David Wilson, MD
Hand Surgery · Fort Sam Houston, TXNPI 1902048556
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (32.6%), education and consulting fees — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Acumed LLC at 58.1% of the total. 2025 is the largest year on record at $45,235, more than ten times the $1,304 reported in 2019. Among hand surgery clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 81 payments — averaging $1025.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acumed LLC$48K
- Skeletal Dynamics Inc$32K
- Exsomed Corporation$1K
- Medinc Of Texas$1K
- Bioventus LLC$149
- Stryker$138
- plus $439 from 5 others
What the payments were for
- Consulting fees$18,13522%
- Speaking & faculty fees$27,10033%
- Travel & lodging$7,1819%
- Food & beverage$3,6344%
- Education$26,98232%
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 |
|---|---|---|
| Acumed LLC | 45 | $48,270 |
| Skeletal Dynamics Inc | 24 | $31,533 |
| Exsomed Corporation | 2 | $1,321 |
| Medinc Of Texas | 1 | $1,182 |
| Bioventus LLC | 1 | $149 |
| Stryker | 3 | $138 |
| Globus Medical | 1 | $129 |
| Zimmer Biomet | 1 | $109 |
| Checkpoint Surgical, Inc | 1 | $97 |
| Arthrosurface Incorporated | 1 | $55 |
| Biocomposites Inc | 1 | $51 |
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.
- ACUMED$56,162
- INnate Implant$31,159
- Geminus$31,101
- Align$31,101
- IJS$31,101
- Implate$31,101
- InFrame Implant$31,063
- NanoPhix Implant$4,550
- OsteoMed$2,975
- ArrowPhix System$1,321
- ArcPhix System$1,321
- Radial Head Plating System$565
- Hand Fracture System$377
- Acu-Loc Wrist Plating System$257
- Exogen Ultrasound Bone Healing System$149
- Elbow Plating System$135
- Anatomic Radial Head System$135
- Harvest$129
- Acutrak Headless Compression Screw System$122
- Midshaft Forearm Plating System$120
How this compares
$83,032 in reported general payments places this provider in the 90th percentile of 170 hand surgery providers in Texas.
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 |
|---|---|---|
| Oxycodone Hcl | 12 | $42 |
| Ibuprofen | 11 | $41 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Fort Sam Houston
- Samuel PoseyFort Sam Houston$27K
- Casey SabbagFort Sam Houston$14K
- Taylor BatesFort Sam Houston$13K
- David RingAustin$536K
- Kourosh JafarniaHouston$278K
- Brendan MackayLubbock$274K
- John FaillaceWoodway$212K
- Daniel KoehlerDallas$208K
- Timothy NiacarisArlington$160K
- Steven NiedermeierArlington$152K
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.