Justin Duke, MD
Orthopaedic Surgery · Natchitoches, LANPI 1710148085
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (58.3%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Think Surgical, Inc. accounts for 69.5% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2019 at $10,503 and has fallen 77.9% since, to $2,316 in 2025.
Across 70 payments — averaging $244.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Think Surgical, Inc.$12K
- Zimmer Biomet$2K
- Stryker$860
- Johnson & Johnson$518
- Medical Device Business Services, Inc.$398
- Brainlab, Inc.$328
- plus $773 from 11 others
What the payments were for
- Consulting fees$10,00058%
- Travel & lodging$3,17319%
- Food & beverage$3,92723%
- Education$470%
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 |
|---|---|---|
| Think Surgical, Inc. | 8 | $11,914 |
| Zimmer Biomet | 19 | $2,356 |
| Stryker | 14 | $860 |
| Johnson & Johnson | 7 | $518 |
| Medical Device Business Services, Inc. | 7 | $398 |
| Brainlab, Inc. | 1 | $328 |
| Linkbio Corp | 1 | $177 |
| Orthalign Inc | 2 | $165 |
| Innovation Technologies Inc | 2 | $132 |
| UOC USA Inc | 2 | $125 |
| Hologic Sales And Service, LLC | 1 | $33 |
| TEI Medical Inc. | 1 | $30 |
| Medacta USA, Inc. | 1 | $26 |
| Alliance Medical | 1 | $26 |
| Smith+Nephew | 1 | $24 |
| Bioventus LLC | 1 | $23 |
| Bolder Surgical, LLC | 1 | $12 |
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.
- Tsolution One Surgical System$9,771
- TMINI Miniature Robotic System$2,000
- Oxford$929
- MAKO$538
- Velys$408
- Persona$380
- ROSA$298
- Avenir$279
- ORTHALIGN PLUS$150
- Irrisept$112
How this compares
$17,146 in reported general payments places this provider in the 80th percentile of 286 orthopaedic surgery providers in Louisiana.
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 | 14 | $239 |
| Oxycodone Hcl | 41 | $202 |
| Methylprednisolone | 11 | $82 |
| Tramadol Hcl | 14 | $52 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Natchitoches
- Steven KautzNatchitoches$16K
- Christopher HarrodBaton Rouge$3M
- Vinod DasaKenner$1.9M
- Pierce NunleyShreveport$1.8M
- Jorge IsazaBaton Rouge$1.2M
- Neil MakiThibodaux$620K
- Robert ZuraNew Orleans$597K
- Kevin McCarthyBaton Rouge$594K
- Timmothy RandellAlexandria$498K
- Fernando SanchezNew Orleans$484K
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.