David Musante, MD
Orthopaedic Surgery · Durham, NCNPI 1598740243
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $1,639 of the $2,401 with a category attached, or 68.3%. 5 manufacturers reported payments, led by Orthofix Medical, Inc. at 49.8% of the total. Reporting peaked in 2019 at $1,679 and has fallen 95.6% since, to $73 in 2021. That places this record below the midpoint for orthopaedic surgery clinicians in NC, where the typical reported total is $4,547.
Across 22 payments — averaging $109.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Orthofix Medical, Inc.$1K
- Centinel Spine, LLC$1K
- Seaspine Orthopedics Corporation$73
- Linvatec Corporation$25
- Medtronic$19
Across 201 payments — averaging $11,177 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.
- Novavax Inc$970K
- Centinel Spine, LLC$795K
- Pacira Pharmaceuticals Incorporated$187K
- Pfizer$116K
- Mesoblast, Inc.$66K
- Orthofix Medical, Inc.$54K
- plus $59K from 4 others
What the payments were for
- Royalty or licence$914%
- Travel & lodging$1,63968%
- Food & beverage$67128%
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 |
|---|---|---|
| Orthofix Medical, Inc. | 10 | $1,195 |
| Centinel Spine, LLC | 9 | $1,088 |
| Seaspine Orthopedics Corporation | 1 | $73 |
| Linvatec Corporation | 1 | $25 |
| Medtronic | 1 | $19 |
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
$2,401 in reported general payments places this provider in the 35th percentile of 845 orthopaedic surgery 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 |
|---|---|---|
| Gabapentin | 111 | $1,207 |
| Meloxicam | 156 | $453 |
| Methylprednisolone | 56 | $339 |
| Tramadol Hcl | 121 | $326 |
| Diclofenac Sodium | 40 | $295 |
| Pregabalin | 13 | $229 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 25 | $200 |
| Methocarbamol | 18 | $157 |
| Diazepam | 16 | $11 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Durham
- William JiranekDurham$6.4M
- Thomas VailDurham$5.7M
- Mark EasleyDurham$4M
- Michael BolognesiDurham$2.3M
- Christopher BrownDurham$2.3M
- Samuel AdamsDurham$1.8M
- James NunleyDurham$1.6M
- James DeorioDurham$1.3M
- Richard MatherDurham$711K
- Marc RichardDurham$643K
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.