Geoffrey Marecek, MD
Orthopaedic Surgery · Los Angeles, CANPI 1114183472
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $401,133 of the $624,268 with a category attached, or 64.3%. 22 manufacturers reported payments, led by Zimmer Biomet at 34.7% of the total. Reporting peaked in 2023 at $197,024 and has fallen 64.8% since, to $69,379 in 2025. Among orthopaedic surgery clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 623 payments — averaging $1002.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$216K
- Globus Medical$161K
- Orthofix Medical, Inc.$73K
- Medical Device Business Services, Inc.$32K
- Synthes GmbH$29K
- Nuvasive Specialized Orthopedics, Inc.$29K
- plus $83K from 16 others
Across 9 payments — averaging $5706.36 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.
- BONE Support AB$35K
- Orthofix Medical, Inc.$16K
What the payments were for
- Royalty or licence$41,1987%
- Consulting fees$401,13364%
- Speaking & faculty fees$62,53410%
- Travel & lodging$72,95612%
- Food & beverage$13,4982%
- Education$31,5255%
- Ownership interest$1,4230%
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 | 219 | $216,438 |
| Globus Medical(2 entities) | 134 | $161,276 |
| Orthofix Medical, Inc. | 66 | $73,126 |
| Medical Device Business Services, Inc. | 40 | $31,951 |
| Synthes GmbH | 34 | $29,469 |
| Nuvasive Specialized Orthopedics, Inc. | 22 | $29,016 |
| Siemens Medical Solutions USA, Inc. | 13 | $26,584 |
| Restor3d, Inc. | 11 | $20,568 |
| Stryker | 30 | $13,051 |
| Bone Support Inc. | 10 | $8,516 |
| Synthes USA Products LLC | 10 | $6,135 |
| Smith+Nephew | 6 | $4,911 |
| Orthoxel Designated Activity Company | 3 | $1,500 |
| Johnson & Johnson | 12 | $724 |
| Acumed LLC | 6 | $307 |
| Integrum Inc. | 1 | $209 |
| Si-bone, Inc. | 1 | $168 |
| Micromed Inc | 1 | $142 |
| AMDT Holdings, Inc. | 1 | $51 |
| Curvafix, Inc. | 1 | $44 |
| Illuminoss Medical, Inc. | 1 | $42 |
| Dynasplint Systems Inc. | 1 | $40 |
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$87,720
- Affixus$77,821
- Distal Femur Plate System$39,901
- Alps Prox Tib Plates$36,938
- TrueLok$36,588
- Periprosthetic Fracture$35,645
- Alps Elbow$32,375
- Anthem$27,837
- CANNULATED SCREWS$24,288
- PRECICE Intramedullary Limb Lengthening System$22,706
- NCB$18,634
- NA$18,421
- Alps Hand$16,625
- TL-HEX TRUELOK HEXAPOD SYSTEM$16,154
- FITBONE$15,009
- RIA$14,515
- Ankle Fracture System$11,533
- PRECICE$11,070
- Artis icono floor$8,853
- CERAMENTBONE VOID FILLER$8,508
How this compares
$624,268 in reported general payments places this provider in the 95th percentile of 1,808 orthopaedic surgery providers in California.
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 orthopaedic surgery in Los Angeles
- Kelly VinceLos Angeles$9.6M
- Jay LiebermanLos Angeles$4.8M
- Thomas SchmalzriedLos Angeles$4M
- David SkaggsLos Angeles$2.6M
- David ThordarsonLos Angeles$2.5M
- Edward McPhersonLos Angeles$1.2M
- Daniel AllisonLos Angeles$1.1M
- Justin SalimanLos Angeles$912K
- Charles MoonLos Angeles$760K
- Andrew SpitzerLos Angeles$738K
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.