Douglas Cromack, MD
Hand Surgery · El Paso, TXNPI 1528047875
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (42.0%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 43 manufacturers reported payments, led by ETS Wound Care LLC at 25.1% of the total. Reporting peaked in 2023 at $20,636 and has fallen 89.1% since, to $2,245 in 2025. 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 396 payments — averaging $195.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- ETS Wound Care LLC$19K
- Sanara Medtech Inc.$18K
- Integra Lifesciences Corporation$14K
- Axogen$6K
- Checkpoint Surgical, Inc$3K
- Acera Surgical, Inc.$2K
- plus $14K from 37 others
Across 1 payment — averaging $5000.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Acera Surgical, Inc.$5K
What the payments were for
- Consulting fees$32,48342%
- Speaking & faculty fees$5,0006%
- Travel & lodging$11,71315%
- Food & beverage$28,20536%
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.
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.
- MIRRAGEN ADVANCED WOUND MATRIX$18,361
- INTEGRA$17,153
- CellerateRx$8,412
- NEURAGEN$5,895
- FORTIFY$5,249
- AVANCE NERVE GRAFT$5,112
- INTEGRA WOUND MATRIX (IWM)$4,369
- BILAYER WOUND MATRIX (BWM)$3,736
- IDRT$3,736
- FLOWABLE$3,736
- AxoGuard Nerve Connector$3,018
- AxoGuard Nerve Protector$3,018
- Checkpoint Stimulators$2,970
- Biasurge$2,692
- PRIMATRIX$2,615
- INTEGRA DERMAL REGENERATION TEMPLATE$2,612
- Restrata Wound Matrix$2,284
- AMNIOEXCEL$945
- INTEGRA MESHED BILAYER WOUND MATRIX$807
- INTEGRA FLOWABLE WOUND MATRIX$634
How this compares
$77,401 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.
Other hand surgery in El Paso
- Ahmed ElhessyEl Paso$11K
- Miguel Pirela-CruzEl Paso$11K
- David RingAustin$536K
- Kourosh JafarniaHouston$278K
- Brendan MackayLubbock$274K
- John FaillaceWoodway$212K
- Daniel KoehlerDallas$208K
- Timothy NiacarisArlington$160K
- Steven NiedermeierArlington$152K
- William PientkaFort Worth$113K
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.