Gerson Pineda, MD
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (59.7%), education and travel and lodging — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Stryker at 35.2% of the total. 2025 is the largest year on record at $26,105, more than ten times the $966 reported in 2019. Among surgery clinicians in TX 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 134 payments — averaging $334.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$16K
- Intuitive Surgical$9K
- VB Spine LLC$9K
- Centinel Spine, LLC$5K
- Degen Medical, Inc.$5K
- Medtronic$157
- plus $290 from 4 others
What the payments were for
- Consulting fees$26,77560%
- Travel & lodging$6,79815%
- Food & beverage$4,27910%
- Education$7,00016%
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 | 84 | $15,782 |
| Intuitive Surgical | 17 | $8,964 |
| VB Spine LLC | 14 | $8,927 |
| Centinel Spine, LLC | 3 | $5,412 |
| Degen Medical, Inc. | 5 | $5,319 |
| Medtronic | 1 | $157 |
| Globus Medical | 6 | $126 |
| Davol Inc. | 1 | $109 |
| Alimera Sciences, Inc. | 2 | $37 |
| TELA Bio, Inc. | 1 | $19 |
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.
- Da Vinci Surgical System$8,752
- MONTEREY AL$8,561
- NIAGARA LATERAL ACCESS SYSTEM$6,030
- PRODISC L$5,412
- LITE PLATE SYSTEM$4,020
- STRYKER$2,680
- ALEUTIAN INTERBODY SYSTEMS$1,005
- ANTERALIGN SPINAL SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY$157
- PHASIX$109
How this compares
$44,852 in reported general payments places this provider in the 90th percentile of 1,830 surgery providers in Texas.
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 surgery in Plano
- Dean CionePlano$322K
- Julianne SantarosaPlano$303K
- Michael HarkinsTomball$2.7M
- Douglas StoddardAustin$1.4M
- Steven FassAustin$989K
- Vineet ChoudhryAustin$851K
- Andy HawthorneRound Rock$843K
- Nancy MarquezAustin$700K
- Sachin KukrejaDallas$640K
- Alejandro EsquivelAustin$631K
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.