RxDoctor Payments Data

David Shephard, MD

Orthopaedic Surgery · Lubbock, TXNPI 1700087350

Payments from drug & device makers

$13,379in general payments, 2019–2025

Across 100 payments — averaging $133.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Stryker$10K
  • Heron Therapeutics, Inc.$2K
  • Zimmer Biomet$1K
  • Johnson & Johnson$77
  • Ortho Development Corporation$51
  • Baxter Healthcare$32
  • plus $228 from 10 others

What the payments were for

  • Speaking & faculty fees$1,92514%
  • Travel & lodging$3,66727%
  • Food & beverage$7,78758%

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

19
20
21
22
23
24
25

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.

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

$13,379 in reported general payments places this provider in the 70th percentile of 1,337 orthopaedic surgery providers in Texas.

See all orthopaedic surgery providers in Texas

Medicare billing

Part B allowed, 2024
$683,338
Medicare patients
1,126
Services billed
7,068

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

DrugClaimsCost to plans & patients
ZilrettaTriamcinolone Acetonide26$21,526
Enoxaparin Sodium77$8,871
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen741$7,190
Methocarbamol79$596
Celecoxib56$542
Ondansetron OdtOndansetron47$498
Meloxicam166$480
Tramadol Hcl114$461
Acetaminophen-CodeineAcetaminophen With Codeine32$331
Oxycodone Hcl45$251
Amoxicillin143$98
Clindamycin Hcl14$27
Gabapentin11$26

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in Lubbock

See the full list for Texas

Where these figures come from

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