RxDoctor Payments Data

Ian Fyfe, MD

Orthopaedic Surgery · Bismarck, NDNPI 1144240532

Payments from drug & device makers

What this record shows

This record is dominated by education: $1,200 of the $1,445 with a category attached, or 83.0%. Sioux Surgical Inc accounts for 85.6% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2021 at $1,237 and has fallen 97.1% since, to $36 in 2025. That places this record below the midpoint for orthopaedic surgery clinicians in ND, where the typical reported total is $3,290.

$1,445in general payments, 2019–2025

Across 15 payments — averaging $96.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Sioux Surgical Inc$1K
  • Johnson & Johnson$50
  • CSL Behring$38
  • Pacira Therapeutics, Inc.$19
  • Ferring Pharmaceuticals Inc.$18
  • BD$16
  • plus $69 from 5 others

What the payments were for

  • Food & beverage$24517%
  • Education$1,20083%

General payments by program year

19
21
22
24
25

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.

How this compares

$1,445 in reported general payments places this provider in the 30th percentile of 61 orthopaedic surgery providers in North Dakota.

See all orthopaedic surgery providers in North Dakota

Medicare billing

Part B allowed, 2024
$46,218
Medicare patients
94
Services billed
175

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

DrugClaimsCost to plans & patients
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen18$127

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in Bismarck

See the full list for North Dakota

Where these figures come from

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