RxDoctor Payments Data

John Barrington, MD

Adult Reconstructive Orthopaedic Surgery · Plano, TXNPI 1336120328

Payments from drug & device makers

What this record shows

This record is dominated by royalties or licence payments: $1,592,373 of the $2,195,433 with a category attached, or 72.5%. 20 manufacturers reported payments, led by Zimmer Biomet at 30.4% of the total. Reporting peaked in 2019 at $651,444 and has fallen 52.0% since, to $312,540 in 2025. Among adult reconstructive orthopaedic surgery clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$2,195,433in general payments, 2019–2025

Across 663 payments — averaging $3311.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Zimmer Biomet$667K
  • Smith+Nephew$608K
  • Encore Medical, LP$561K
  • Pacira Therapeutics, Inc.$306K
  • Kyocera Medical Technologies, Inc.$28K
  • Pacira Pharmaceuticals Incorporated$17K
  • plus $8K from 14 others

What the payments were for

  • Royalty or licence$1,592,37373%
  • Consulting fees$272,41612%
  • Speaking & faculty fees$256,62512%
  • Travel & lodging$65,3143%
  • Food & beverage$8,6800%
  • Education$250%

General payments by program year

19
20
21
22
23
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.

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.

How this compares

$2,195,433 in reported general payments places this provider in the 95th percentile of 86 adult reconstructive orthopaedic surgery providers in Texas.

See all adult reconstructive orthopaedic surgery providers in Texas

Medicare billing

Part B allowed, 2024
$704,170
Medicare patients
893
Services billed
14,251

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
Mupirocin248$1,758
Dexamethasone280$1,494
Ondansetron Hcl221$1,432
Tramadol Hcl248$1,270
Cephalexin293$1,156
Tranexamic Acid34$804
Ondansetron OdtOndansetron31$447
Amoxicillin175$408
Celecoxib28$402
Ibuprofen46$248
Clindamycin Hcl47$135
Gabapentin26$121
Meloxicam32$80

Paid to pharmacies, not to this prescriber.

Other adult reconstructive orthopaedic surgery in Plano

See the full list for Texas

Where these figures come from

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