George Guild, MD
Orthopaedic Surgery · Cumming, GANPI 1063680031
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $638,583 of the $987,486 with a category attached, or 64.7%. Zimmer Biomet accounts for 62.7% of it on its own, with 19 other manufacturers making up the rest. 2025 is the largest year on record at $615,402, more than ten times the $28,123 reported in 2019. Among orthopaedic surgery clinicians in GA 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 625 payments — averaging $1579.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$620K
- Smith+Nephew$353K
- Total Joint Orthopedics, Inc.$13K
- KCI USA, Inc.$263
- Osteoremedies, LLC$217
- Linkbio Corp$185
- plus $1K from 14 others
Across 58 payments — averaging $7899.91 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.
- Smith+Nephew$276K
- KCI USA, Inc.$112K
- Zimmer Biomet$70K
What the payments were for
- Royalty or licence$8550%
- Consulting fees$638,58365%
- Speaking & faculty fees$197,65320%
- Travel & lodging$51,7695%
- Food & beverage$25,0643%
- Education$71,1037%
- Other$2,4590%
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 | 170 | $619,619 |
| Smith+Nephew | 410 | $353,471 |
| Total Joint Orthopedics, Inc. | 22 | $12,639 |
| KCI USA, Inc. | 1 | $263 |
| Osteoremedies, LLC | 1 | $217 |
| Linkbio Corp | 1 | $185 |
| Medacta USA, Inc. | 2 | $176 |
| BD | 1 | $158 |
| Stryker | 6 | $143 |
| Heraeus Medical, LLC. | 1 | $112 |
| Heron Therapeutics, Inc. | 1 | $106 |
| Pacira Therapeutics, Inc. | 1 | $96 |
| Curonix LLC | 1 | $91 |
| Next Science LLC | 1 | $57 |
| Bioventus LLC | 1 | $49 |
| Vertex | 1 | $31 |
| Pacira Pharmaceuticals Incorporated | 1 | $22 |
| Johnson & Johnson | 1 | $21 |
| Kuros Biosciences USA, Inc | 1 | $15 |
| Access Pro Medical, LLC | 1 | $14 |
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.
- Journey II$362,504
- REAL INTELLIGENCE$161,037
- REDAPT$82,913
- Persona$65,688
- Tandem$64,707
- OR3O Dual Mobility$47,437
- POLARSTEM$46,136
- Journey II XR$34,768
- Legion$34,134
- Anthology$33,725
- Legion Revision$32,508
- mymobility Platform$32,088
- Journey II CR$26,154
- BIRMINGHAM HIP$25,418
- POLARCUP$19,482
- R3 ACETABULAR$14,162
- RI.HIP NAVIGATION$13,836
- OXINIUM Hip$12,752
- Journey II BCS$12,714
- OXINIUM Knee$12,126
How this compares
$987,486 in reported general payments places this provider in the 95th percentile of 654 orthopaedic surgery providers in Georgia.
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 |
|---|---|---|
| Diclofenac Sodium | 137 | $1,197 |
| Oxycodone Hcl | 197 | $614 |
| Pregabalin | 66 | $411 |
| Celecoxib | 19 | $408 |
| Gabapentin | 38 | $288 |
| Doxycycline Hyclate | 15 | $265 |
| Ibuprofen | 49 | $187 |
| Tramadol Hcl | 65 | $147 |
| Amoxicillin | 150 | $147 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 18 | $130 |
| Cefdinir | 12 | $121 |
| Methylprednisolone | 28 | $116 |
| Hydromorphone Hcl | 17 | $85 |
| Pantoprazole Sodium | 18 | $53 |
| Clindamycin Hcl | 28 | $42 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Cumming
- Charles DecookCumming$48.3M
- David CovallCumming$385K
- Christopher BlanchardCumming$312K
- Brandon NaylorCumming$156K
- Ormonde MahoneyAthens$10.6M
- Daxes BanitWarner Robins$5.5M
- John DorchakColumbus$3.8M
- Daniel SilcoxAtlanta$3.4M
- Dennis DevitoAtlanta$1.5M
- Jon MinterAlpharetta$1.2M
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.