Joshua Gary, MD
Orthopaedic Trauma · Los Angeles, CANPI 1063624658
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (49.5%), royalties or licence payments and travel and lodging — rather than concentrated in one kind of arrangement. Stryker accounts for 82.4% of it on its own, with 13 other manufacturers making up the rest. 2025 is the largest year on record at $144,570, 2.2 times the $64,295 reported in 2019. Among orthopaedic trauma clinicians in CA 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 462 payments — averaging $1009.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$384K
- Synthes GmbH$34K
- Smith+Nephew$26K
- Curvafix, Inc.$17K
- Medical Device Business Services, Inc.$3K
- Johnson & Johnson$987
- plus $2K from 8 others
Across 7 payments — averaging $20,791 each. An ownership or investment interest held by the physician or an immediate family member.
- Osteocentric Technologies, Inc.$146K
What the payments were for
- Royalty or licence$116,57525%
- Consulting fees$230,63249%
- Speaking & faculty fees$46,15910%
- Travel & lodging$55,23812%
- Food & beverage$17,3984%
- Education$2390%
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 | 305 | $384,042 |
| Synthes GmbH | 37 | $33,866 |
| Smith+Nephew | 60 | $25,732 |
| Curvafix, Inc. | 13 | $17,037 |
| Medical Device Business Services, Inc. | 2 | $2,975 |
| Johnson & Johnson | 24 | $987 |
| Si-bone, Inc. | 9 | $624 |
| Zimmer Biomet | 5 | $326 |
| Globus Medical | 1 | $167 |
| My01 Inc. | 2 | $157 |
| Nuvasive Specialized Orthopedics, Inc. | 1 | $146 |
| Micromed Inc | 1 | $80 |
| Axogen | 1 | $73 |
| Dynasplint Systems 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.
- PANGEA$118,475
- AXSOS$110,933
- VARIAX$76,089
- PRO$64,261
- T2$56,061
- GAMMA$47,301
- T2 ALPHA$20,231
- ASNIS$17,207
- CurvaFix IM Implant$16,898
- PELVIS II$16,173
- PRIME SERIES$15,796
- HOFFMANN$15,394
- AUGMENT INJECTABLE$14,415
- PATIENT-FITTED TMJ RECONSTRUCTIVE PROSTHESIS SYSTEM$10,600
- EVOLVE PROLINE$8,797
- EVOLVE TRIAD$8,797
- Peri-Loc VLP$8,366
- Peri-Loc$8,366
- CANNULATED SCREWS$8,134
- META TAN$8,134
How this compares
$466,242 in reported general payments places this provider in the 90th percentile of 106 orthopaedic trauma providers in California.
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 trauma in Los Angeles
- Christopher LeeLos Angeles$475K
- Joseph PattersonLos Angeles$69K
- Eric JohnsonLos Angeles$36K
- Devon JeffcoatLos Angeles$30K
- Sarah BlumenthalLos Angeles$29K
- Mark FlemingLos Angeles$18K
- Michael GardnerStanford$2.9M
- Aaron OsborneRedding$1.3M
- Robert Tonksla Jolla$1.3M
- John ScolaroOrange$1M
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.