sx-One Microknife$1,232
- Ascend Flex$650
- WristMotion$226
- InSet System$138
How this compares
$8,951 in reported general payments places this provider in the 70th percentile of 28 hand surgery providers in Oregon.
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 |
|---|---|---|
| Oxycodone Hcl | 128 | $790 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 96 | $636 |
| Tramadol Hcl | 19 | $113 |
| Ondansetron OdtOndansetron | 12 | $82 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Eugene
- Heather CampionEugene$38K
- Jenna GodfreyEugene$10K
- Adam MirarchiPortland$99K
- James VerheydenBend$89K
- Jocelyn ComptonPortland$15K
- Christopher HealyBend$12K
- Phillip BraunlichRoseburg$9K
- Samuel Cohen-TanugiPortland$7K
- Allison MitchellSalem$7K
- Derek BondPortland$6K
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.