RxDoctor Payments Data

Derrick Cote, MD

Orthopaedic Surgery · Bismarck, NDNPI 1538397070

Payments from drug & device makers

What this record shows

The money is spread across several categories — travel and lodging (51.9%), food and beverage and speaking fees — rather than concentrated in one kind of arrangement. Stryker accounts for 94.4% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2024 at $2,110 and has fallen 91.5% since, to $180 in 2025. That places this record below the midpoint for orthopaedic surgery clinicians in ND, where the typical reported total is $3,290.

$2,744in general payments, 2019–2025

Across 31 payments — averaging $88.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Stryker$3K
  • Smith+Nephew$69
  • Innovation Technologies Inc$37
  • Daiichi Sankyo Inc.$20
  • Vertex$15
  • RSW Medical Company, Inc.$13

What the payments were for

  • Speaking & faculty fees$562%
  • Travel & lodging$1,42552%
  • Food & beverage$1,26346%

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.

CompanyPaymentsTotal
Stryker25$2,590
Smith+Nephew2$69
Innovation Technologies Inc1$37
Daiichi Sankyo Inc.1$20
Vertex1$15
RSW Medical Company, Inc.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.

How this compares

$2,744 in reported general payments places this provider in the 40th percentile of 61 orthopaedic surgery providers in North Dakota.

See all orthopaedic surgery providers in North Dakota

Medicare billing

Part B allowed, 2024
$336,489
Medicare patients
505
Services billed
5,212

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
Celecoxib29$553
Amoxicillin16$40

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in Bismarck

See the full list for North Dakota

Where these figures come from

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