Joshua Roller
Surgery · Fayetteville, ARNPI 1790713675
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (39.8%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 29 manufacturers reported payments, led by Lexington Medical, Inc. at 50.1% of the total. 2025 is the largest year on record at $74,623, 6.4 times the $11,642 reported in 2019. Among surgery clinicians in AR with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 333 payments — averaging $745.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lexington Medical, Inc.$124K
- Medtronic$80K
- Covidien LP$31K
- AbbVie$7K
- Bolder Surgical, LLC$3K
- Baxter Healthcare$1K
- plus $2K from 23 others
Across 1 payment — averaging $1.00 each. An ownership or investment interest held by the physician or an immediate family member.
- Endolumik, Inc.$1
What the payments were for
- Consulting fees$80,01032%
- Speaking & faculty fees$98,70840%
- Travel & lodging$2,2771%
- Food & beverage$66,37727%
- Charitable contribution$8250%
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 |
|---|---|---|
| Lexington Medical, Inc. | 61 | $124,316 |
| Medtronic | 109 | $79,975 |
| Covidien LP | 36 | $31,381 |
| AbbVie(2 entities) | 46 | $6,649 |
| Bolder Surgical, LLC | 1 | $3,000 |
| Baxter Healthcare | 39 | $1,042 |
| Intuitive Surgical | 3 | $718 |
| Hologic Sales And Service, LLC | 2 | $278 |
| Stryker | 3 | $206 |
| Endo Pharmaceuticals Inc. | 6 | $79 |
| Endolumik, Inc. | 1 | $76 |
| Novo Nordisk | 4 | $60 |
| TELA Bio, Inc. | 1 | $57 |
| Johnson & Johnson | 2 | $39 |
| Phathom Pharmaceuticals, Inc. | 2 | $34 |
| Olympus America Inc. | 2 | $33 |
| W. L. Gore & Associates, Inc. | 2 | $32 |
| Steris Corporation | 1 | $27 |
| Redhill Biopharma Inc. | 2 | $27 |
| Pacira Pharmaceuticals Incorporated | 1 | $27 |
| Midsouth Orthopedics Inc. | 1 | $22 |
| Conmed Corporation | 1 | $19 |
| Davol Inc. | 1 | $19 |
| Teleflex LLC | 1 | $18 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $17 |
| Boston Scientific | 1 | $16 |
| Revance Therapeutics, Inc. | 1 | $15 |
| Apyx Medical Corporation | 1 | $12 |
| Bolder Surgical LLC | 1 | $4 |
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.
- Aeon Endostapler & Echelon Flex Powered Stapler$113,923
- LigaSure$32,455
- Sonicision$11,669
- Aeon Endostapler$10,246
- CoolSeal Generator$3,278
- SurgiSleeve$2,450
- Signia$1,161
- Da Vinci Surgical System$638
- iDrive$288
- ENDO GIA ULTRA$121
- S-SERIES$114
- OPERON$114
- SWITCHPOINT INFINITY, ISUITE$114
- CHROMOPHARE F300$114
How this compares
$248,196 in reported general payments places this provider in the 95th percentile of 227 surgery providers in Arkansas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Omeprazole | 15 | $356 |
Paid to pharmacies, not to this prescriber.
Other surgery in Fayetteville
- Brian PottorfFayetteville$64K
- Ronald MullisFayetteville$36K
- Jeffrey BellFayetteville$21K
- Jon BerryFayetteville$9K
- Alice CherquiJonesboro$71K
- Samuel BledsoeLittle Rock$53K
- Michael PollockLittle Rock$45K
- James WalkerLittle Rock$41K
- Jessica HobbyJonesboro$40K
- Whitney DavidsonRogers$40K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.