Louis Bley, MD
Orthopaedic Surgery · Somerville, MANPI 1285724526
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $113,537 of the $129,766 with a category attached, or 87.5%. Smith+Nephew accounts for 98.0% of it on its own, with 5 other manufacturers making up the rest. Among orthopaedic surgery clinicians in MA 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 51 payments — averaging $2544.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$127K
- Depuy Synthes Products, Inc.$2K
- Biofire Diagnostics, LLC$425
- Acumed LLC$83
- Pacira Therapeutics, Inc.$53
- Baxter Healthcare$29
What the payments were for
- Royalty or licence$113,53787%
- Consulting fees$14,81911%
- Speaking & faculty fees$4250%
- Food & beverage$9841%
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 | 38 | $127,163 |
| Depuy Synthes Products, Inc. | 8 | $2,013 |
| Biofire Diagnostics, LLC | 1 | $425 |
| Acumed LLC | 1 | $83 |
| Pacira Therapeutics, Inc. | 2 | $53 |
| Baxter Healthcare | 1 | $29 |
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.
- MICRORAPTOR$107,265
- Biceptor$59,970
- Dyonics Platinum$6,825
- Coblation Wands$2,380
- Dyonics Electroblade$2,275
- Dyonics Bonecutter Electroblade$700
- Dyonics Powermini$700
- BioFire FilmArray$425
- N/A$268
- NA$257
- LENS Surgical Imaging System$245
- Navio Surgical System$140
- Journey II BCS$140
- POLARSTEM$140
- PICO Single Use Negative Pressure Wound Therapy$140
- Bone Anchors with Arthroscopic Delivery System$131
- EVOS$131
- REAL INTELLIGENCE$129
How this compares
$129,766 in reported general payments places this provider in the 90th percentile of 542 orthopaedic surgery providers in Massachusetts.
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 |
|---|---|---|
| Meloxicam | 37 | $175 |
| Prednisone | 11 | $16 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Somerville
- Paul TornettaBoston$16.3M
- Thomas ThornhillBoston$12M
- Stephen MurphyRoxbury Crossing$8M
- Andrew FreibergBoston$5.9M
- Jon WarnerBoston$5.4M
- Wolfgang FitzBoston$3.7M
- Brian KwonWaltham$1.9M
- Simon ChaoNorth Easton$1.6M
- Scott SigmanNorth Chelmsford$1.4M
- Michael LangworthyNorth Dartmouth$715K
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.