Justin Orr, MD
Foot and Ankle Surgery · El Paso, TXNPI 1649241696
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $48,063 of the $64,261 with a category attached, or 74.8%. Smith+Nephew accounts for 94.8% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2019 at $37,355 and has fallen 95.8% since, to $1,566 in 2025. Among foot and ankle surgery clinicians in TX 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 109 payments — averaging $589.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$61K
- Stryker$3K
- Exactech, Inc.$112
- Orthopediatrics Corp.$90
- KCI USA, Inc.$51
- Bioventus LLC$46
- plus $139 from 7 others
What the payments were for
- Consulting fees$6,50010%
- Speaking & faculty fees$48,06375%
- Travel & lodging$5,7539%
- Food & beverage$3,8616%
- Education$850%
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 |
|---|---|---|
| Smith+Nephew | 52 | $60,913 |
| Stryker | 42 | $2,909 |
| Exactech, Inc. | 1 | $112 |
| Orthopediatrics Corp. | 2 | $90 |
| KCI USA, Inc. | 2 | $51 |
| Bioventus LLC | 2 | $46 |
| Arthrex | 1 | $38 |
| Terumo BCT, Inc. | 1 | $23 |
| Paragon 28, Inc. | 1 | $22 |
| Johnson & Johnson | 1 | $19 |
| Treace Medical Concepts, Inc. | 1 | $16 |
| Heron Therapeutics, Inc. | 2 | $12 |
| Amniox Medical, Inc. | 1 | $10 |
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.
- Taylor Spatial Frame$43,287
- Ilizarov System$33,063
- EVOS$28,115
- Cadence$16,814
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$16,265
- Integra XT$13,000
- TRIGEN$2,000
- TRIGEN InterTAN$2,000
- INBONE$1,053
- HOFFMANN$372
- AEQUALIS$150
- MAKO$150
- T2 ALPHA$150
- REUNION$135
- T2$129
- Invisiknot$115
- VANTAGE$112
How this compares
$64,261 in reported general payments places this provider in the 90th percentile of 684 foot and ankle surgery providers in Texas.
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 | 139 | $2,049 |
| Ondansetron Hcl | 55 | $782 |
| Gabapentin | 96 | $433 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 44 | $323 |
| Ibuprofen | 19 | $152 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 12 | $101 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 15 | $85 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in El Paso
- Jason MendivilEl Paso$81K
- William McGarveyKaty$3.5M
- Eugene CurryDallas$3.1M
- Graham HamiltonEdinburg$2.1M
- Mark DaltonAustin$1.9M
- Kevin VarnerHouston$1.1M
- Paul KimDallas$928K
- Sherman NaglerHouston$602K
- John EarlyDallas$553K
- Michael DowneySouthlake$475K
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.