John Shields, MD
Adult Reconstructive Orthopaedic Surgery · Winston Salem, NCNPI 1245410497
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $54,813 of the $77,774 with a category attached, or 70.5%. Smith+Nephew accounts for 99.5% of it on its own, with 5 other manufacturers making up the rest.
Across 100 payments — averaging $777.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$77K
- Medical Device Business Services, Inc.$171
- Stryker$153
- Linvatec Corporation$39
- Johnson & Johnson$27
- Medtronic$15
Across 47 payments — averaging $3945.04 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.
- Smith+Nephew$185K
What the payments were for
- Consulting fees$54,81370%
- Speaking & faculty fees$9,05612%
- Travel & lodging$9,75513%
- Food & beverage$4,1515%
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 |
|---|---|---|
| Smith+Nephew | 93 | $77,369 |
| Medical Device Business Services, Inc. | 1 | $171 |
| Stryker | 3 | $153 |
| Linvatec Corporation | 1 | $39 |
| Johnson & Johnson | 1 | $27 |
| Medtronic | 1 | $15 |
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.
- Journey II$138,281
- REAL INTELLIGENCE$51,609
- K-15 PORK$22,165
- Legion$18,872
- Journey II BCS$7,481
- Journey II CR$7,481
- OXINIUM Knee$6,606
- Journey II XR$3,931
- CORI$3,432
- JOURNEY$3,218
- Anthem$2,581
- JOURNEY II UK$2,450
- POLARSTEM$2,426
- REDAPT$2,020
- Legion Revision$1,780
- LEGION TKS$1,750
- VISIONAIRE FastPak$1,750
- PICO$1,053
- TC Plus$700
- POLAR3$600
How this compares
Too few adult reconstructive orthopaedic surgery providers in North Carolinato place this figure against a meaningful peer group, so we don't.
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 | 49 | $1,165 |
| Gabapentin | 17 | $270 |
| Amoxicillin | 183 | $243 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 27 | $231 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 21 | $186 |
| Meloxicam | 67 | $161 |
| Methylprednisolone | 19 | $103 |
| Clindamycin Hcl | 38 | $71 |
| Methocarbamol | 14 | $56 |
| Tramadol Hcl | 11 | $40 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Winston Salem
- John MatthewsWinston Salem$2K
- Maxwell LangfittWinston Salem$933
- David PollockBermuda Run$4.8M
- Thorsten SeylerDurham$2.2M
- Adam BrekkeDurham$86K
- Andrew SchwartzDurham$75K
- Jason NorcrossHickory$55K
- Eric DilboneMorrisville$28K
- Walter FruehWilmington$26K
- David CaseyPinehurst$20K
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.