John Macy, MD
Orthopaedic Surgery · Morrisville, VTNPI 1225062110
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $157,798 of the $245,285 with a category attached, or 64.3%. Shoulder Innovations, Inc. accounts for 99.2% of it on its own, with 7 other manufacturers making up the rest. 2025 is the largest year on record at $118,352, more than ten times the $212 reported in 2019. Among orthopaedic surgery clinicians in VT 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.
Across 64 payments — averaging $3832.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Shoulder Innovations, Inc.$243K
- Zurimed Technologies Inc.$978
- Prodigy Surgical Distribution, Inc.$398
- Arthrex$278
- Stryker$230
- Encore Medical, LP$72
- plus $90 from 2 others
What the payments were for
- Royalty or licence$157,79864%
- Consulting fees$64,99426%
- Travel & lodging$18,4138%
- Food & beverage$3,5181%
- Gifts$5610%
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 |
|---|---|---|
| Shoulder Innovations, Inc. | 53 | $243,240 |
| Zurimed Technologies Inc. | 1 | $978 |
| Prodigy Surgical Distribution, Inc. | 1 | $398 |
| Arthrex | 4 | $278 |
| Stryker | 2 | $230 |
| Encore Medical, LP | 1 | $72 |
| Johnson & Johnson | 1 | $58 |
| Coopersurgical, Inc. | 1 | $31 |
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.
- InSet System$241,528
- Fiberlocker System$978
- Shoulder Innovations TSA$766
- AEQUALIS$230
How this compares
$245,285 in reported general payments places this provider in the 95th percentile of 37 orthopaedic surgery providers in Vermont.
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 |
|---|---|---|
| Mupirocin | 15 | $83 |
| Amoxicillin | 41 | $38 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Morrisville
- Bryan HuberMorrisville$57K
- Nicholas AntellMorrisville$32K
- Ethan HarlowMorrisville$26K
- Erin PichiotinoMorrisville$26K
- Brian ArosMorrisville$10K
- Joseph McLaughlinMorrisville$2K
- Jeremy KorshSt Johnsbury$33K
- James LevinsBurlington$21K
- Nathan MauserSaint Albans$20K
- Nathaniel NelmsSouth Burlington$18K
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.