Gaurav Luther, MD
Orthopaedic Surgery · Apex, NCNPI 1790047231
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $138,245 of the $213,335 with a category attached, or 64.8%. Zimmer Biomet accounts for 71.7% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2023 at $83,045 and has fallen 55.8% since, to $36,707 in 2025. Among orthopaedic surgery clinicians in NC 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 263 payments — averaging $811.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$153K
- Tyber Medical, LLC$46K
- Pioneer Surgical Technology, Inc.$8K
- RTI Surgical, Inc$5K
- Southtech Orthopedics$2K
- Medical Device Business Services, Inc.$339
- plus $122 from 6 others
What the payments were for
- Royalty or licence$7,8504%
- Consulting fees$138,24565%
- Travel & lodging$19,4129%
- Food & beverage$4,0462%
- Education$43,78321%
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 |
|---|---|---|
| Zimmer Biomet | 243 | $152,965 |
| Tyber Medical, LLC | 3 | $46,025 |
| Pioneer Surgical Technology, Inc. | 3 | $7,850 |
| RTI Surgical, Inc | 4 | $4,500 |
| Southtech Orthopedics | 2 | $1,534 |
| Medical Device Business Services, Inc. | 1 | $339 |
| Smith+Nephew | 2 | $42 |
| Zimvie Inc. | 1 | $18 |
| Amgen | 1 | $17 |
| Johnson & Johnson | 1 | $15 |
| Bioventus LLC | 1 | $15 |
| Endo Pharmaceuticals Inc. | 1 | $15 |
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.
- DVR Anatomic Kickstand$49,091
- Tyber Medical Anatomical Plating System$46,025
- ALPS Plating System$46,025
- NCB$28,092
- Affixus$17,551
- A.L.P.S.$13,378
- Phase-Wrist Spanning DVR Crosslock Plate$7,850
- ZB Wrist Plate$4,000
- Natural Nail$1,750
- Persona$534
- Zimmer Biomet Wrist Spanning Plate$500
- TFN ADVANCED$339
- Avenir$327
- Comprehensive Shoulder System$125
How this compares
$213,335 in reported general payments places this provider in the 90th percentile of 845 orthopaedic surgery providers in North Carolina.
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 |
|---|---|---|
| Meloxicam | 33 | $285 |
| Oxycodone Hcl | 14 | $41 |
| Tramadol Hcl | 12 | $20 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Apex
- Thomas FehringCharlotte$18.3M
- Walter BeaverCharlotte$7.4M
- Robert AndersonCharlotte$6.6M
- William JiranekDurham$6.4M
- John MasonCharlotte$5.7M
- Thomas VailDurham$5.7M
- William DavisCharlotte$5.2M
- John EllingtonCharlotte$4.9M
- Mark EasleyDurham$4M
- Carroll JonesCharlotte$3.6M
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.