Gerard Cush, MD
Orthopaedic Surgery · Lewisburg, PANPI 1225004542
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $485,355 of the $787,649 with a category attached, or 61.6%. It is spread thinly across 34 manufacturers, the largest accounting for just 23.8%. Reporting peaked in 2021 at $195,162 and has fallen 72.8% since, to $53,084 in 2025. Among orthopaedic surgery clinicians in PA 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 629 payments — averaging $1252.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$187K
- Orthofix Medical, Inc.$186K
- Medshape, Inc.$129K
- Exactech, Inc.$73K
- Trimed, Inc.$61K
- Trilliant Surgical LLC.$44K
- plus $109K from 28 others
Across 7 payments — averaging $132.36 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.
- Stryker$926
Across 1 payment — averaging $1149.95 each. An ownership or investment interest held by the physician or an immediate family member.
- Restor3d, Inc.$1K
What the payments were for
- Royalty or licence$117,89615%
- Consulting fees$485,35562%
- Speaking & faculty fees$41,2675%
- Travel & lodging$66,9348%
- Food & beverage$12,4612%
- Education$2,5790%
- Entertainment$840%
- Other$61,0738%
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 |
|---|---|---|
| Stryker(2 entities) | 128 | $187,204 |
| Orthofix Medical, Inc. | 191 | $185,851 |
| Medshape, Inc. | 58 | $128,740 |
| Exactech, Inc. | 52 | $72,836 |
| Trimed, Inc. | 41 | $60,767 |
| Trilliant Surgical LLC. | 26 | $43,659 |
| Restor3d, Inc. | 27 | $37,202 |
| Acumed LLC | 22 | $20,501 |
| Ortho Solutions Inc | 20 | $19,665 |
| International Life Sciences | 5 | $14,683 |
| Arthrex | 8 | $9,672 |
| Nextremity Solutions Inc. | 1 | $1,635 |
| Encore Medical, LP | 9 | $1,397 |
| Integra Lifesciences Corporation | 4 | $1,037 |
| Biopro, Inc. | 3 | $1,029 |
| KCI USA, Inc. | 1 | $425 |
| Ossio Inc | 2 | $179 |
| Novus Surgical Consultants | 3 | $159 |
| Innovation Technologies Inc | 2 | $151 |
| Forma Medical | 3 | $121 |
| Novus Surgical Solutions LLC | 3 | $88 |
| Kuros Biosciences USA, Inc | 1 | $84 |
| Globus Medical | 1 | $74 |
| Treace Medical Concepts, Inc. | 2 | $72 |
| Fusion Orthopedics USA, LLC | 1 | $71 |
| DJO, LLC | 2 | $61 |
| Zimmer Biomet | 2 | $56 |
| Radius Health, Inc. | 2 | $51 |
| Amgen | 3 | $43 |
| Flower Orthopedics Coporation | 1 | $40 |
| Ferring Pharmaceuticals Inc. | 2 | $33 |
| Pacira Pharmaceuticals Incorporated | 1 | $29 |
| Bioventus LLC | 1 | $17 |
| Merck | 1 | $17 |
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.
- JUNIORTHO PLATING SYSTEM$80,504
- ORTHOLOC 3DI$77,169
- EQUINOXE$45,561
- ACUMED$31,822
- ORTHOLOC$30,380
- ANKLE HINDFOOT NAILING SYSTEM$27,222
- VANTAGE$26,846
- DynaNail$26,710
- Arsenal Sinus Support Plate$26,489
- INFINITY$24,479
- TrueLok$23,144
- GRAVITY SYNCHFIX$20,605
- DynaNail Helix, Washer, 15 mm$18,681
- ISKD (Intramedullary Skeletal Kinetic Distractor)$16,250
- XCaliber Hybrid Fixator$16,250
- Lapidus Correction Jig, Right$15,130
- Tools - WFS$14,808
- FLEXBAND$14,768
- DynaClip Bone Fixation System, Quattro, 22mm x 20mm x 20mm$14,548
- LRS Pediatric$14,000
How this compares
$787,649 in reported general payments places this provider in the 95th percentile of 1,048 orthopaedic surgery providers in Pennsylvania.
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 Lewisburg
- William HozackBensalem$10.6M
- Jess LonnerBryn Mawr$7.8M
- Gerald WilliamsBryn Mawr$6.8M
- Mark LazarusBensalem$6.4M
- John FenlinPhiladelphia$5.9M
- Peter SharkeyKing Of Prussia$5.7M
- Alexander VaccaroPhiladelphia$4.5M
- Selene ParekhBensalem$4.5M
- Joseph AbboudPhiladelphia$3.9M
- Jonathan GarinoMalvern$3.8M
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.