John Noble, MD
Orthopaedic Surgery · Lake Charles, LANPI 1982656450
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,150 of the $2,834 with a category attached, or 75.9%. Stryker accounts for 83.5% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2019 at $1,326 and has fallen 92.4% since, to $100 in 2025. That places this record below the midpoint for orthopaedic surgery clinicians in LA, where the typical reported total is $3,274.
Across 44 payments — averaging $64.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$2K
- Smith+Nephew$212
- Johnson & Johnson$81
- AbbVie$62
- Vericel Corporation$37
- Bioventus LLC$25
- plus $50 from 3 others
Across 81 payments — averaging $3441.20 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Stryker$247K
- Smith+Nephew$32K
What the payments were for
- Travel & lodging$68424%
- Food & beverage$2,15076%
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 |
|---|---|---|
| Stryker | 27 | $2,367 |
| Smith+Nephew | 4 | $212 |
| Johnson & Johnson(2 entities) | 3 | $81 |
| AbbVie | 4 | $62 |
| Vericel Corporation | 2 | $37 |
| Bioventus LLC | 1 | $25 |
| Amgen | 1 | $21 |
| Sanara Medtech Inc. | 1 | $16 |
| Kowa Pharmaceuticals America, 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.
- MAKO$1,555
How this compares
$2,834 in reported general payments places this provider in the 45th percentile of 286 orthopaedic surgery providers in Louisiana.
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.
Other orthopaedic surgery in Lake Charles
- Thomas AxelradLake Charles$75K
- Michael GarittyLake Charles$30K
- James JacksonLake Charles$26K
- Christopher HarrodBaton Rouge$3M
- Vinod DasaKenner$1.9M
- Pierce NunleyShreveport$1.8M
- Jorge IsazaBaton Rouge$1.2M
- Neil MakiThibodaux$620K
- Robert ZuraNew Orleans$597K
- Kevin McCarthyBaton Rouge$594K
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.