David Perim, MD
Orthopaedic Surgery · Silver Spring, MDNPI 1689666190
Payments from drug & device makers
Across 278 payments — averaging $56.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$4K
- Alphatec Spine, Inc$2K
- Providence Medical Technology, Inc.$2K
- Stryker$2K
- Si-bone, Inc.$466
- Ferring Pharmaceuticals Inc.$451
- plus $4K from 33 others
What the payments were for
- Travel & lodging$3,70424%
- Food & beverage$12,04576%
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 |
|---|---|---|
| Medtronic(2 entities) | 123 | $3,703 |
| Alphatec Spine, Inc | 7 | $2,465 |
| Providence Medical Technology, Inc. | 21 | $2,379 |
| Stryker | 28 | $1,832 |
| Si-bone, Inc. | 4 | $466 |
| Ferring Pharmaceuticals Inc. | 17 | $451 |
| Supreme Orthopedic Systems, LLC | 5 | $425 |
| Spinal Elements, Inc. | 2 | $398 |
| Biocomposites Inc | 3 | $358 |
| Surgalign Spine Technologies, Inc. | 4 | $258 |
| Pacira Pharmaceuticals Incorporated | 8 | $239 |
| Pacira Therapeutics, Inc. | 5 | $235 |
| Johnson & Johnson(2 entities) | 6 | $235 |
| Innovation Technologies Inc | 2 | $226 |
| Biotissue Holdings Inc. | 3 | $190 |
| Globus Medical | 2 | $178 |
| Spinal Simplicity, LLC | 2 | $171 |
| Smith+Nephew | 4 | $153 |
| Amgen(2 entities) | 8 | $148 |
| Axogen | 1 | $137 |
| Sanara Medtech Inc. | 1 | $121 |
| Captiva Spine Inc | 1 | $113 |
| Arthrex | 1 | $111 |
| Ossio Inc | 1 | $100 |
| Abbott | 1 | $97 |
| Avanos Medical | 1 | $80 |
| Arteriocyte Medical Systems, Inc. | 1 | $68 |
| Xtant Medical Inc | 2 | $67 |
| Nevro Corp. | 3 | $65 |
| Skeletal Dynamics Inc | 1 | $60 |
| Painteq LLC | 2 | $47 |
| 4web, Inc. | 1 | $29 |
| Misonix Inc | 1 | $25 |
| Centinel Spine, LLC | 1 | $25 |
| Relievant Medsystems, Inc. | 1 | $22 |
| Fidia Pharma USA Inc. | 1 | $22 |
| Vertos Medical, Inc. | 1 | $18 |
| Spine Wave, Inc. | 1 | $17 |
| Clarus Therapeutics Inc. | 1 | $14 |
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.
- MULTIPLE$752
- Other - Miscellaneous$693
- OSTEOCOOL RF ABLATION SYSTEM$327
- HOFFMANN$325
- iFuse Implant$287
- ADAPT$277
- Stimulan$267
- Zilretta$245
- NA$232
- Irrisept$226
- MazorX - Renaissance$182
- GAMMA$162
- SIMMETRY IMPLANT, 12.5MM X 50MM$151
- COFLEX INTERLAMINAR TECHNOLOGY, 10MM$151
- Autobahn$150
- HA MINUTEMAN G3-R$149
- VARIAX$148
- AVANCE NERVE GRAFT$137
- AxoGuard Nerve Connector$137
- AxoGuard Nerve Protector$137
How this compares
$15,749 in reported general payments places this provider in the 75th percentile of 378 orthopaedic surgery providers in Maryland.
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 | 33 | $813 |
| Gabapentin | 49 | $296 |
| Methylprednisolone | 18 | $155 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 28 | $154 |
| Tramadol Hcl | 38 | $96 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Silver Spring
- Mark MyersonBaltimore$10.5M
- David DaluryTowson$8.1M
- Anand MurthiBaltimore$5.4M
- Timothy CoddTowson$3.7M
- Khaled KebaishBaltimore$3.5M
- Hamid HassanzadehBethesda$2M
- Michael AinLutherville$1.6M
- Paul SponsellerBaltimore$1.5M
- Shawn StandardBaltimore$1.4M
- Ronald DelanoisBaltimore$1.2M
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.