Ian Reynolds, MD
Orthopedic Surgery · Webster, TXNPI 1184804312
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.5% of the total across 29 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 15 manufacturers reported payments, led by Providence Medical Technology, Inc. at 28.3% of the total. 2025 is the largest year on record at $591, 8.2 times the $72 reported in 2019. That places this record below the midpoint for orthopedic surgery clinicians in TX, where the typical reported total is $1,877.
Across 29 payments — averaging $45.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Providence Medical Technology, Inc.$371
- VGI Medical, LLC$202
- Xtant Medical Inc$149
- Vertex$97
- Shalby Advanced Technologies, Inc.$80
- Pacira Therapeutics, Inc.$72
- plus $338 from 9 others
What the payments were for
- Travel & lodging$202%
- Food & beverage$1,29098%
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 |
|---|---|---|
| Providence Medical Technology, Inc. | 5 | $371 |
| VGI Medical, LLC | 1 | $202 |
| Xtant Medical Inc | 2 | $149 |
| Vertex | 4 | $97 |
| Shalby Advanced Technologies, Inc. | 1 | $80 |
| Pacira Therapeutics, Inc. | 3 | $72 |
| Intrinsic Therapeutics | 1 | $61 |
| Si-bone, Inc. | 1 | $58 |
| Amgen | 3 | $52 |
| Wenzel Spine, Inc. | 2 | $41 |
| Endo Pharmaceuticals Inc. | 2 | $36 |
| Bioventus LLC | 1 | $31 |
| Treace Medical Concepts, Inc. | 1 | $26 |
| Surgalign Spine Technologies, Inc. | 1 | $20 |
| Anika Therapeutics, 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.
- SiJoin, VerteLoc$202
How this compares
$1,310 in reported general payments places this provider in the 40th percentile of 33 orthopedic 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 273 | $7,881 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 61 | $1,369 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 43 | $1,153 |
| Carisoprodol | 90 | $896 |
| Gabapentin | 45 | $703 |
| Pregabalin | 13 | $471 |
| Oxycodone Hcl | 20 | $316 |
| Lidocaine | 11 | $311 |
| Celecoxib | 23 | $290 |
| Cyclobenzaprine Hcl | 49 | $219 |
| Tizanidine Hcl | 27 | $174 |
| Zolpidem Tartrate | 13 | $139 |
| Methylprednisolone | 12 | $124 |
| Tramadol Hcl | 34 | $113 |
| Furosemide | 12 | $16 |
Paid to pharmacies, not to this prescriber.
Other orthopedic surgery in Webster
- Steven BrotzmanAustin$336K
- Rajesh ArakalPlano$79K
- Mark ScioliLubbock$70K
- John SimsAmarillo$35K
- Katherine LiHouston$19K
- Jason RamseyLubbock$13K
- Michael MarkowitzPlano$13K
- Mark GreenbergIrving$9K
- Bradley HarmanCleburne$7K
- David TemplinNew Braunfels$6K
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.