Gerard Librodo, MD
Orthopaedic Surgery · El Dorado, KSNPI 1629003223
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $16,720 of the $26,600 with a category attached, or 62.9%. 36 manufacturers reported payments, led by Si-bone, Inc. at 29.2% of the total. Reporting peaked in 2019 at $10,182 and has fallen 91.0% since, to $914 in 2025.
Across 207 payments — averaging $128.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Si-bone, Inc.$8K
- CTL Medical Corporation$3K
- Integrity Implants Inc. Dba Accelus$2K
- Biocomposites Inc$2K
- Precision Spine, Inc.$2K
- Kyocera Medical Technologies, Inc.$2K
- plus $8K from 30 others
What the payments were for
- Consulting fees$6,40024%
- Travel & lodging$2,4369%
- Food & beverage$16,72063%
- Gifts$1,0444%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Si-bone, Inc. | 20 | $7,771 |
| CTL Medical Corporation | 25 | $3,268 |
| Integrity Implants Inc. Dba Accelus | 14 | $2,333 |
| Biocomposites Inc | 47 | $2,041 |
| Precision Spine, Inc. | 21 | $1,623 |
| Kyocera Medical Technologies, Inc. | 3 | $1,556 |
| Amplify Surgical, Inc. | 8 | $1,180 |
| Surgalign Spine Technologies, Inc. | 8 | $1,005 |
| Kuros Biosciences USA, Inc | 7 | $974 |
| Relievant Medsystems, Inc. | 7 | $729 |
| Eminent Spine, LLC | 3 | $678 |
| Sivantage, Inc. | 1 | $605 |
| Integrity Implants Inc. | 4 | $507 |
| Innovasis Inc | 2 | $258 |
| Nexxt Spine LLC | 3 | $258 |
| Zavation Medical Products, LLC | 1 | $207 |
| Aesculap, Inc. | 8 | $186 |
| Richard Wolf Medical Instruments Corp. | 1 | $167 |
| Baudax Bio Inc. | 4 | $167 |
| Curiteva, Inc. | 1 | $150 |
| Ossdsign USA Incorporated | 2 | $144 |
| Camber Spine Technologies LLC | 1 | $141 |
| Augmedics Inc. | 2 | $124 |
| Innovation Technologies Inc | 1 | $90 |
| Spineology Inc. | 1 | $84 |
| Nevro Corp. | 1 | $71 |
| Republic Spine | 1 | $60 |
| Medacta USA, Inc. | 2 | $53 |
| Cerapedics Inc. | 1 | $33 |
| Spine Wave, Inc. | 1 | $27 |
| Electronic Waveform Lab, Inc. | 1 | $27 |
| Ulrich Medical USA, Inc. | 1 | $27 |
| Pacira Pharmaceuticals Incorporated | 1 | $17 |
| Orthofix Medical, Inc. | 1 | $14 |
| Medtronic | 1 | $12 |
| Collegium Pharmaceutical, Inc. | 1 | $12 |
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.
- iFuse Implant$7,074
- Spinal$2,262
- dualX$773
- Vault C$754
- SlMMETRY$721
- Intracept$536
- FlareHawk$484
- Raphael Pedicle Screw System$358
- Stimulan$317
- REFORM POCT SYSTEM$313
- dualX and DualPortal$269
- SIBI System$207
- SIMMETRY IMPLANT, 12.5MM X 50MM$141
- ANJESO$125
- OssDsign Catalyst$124
How this compares
$26,600 in reported general payments places this provider in the 85th percentile of 197 orthopaedic surgery providers in Kansas.
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 |
|---|---|---|
| Gabapentin | 60 | $557 |
| Cyclobenzaprine Hcl | 33 | $288 |
| Meloxicam | 38 | $83 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in El Dorado
- David AndersonKansas City$490K
- Brandon CarlsonKansas City$299K
- Jacob DeisterTopeka$185K
- Harold EllsworthLeawood$154K
- Tyler BronWichita$107K
- William ReedLenexa$106K
- Alexander BaileyOverland Park$99K
- Brent WiseKansas City$97K
- Joshua LockerLeawood$91K
- Jeffrey ShepherdWichita$87K
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.