Joshua Philbrick, MD
Orthopaedic Surgery · Salem, NHNPI 1891923058
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 57 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 22 manufacturers, the largest accounting for just 13.6% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $650, more than ten times the $18 reported in 2019. That places this record below the midpoint for orthopaedic surgery clinicians in NH, where the typical reported total is $2,654.
Across 57 payments — averaging $23.49 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Endo Pharmaceuticals Inc.$181
- Vertex$177
- Endo USA, Inc.$157
- Johnson & Johnson$122
- Bioventus LLC$106
- Zimmer Biomet$72
- plus $524 from 16 others
Across 4 payments — averaging $21,300 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.
- Sonex Health, Inc.$85K
What the payments were for
- Food & beverage$1,339100%
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 |
|---|---|---|
| Endo Pharmaceuticals Inc. | 8 | $181 |
| Vertex | 9 | $177 |
| Endo USA, Inc. | 6 | $157 |
| Johnson & Johnson(2 entities) | 5 | $122 |
| Bioventus LLC | 3 | $106 |
| Zimmer Biomet | 3 | $72 |
| Sonex Health, Inc. | 5 | $64 |
| Smith+Nephew | 2 | $59 |
| Medtronic | 1 | $58 |
| Canon Medical Systems USA, Inc. | 1 | $45 |
| Genentech USA, Inc. | 2 | $40 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $37 |
| Stryker | 1 | $30 |
| Abbott | 1 | $26 |
| Organogenesis Inc. | 1 | $24 |
| Amgen | 1 | $24 |
| Ferring Pharmaceuticals Inc. | 1 | $24 |
| Nalu Medical, Inc. | 1 | $23 |
| Sandoz | 1 | $20 |
| DJO, LLC | 1 | $19 |
| Kairos Surgical Inc | 1 | $17 |
| Axogen | 1 | $13 |
How this compares
$1,339 in reported general payments places this provider in the 35th percentile of 141 orthopaedic surgery providers in New Hampshire.
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 |
|---|---|---|
| Methylprednisolone | 20 | $124 |
| Meloxicam | 36 | $91 |
| Cephalexin | 13 | $39 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Salem
- Jay MottlaSalem$16K
- Thomas HoernerSalem$13K
- Tahsin ErginSalem$5K
- Eric ArvidsonSalem$5K
- Akhilesh SastryPortsmouth$966K
- Mayo NoerdlingerPortsmouth$529K
- John-Erik BellLebanon$528K
- Michael MorwoodPortsmouth$506K
- Ira ParsonsSomersworth$245K
- Alexander OremLebanon$215K
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.