James Rubano
Orthopaedic Surgery · Wilmington, DENPI 1134169667
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (32.3%), consulting fees and speaking fees — rather than concentrated in one kind of arrangement. Ortho Development Corporation accounts for 94.3% of it on its own, with 10 other manufacturers making up the rest. 2025 is the largest year on record at $16,795, more than ten times the $865 reported in 2019.
Across 94 payments — averaging $416.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Ortho Development Corporation$37K
- Stryker$1K
- Total Joint Orthopedics, Inc.$375
- Johnson & Johnson$114
- Smith+Nephew$73
- Eclipse Technology Solutions Inc.$64
- plus $179 from 5 others
What the payments were for
- Royalty or licence$12,63132%
- Consulting fees$12,25031%
- Speaking & faculty fees$7,50019%
- Travel & lodging$3,6169%
- Food & beverage$3,1358%
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 |
|---|---|---|
| Ortho Development Corporation | 41 | $36,893 |
| Stryker | 40 | $1,433 |
| Total Joint Orthopedics, Inc. | 3 | $375 |
| Johnson & Johnson | 1 | $114 |
| Smith+Nephew | 2 | $73 |
| Eclipse Technology Solutions Inc. | 2 | $64 |
| Heron Therapeutics, Inc. | 1 | $64 |
| Pacira Cryotech Incorporated | 1 | $63 |
| Pacira Pharmaceuticals Incorporated | 1 | $18 |
| Orthofix Medical, Inc. | 1 | $18 |
| Medical Device Business Services, Inc. | 1 | $17 |
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.
- Trivicta$17,527
- Ovation Hip Stem$4,304
- Legend$1,222
- MAKO$292
- Balanced Knee Revision System$278
- SIGMA$114
- Ovation Tribute Hip Stem$103
- BKS TriMax$101
How this compares
$39,132 in reported general payments places this provider in the 85th percentile of 70 orthopaedic surgery providers in Delaware.
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 |
|---|---|---|
| Celecoxib | 93 | $1,563 |
| Meloxicam | 157 | $1,322 |
| Oxycodone Hcl | 251 | $1,309 |
| Gabapentin | 123 | $807 |
| Amoxicillin | 196 | $318 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 24 | $285 |
| Diazepam | 97 | $150 |
| Clindamycin Hcl | 40 | $146 |
| Omeprazole | 24 | $132 |
| Ondansetron Hcl | 23 | $121 |
| Cyclobenzaprine Hcl | 13 | $118 |
| Hydromorphone Hcl | 21 | $99 |
| Tramadol Hcl | 37 | $97 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Wilmington
- Suken ShahWilmington$2.1M
- Patrick WardWilmington$68K
- Steven DelloseWilmington$52K
- Nicholas QuercettiWilmington$32K
- Michael PrincipeWilmington$29K
- David TainterWilmington$26K
- Akul PatelWilmington$21K
- Alfonso ArevaloWilmington$18K
- Michael ShraderWilmington$14K
- Brian GalinatWilmington$13K
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.