Gregory Elders, MD
Orthopaedic Surgery · Conroe, TXNPI 1669479861
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (52.7%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 32 manufacturers reported payments, led by Alphatec Spine, Inc at 52.7% of the total. Reporting peaked in 2019 at $9,367 and has fallen 88.5% since, to $1,079 in 2025.
Across 153 payments — averaging $129.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alphatec Spine, Inc$10K
- Stryker$3K
- Medinc Of Texas$2K
- Medtronic$989
- Providence Medical Technology, Inc.$565
- Johnson & Johnson$437
- plus $3K from 26 others
Across 5 payments — averaging $7715.00 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.
- Surgalign Spine Technologies, Inc.$39K
What the payments were for
- Royalty or licence$10,44853%
- Consulting fees$2501%
- Travel & lodging$2,36212%
- Food & beverage$5,51428%
- Education$1,2586%
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 |
|---|---|---|
| Alphatec Spine, Inc | 12 | $10,448 |
| Stryker | 32 | $2,995 |
| Medinc Of Texas | 8 | $1,896 |
| Medtronic(2 entities) | 18 | $989 |
| Providence Medical Technology, Inc. | 7 | $565 |
| Johnson & Johnson(2 entities) | 13 | $437 |
| Si-bone, Inc. | 10 | $365 |
| Arthrex | 9 | $360 |
| Surgalign Spine Technologies, Inc. | 3 | $291 |
| Abbott | 3 | $180 |
| Intrinsic Therapeutics | 3 | $167 |
| Pacira Therapeutics, Inc. | 4 | $161 |
| Spinesource, Inc. | 1 | $149 |
| Bioventus LLC | 4 | $113 |
| BD | 2 | $101 |
| Smith+Nephew | 3 | $84 |
| Spinal Elements, Inc. | 1 | $81 |
| Cerapedics Inc. | 4 | $77 |
| Orthalign Inc | 2 | $77 |
| Zimmer Biomet | 2 | $48 |
| Misonix Inc | 1 | $34 |
| Teleflex LLC | 1 | $34 |
| Microport Orthopedics Inc | 1 | $30 |
| Pacira Pharmaceuticals Incorporated | 1 | $23 |
| Acera Surgical, Inc. | 1 | $23 |
| Integra Lifesciences Corporation | 1 | $21 |
| Centinel Spine, LLC | 1 | $16 |
| Innovation Technologies Inc | 1 | $15 |
| Arteriocyte Medical Systems, Inc. | 1 | $14 |
| Aroa Biosurgery Incorporated | 1 | $14 |
| Wenzel Spine, Inc. | 1 | $13 |
| Augmedics Inc. | 1 | $11 |
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.
- Arsenal CBx$10,400
- TRITANIUM$1,661
- SERRATO$1,535
- XIA$1,535
- MAKO$327
- FORTILINK-A IBF SYSTEM$250
- MazorX - Renaissance$199
- CAT-SIJ Fixation System$149
- INTELLIS ADAPTIVESTIM$134
- iFuse Implant$132
- INTELLIS$114
- Axium INS DRG IPG$101
How this compares
$19,832 in reported general payments places this provider in the 75th percentile of 1,337 orthopaedic 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 47 | $773 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 38 | $477 |
| Methylprednisolone | 55 | $379 |
| Gabapentin | 48 | $326 |
| Mupirocin | 43 | $320 |
| Cephalexin | 71 | $246 |
| Tramadol Hcl | 48 | $148 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 12 | $47 |
| Diazepam | 11 | $8 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Conroe
- Stephen BurkhartSan Antonio$185.3M
- Kirby HittTemple$9.1M
- Robert GrahamAustin$6.3M
- Richard JonesDallas$6.3M
- Stefan KreuzerHouston$6.2M
- Michael WirthSan Antonio$4.5M
- Stephen IncavoHouston$4.3M
- Thomas EdwardsHouston$4.1M
- James BrodskyDallas$2.5M
- Robert SchmidtFort Worth$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.