David Shearer, MD
Orthopaedic Trauma · San Francisco, CANPI 1073849345
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $3,700 of the $5,521 with a category attached, or 67.0%. Synthes GmbH accounts for 66.3% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2022 at $2,763 and has fallen 73.6% since, to $729 in 2025. That places this record below the midpoint for orthopaedic trauma clinicians in CA, where the typical reported total is $9,676.
Across 31 payments — averaging $178.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Synthes GmbH$4K
- SIGN Fracture Care International$1K
- Stryker$454
- Medical Device Business Services, Inc.$88
- Johnson & Johnson$61
- Innovation Technologies Inc$37
- plus $19 from 1 others
What the payments were for
- Speaking & faculty fees$3,70067%
- Travel & lodging$1,03619%
- Food & beverage$78414%
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 |
|---|---|---|
| Synthes GmbH | 5 | $3,661 |
| SIGN Fracture Care International | 2 | $1,200 |
| Stryker | 19 | $454 |
| Medical Device Business Services, Inc. | 1 | $88 |
| Johnson & Johnson | 2 | $61 |
| Innovation Technologies Inc | 1 | $37 |
| Evolution Surgical, Inc | 1 | $19 |
How this compares
$5,521 in reported general payments places this provider in the 35th percentile of 106 orthopaedic trauma providers in California.
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.
Other orthopaedic trauma in San Francisco
- David LowenbergSan Francisco$788K
- Jacob MatzSan Francisco$11K
- Paul ToogoodSan Francisco$10K
- Michael GardnerStanford$2.9M
- Aaron OsborneRedding$1.3M
- Robert Tonksla Jolla$1.3M
- John ScolaroOrange$1M
- Eric LindvallClovis$609K
- Christopher LeeLos Angeles$475K
- Joshua GaryLos Angeles$466K
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.