David Buck, MD
Sports Medicine · Fremont, NENPI 1699896159
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (53.3%), food and beverage and education — rather than concentrated in one kind of arrangement. 5 manufacturers reported payments, led by Conetic Solutions, Inc. at 40.1% of the total. 2025 is the largest year on record at $1,575, 3.9 times the $408 reported in 2019.
Across 40 payments — averaging $91.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Conetic Solutions, Inc.$1K
- Arthrex$1K
- Zimmer Biomet$658
- Stryker$49
- Johnson & Johnson$28
What the payments were for
- Travel & lodging$1,95253%
- Food & beverage$1,47940%
- Education$2296%
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 |
|---|---|---|
| Conetic Solutions, Inc. | 12 | $1,467 |
| Arthrex | 19 | $1,458 |
| Zimmer Biomet | 7 | $658 |
| Stryker | 1 | $49 |
| Johnson & Johnson | 1 | $28 |
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.
How this compares
$3,660 in reported general payments places this provider in the 55th percentile of 34 sports medicine providers in Nebraska.
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 |
|---|---|---|
| Celecoxib | 24 | $633 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 30 | $396 |
| Doxycycline Hyclate | 36 | $388 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 23 | $201 |
| Cephalexin | 36 | $182 |
| Meloxicam | 32 | $97 |
| Tramadol Hcl | 18 | $41 |
| Amoxicillin | 24 | $22 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Fremont
- Brett FischerFremont$8K
- Justin MakovickaElkhorn$56K
- Justin GreinerOmaha$47K
- Matthew TingleOmaha$32K
- Jace HeidenOmaha$14K
- Stephen BrownElkhorn$8K
- Kimberly TurmanElkhorn$8K
- Kellen HustonOmaha$7K
- Eric SamuelsonOmaha$7K
- Hsueh Yu ChengElkhorn$5K
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.