Joseph Franklin, MD
Plastic Surgery · Cary, NCNPI 1730101213
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $46,000 of the $53,943 with a category attached, or 85.3%. Merz North America, Inc. accounts for 88.2% of it on its own, with 16 other manufacturers making up the rest. 2025 is the largest year on record at $21,429, more than ten times the $1,616 reported in 2019. Among plastic surgery clinicians in NC with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 113 payments — averaging $477.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merz North America, Inc.$48K
- Biotissue Holdings Inc.$2K
- Sientra, Inc.$940
- Stryker$885
- Medical Device Business Services, Inc.$870
- AbbVie$486
- plus $2K from 11 others
What the payments were for
- Consulting fees$46,00085%
- Travel & lodging$2,8305%
- Food & beverage$5,1139%
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 |
|---|---|---|
| Merz North America, Inc. | 33 | $47,560 |
| Biotissue Holdings Inc. | 10 | $1,582 |
| Sientra, Inc. | 12 | $940 |
| Stryker | 10 | $885 |
| Medical Device Business Services, Inc. | 6 | $870 |
| AbbVie(2 entities) | 13 | $486 |
| Medtronic | 8 | $401 |
| Integra Lifesciences Corporation | 4 | $266 |
| Galderma Laboratories, L.p. | 3 | $202 |
| Smith+Nephew | 2 | $179 |
| Mentor Worldwide LLC | 2 | $170 |
| Normatec Industries, LP | 2 | $156 |
| Boston Scientific | 2 | $85 |
| Motiva USA, LLC | 1 | $75 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $37 |
| Revance Therapeutics, Inc. | 1 | $28 |
| Aroa Biosurgery Incorporated | 3 | $20 |
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.
- XEOMIN$7,976
- ARTOURA Breast Tissue Expander$774
- MemoryGel Breast Implants$774
- MemoryShape Breast Implants$774
- SILTEX Breast Implants$774
- EIKON$723
- SIENTRA HIGH STRENGTH COHESIVE SILICONE GEL BREAST IMPLANT$479
- INTEGRA$364
- PlasmaBlade$169
- NATRELLE SALINE-FILLED BREAST IMPLANTS$147
- OMNIGRAFT$132
- PRIMATRIX$132
- MEDIHONEY$132
- TCC-EZ$132
- AMNIOEXCEL$132
- INTEGRA DERMAL REGENERATION TEMPLATE$121
- BOTOX COSMETIC$121
- GRAFIX PL$110
- Stravix$110
- MENTOR MemoryGel Resterilizable Gel Sizer$109
How this compares
$53,943 in reported general payments places this provider in the 90th percentile of 128 plastic surgery providers in North Carolina.
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 |
|---|---|---|
| Doxycycline Hyclate | 12 | $109 |
Paid to pharmacies, not to this prescriber.
Other plastic surgery in Cary
- Rahman BarryCary$5K
- Cindy WuCary$5K
- Nicholas ClavinCharlotte$562K
- Luther HoltonWilmington$533K
- Theodore NyameCharlotte$364K
- Bill KortesisWinston Salem$321K
- Howard LevinsonDurham$167K
- Suhail MithaniDurham$146K
- Claire DillinghamGreensboro$142K
- Cynthia DiehlRaleigh$87K
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.