John Burger, DO
Orthopaedic Surgery · Dover, DENPI 1194089912
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.1% of the total across 38 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 13 manufacturers reported payments, led by Johnson & Johnson at 30.6% of the total. Reporting peaked in 2019 at $718 and has fallen 85.2% since, to $106 in 2025. That places this record below the midpoint for orthopaedic surgery clinicians in DE, where the typical reported total is $6,222.
Across 38 payments — averaging $33.88 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$394
- Smith+Nephew$299
- Abbott$141
- Stryker$117
- Medical Device Business Services, Inc.$74
- Endo Pharmaceuticals Inc.$55
- plus $208 from 7 others
What the payments were for
- Travel & lodging$373%
- Food & beverage$1,25097%
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 |
|---|---|---|
| Johnson & Johnson | 12 | $394 |
| Smith+Nephew | 8 | $299 |
| Abbott | 2 | $141 |
| Stryker | 2 | $117 |
| Medical Device Business Services, Inc. | 3 | $74 |
| Endo Pharmaceuticals Inc. | 3 | $55 |
| Supreme Orthopedic Systems, LLC | 1 | $46 |
| DJO, LLC | 2 | $37 |
| Bone Support Inc. | 1 | $36 |
| Pacira Therapeutics, Inc. | 1 | $26 |
| Biocomposites Inc | 1 | $25 |
| Acumed LLC | 1 | $22 |
| Integra Lifesciences Corporation | 1 | $16 |
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.
- CORAIL$125
- Proclaim DRG IPG$120
How this compares
$1,287 in reported general payments places this provider in the 30th 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 |
|---|---|---|
| EliquisApixaban | 18 | $10,600 |
| Celecoxib | 346 | $8,058 |
| Diclofenac Sodium | 101 | $4,780 |
| Oxycodone Hcl | 202 | $1,325 |
| Ondansetron Hcl | 184 | $1,269 |
| Meloxicam | 130 | $671 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 33 | $457 |
| Tramadol Hcl | 72 | $427 |
| Cephalexin | 17 | $120 |
| Prednisone | 35 | $105 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Dover
- Andrew GamboneDover$16K
- Darshdeep SinghDover$15K
- Marek DenisiukDover$8K
- Lawrence PiccioniDover$7K
- Stephen ManifoldDover$2K
- Trinity PilkingtonDover$2K
- Steven ToozeDover$1K
- Suken ShahWilmington$2.1M
- Jeremie AxeNewark$179K
- Andrew CurleySeaford$70K
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.