Joseph Cline, MD
Adult Reconstructive Orthopaedic Surgery · Wake Forest, NCNPI 1922453703
Payments from drug & device makers
What this record shows
This record is dominated by education: $10,096 of the $12,525 with a category attached, or 80.6%. Smith+Nephew accounts for 89.2% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2022 at $5,653 and has fallen 93.9% since, to $344 in 2025.
Across 34 payments — averaging $368.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$11K
- Stryker$518
- Zimmer Biomet$428
- Johnson & Johnson$200
- Medtronic$133
- Medical Device Business Services, Inc.$44
- plus $32 from 1 others
What the payments were for
- Travel & lodging$7236%
- Food & beverage$1,70714%
- Education$10,09681%
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 | 12 | $11,170 |
| Stryker | 7 | $518 |
| Zimmer Biomet | 8 | $428 |
| Johnson & Johnson | 3 | $200 |
| Medtronic | 1 | $133 |
| Medical Device Business Services, Inc. | 2 | $44 |
| Pacira Pharmaceuticals Incorporated | 1 | $32 |
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.
- REAL INTELLIGENCE$805
- Journey II$748
- Tandem$437
- MAKO$296
- Legion$149
- OR3O Dual Mobility$149
- R3 ACETABULAR$149
- REDAPT$149
- ATTUNE$137
- AQUAMANTYS$133
- Persona$122
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 | 421 | $12,789 |
| Diclofenac Sodium | 340 | $3,365 |
| Meloxicam | 104 | $542 |
| Oxycodone Hcl | 79 | $492 |
| Methylprednisolone | 34 | $258 |
| Gabapentin | 33 | $227 |
| Cefadroxil | 13 | $215 |
| Tramadol Hcl | 33 | $71 |
| Amoxicillin | 57 | $51 |
| Methocarbamol | 12 | $33 |
| Clindamycin Hcl | 11 | $22 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Wake Forest
- David PollockBermuda Run$4.8M
- Thorsten SeylerDurham$2.2M
- Adam BrekkeDurham$86K
- John ShieldsWinston Salem$78K
- Andrew SchwartzDurham$75K
- Jason NorcrossHickory$55K
- Eric DilboneMorrisville$28K
- Walter FruehWilmington$26K
- David CaseyPinehurst$20K
- Charles LongHendersonville$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.