Kevin McGuire, MD
Orthopaedic Surgery of the Spine · Lebanon, NHNPI 1679529887
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $112,650 of the $152,665 with a category attached, or 73.8%. Medacta USA, Inc. accounts for 99.9% of it on its own, with 3 other manufacturers making up the rest. Reporting peaked in 2024 at $60,821 and has fallen 99.5% since, to $286 in 2025.
Across 77 payments — averaging $1982.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medacta USA, Inc.$152K
- Think Surgical, Inc.$111
- Orthofix Medical, Inc.$40
- Zimmer Biomet$39
Across 6 payments — averaging $15,392 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.
- Medacta USA, Inc.$92K
What the payments were for
- Consulting fees$112,65074%
- Speaking & faculty fees$12,3008%
- Travel & lodging$25,24017%
- Food & beverage$2,4752%
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 |
|---|---|---|
| Medacta USA, Inc. | 72 | $152,475 |
| Think Surgical, Inc. | 1 | $111 |
| Orthofix Medical, Inc. | 2 | $40 |
| Zimmer Biomet | 2 | $39 |
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.
- MYSPINE$117,862
- NextAR Knee$606
- TMINI Miniature Robotic System$111
How this compares
Too few orthopaedic surgery of the spine providers in New Hampshireto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Oxycodone Hcl | 11 | $82 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Lebanon
- William AbduLebanon$23
- Adrian ThomasBedford$944K
- Gary FleischerNashua$747K
- Uri AhnBedford$473K
- Thomas KleemanBedford$398K
- Russell Brummett IiConcord$2K
- Peter DirksmeierSomersworth$907
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.