Derek McClusky, MD
Surgery · Ruston, LANPI 1184694903
Payments from drug & device makers
What this record shows
This record is dominated by education: $10,000 of the $14,367 with a category attached, or 69.6%. Intuitive Surgical accounts for 94.8% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2023 at $9,792 and has fallen 99.3% since, to $73 in 2025.
Across 45 payments — averaging $319.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$14K
- Alphatec Spine, Inc$377
- Organogenesis Inc.$74
- Braintree Laboratories, Inc.$34
- Cook Medical LLC$33
- Medtronic$33
- plus $191 from 11 others
What the payments were for
- Travel & lodging$1,99314%
- Food & beverage$2,35016%
- Education$10,00070%
- Gifts$240%
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 |
|---|---|---|
| Intuitive Surgical | 23 | $13,625 |
| Alphatec Spine, Inc | 2 | $377 |
| Organogenesis Inc. | 4 | $74 |
| Braintree Laboratories, Inc. | 2 | $34 |
| Cook Medical LLC | 2 | $33 |
| Medtronic | 1 | $33 |
| Sensus Healthcare, Inc. | 1 | $25 |
| Vertex | 1 | $22 |
| AbbVie | 1 | $19 |
| Shire North American Group Inc | 1 | $19 |
| Smith+Nephew | 1 | $19 |
| Convatec Inc. | 1 | $17 |
| Melinta Therapeutics, LLC | 1 | $15 |
| Tactile Systems Technology Inc | 1 | $14 |
| Argon Medical Devices, Inc. | 1 | $14 |
| Boston Scientific | 1 | $14 |
| Innocoll Pharmaceuticals Limited | 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.
- DAVINCI XI$10,000
- Da Vinci Surgical System$3,349
- Battalion PLIF - PS$189
How this compares
$14,367 in reported general payments places this provider in the 85th percentile of 381 surgery providers in Louisiana.
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 |
|---|---|---|
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 101 | $6,526 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 94 | $486 |
| Peg-3350 And ElectrolytesPeg3350/Sod Sulf,bicarb,cl/Kcl | 20 | $361 |
| Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl | 16 | $279 |
| Pantoprazole Sodium | 32 | $141 |
| Tramadol Hcl | 18 | $44 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 11 | $31 |
Paid to pharmacies, not to this prescriber.
Other surgery in Ruston
- John TaborBaton Rouge$567K
- Carlos GalvaniNew Orleans$352K
- Mark HausmannBaton Rouge$250K
- Joseph BuellNew Orleans$186K
- Daryl MarxBaton Rouge$157K
- Matias NautsLake Charles$112K
- Tracee ShortBaton Rouge$108K
- Kamel BraktaShreveport$95K
- Kerry ThibodeauxOpelousas$84K
- Michael CookNew Orleans$84K
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.