Derek Dombroski, MD
Orthopaedic Trauma · Olympia, WANPI 1992865869
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (44.4%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. Synthes GmbH accounts for 62.0% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2022 at $7,035 and has fallen 88.5% since, to $810 in 2025.
Across 55 payments — averaging $258.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Synthes GmbH$9K
- Smith+Nephew$3K
- Acumed LLC$1K
- Stryker$342
- Johnson & Johnson$332
- Elevate Surgical Co$307
- plus $704 from 7 others
What the payments were for
- Speaking & faculty fees$4,75033%
- Travel & lodging$6,29844%
- Food & beverage$3,15022%
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 | 10 | $8,798 |
| Smith+Nephew | 18 | $2,664 |
| Acumed LLC | 2 | $1,050 |
| Stryker | 6 | $342 |
| Johnson & Johnson | 5 | $332 |
| Elevate Surgical Co | 4 | $307 |
| Zimmer Biomet | 3 | $208 |
| Cepheid | 2 | $206 |
| Amgen | 1 | $117 |
| Davol Inc. | 1 | $86 |
| Illuminoss Medical, Inc. | 1 | $49 |
| Bioventus LLC | 1 | $21 |
| Polynovo North America LLC | 1 | $17 |
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.
- EVOS$2,577
- TRIGEN$1,553
- Polarus 3 Solution$1,050
- Elbow Plating System$1,050
- Acu-Loc Wrist Plating System$1,050
- EVOS MINI$396
- TRIGEN Meta-Nail$396
- EVOS SMALL$136
- Affixus$133
- TFN-Advance$124
- NA$124
- TRIGEN InterTAN$118
- Peri-Loc VLP$118
- EVENITY$117
- LCP$115
- GENEXPERT$112
How this compares
$14,197 in reported general payments places this provider in the 60th percentile of 33 orthopaedic trauma providers in Washington.
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 | 16 | $181 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic trauma in Olympia
- Laura LouthanOlympia$108
- Sean NorkSeattle$2.4M
- Reza FiroozabadiSeattle$1.6M
- Conor KlewenoSeattle$695K
- David BareiSeattle$543K
- Michael HenleySeattle$491K
- Malcolm DebaunSeattle$228K
- Michael GithensSeattle$61K
- Kevin KahnVancouver$26K
- Robert DunbarSeattle$24K
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.