Derek Lance
Orthopaedic Surgery · Plano, TXNPI 1639794811
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 94.9% of the total across 89 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 26 manufacturers, the largest accounting for just 22.7% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2024 at $2,077 and has fallen 57.1% since, to $890 in 2025.
Across 89 payments — averaging $65.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$1K
- Stryker$956
- Intrinsic Therapeutics$305
- Medical Device Business Services, Inc.$300
- Spine Wave, Inc.$283
- Bioventus LLC$262
- plus $2K from 20 others
What the payments were for
- Food & beverage$5,56995%
- Education$3005%
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 |
|---|---|---|
| Johnson & Johnson(2 entities) | 25 | $1,330 |
| Stryker | 21 | $956 |
| Intrinsic Therapeutics | 2 | $305 |
| Medical Device Business Services, Inc. | 1 | $300 |
| Spine Wave, Inc. | 3 | $283 |
| Bioventus LLC | 3 | $262 |
| Smith+Nephew | 5 | $250 |
| Next Science LLC | 2 | $230 |
| Kerecis Limited | 1 | $181 |
| Kuros Biosciences USA, Inc | 1 | $164 |
| Solventum Corporation | 3 | $157 |
| KCI USA, Inc. | 4 | $148 |
| Bone Support Inc. | 1 | $136 |
| Baxter Healthcare | 2 | $126 |
| Lifenet Health | 1 | $124 |
| Zimmer Biomet | 1 | $122 |
| Biocomposites Inc | 1 | $120 |
| Vericel Corporation | 1 | $117 |
| Bonalive Inc | 1 | $114 |
| Team 1, LLC | 3 | $109 |
| Medtronic | 1 | $99 |
| ERMI LLC | 1 | $88 |
| Organogenesis Inc. | 2 | $77 |
| Davol Inc. | 1 | $45 |
| Pylant Medical | 1 | $14 |
| Avanos Medical | 1 | $13 |
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.
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$609
- Kerecis Omega3 SurgiClose$543
- NA$521
- Kerecis Omega3 GraftGuide$181
- Kerecis Omega3 Marigen$181
- ALPHAVENT$172
- LCP$148
- MOTOBAND$146
- TFN-Advance$144
- Exogen Ultrasound Bone Healing System$142
- CERAMENTBONE VOID FILLER$136
- CERAMENT G$136
- Xperience$133
- BlastX$133
- SurgX$133
- VITOSS$128
- 3M Cavilon$128
- Ioban 2$128
- ACTIV.A.C.$128
- V.A.C. GRANUFOAM$128
How this compares
$5,869 in reported general payments places this provider in the 55th percentile of 1,337 orthopaedic surgery providers in Texas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Oxycodone Hcl | 17 | $93 |
| Promethazine Hcl | 11 | $65 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Plano
- Isador LiebermanPlano$1.3M
- Gerhard MaalePlano$983K
- Jack ZiglerPlano$949K
- Michael SchwartzPlano$639K
- Cyrus AbbaschianPlano$605K
- Khalid YousufPlano$485K
- Robert JohnsonPlano$217K
- Stephen BurkhartSan Antonio$185.3M
- Kirby HittTemple$9.1M
- Robert GrahamAustin$6.3M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.