Lucas Romine, MD
Orthopaedic Surgery · Smithfield, NCNPI 1700046620
Payments from drug & device makers
Across 108 payments — averaging $136.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medacta USA, Inc.$5K
- Stryker$3K
- Smith+Nephew$2K
- Arthrex$2K
- Tricoast Surgical Solutions LLC$1K
- Zimmer Biomet$269
- plus $1000 from 10 others
What the payments were for
- Speaking & faculty fees$1,0007%
- Travel & lodging$8,04454%
- Food & beverage$5,74639%
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. | 28 | $5,099 |
| Stryker(2 entities) | 32 | $2,927 |
| Smith+Nephew | 15 | $2,387 |
| Arthrex | 10 | $1,793 |
| Tricoast Surgical Solutions LLC | 7 | $1,316 |
| Zimmer Biomet | 2 | $269 |
| Acumed LLC | 3 | $219 |
| Linvatec Corporation | 2 | $199 |
| Anika Therapeutics, Inc. | 1 | $146 |
| Skeletal Dynamics Inc | 1 | $124 |
| Davol Inc. | 2 | $124 |
| Arthrosurface Incorporated | 1 | $81 |
| Pacira Therapeutics, Inc. | 1 | $43 |
| CMS Imaging, Inc. | 1 | $24 |
| ERMI LLC | 1 | $20 |
| KCI USA, Inc. | 1 | $19 |
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.
- Shoulder System$3,418
- MAKO$1,319
- AETOS Shoulder System$1,287
- AMIStem H Femoral Stems$638
- Journey II XR$498
- VISIONAIRE Cutting Guides$392
- AMISTEM$378
- Navio Surgical System$373
- ACUMED$323
- TWINFIX$309
- TRIATHLON$283
- ROSA$269
- REDAPT Revision Hip System$267
- Legion Revision$267
- BioBrace 23mm$183
- Integrity$146
- OVOMotion$146
- X-Twist$146
- GMK SPHERE$143
- REAL INTELLIGENCE$139
How this compares
$14,790 in reported general payments places this provider in the 70th percentile of 845 orthopaedic surgery providers in North Carolina.
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 | 29 | $386 |
| Cyclobenzaprine Hcl | 35 | $238 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 27 | $194 |
| Methylprednisolone | 16 | $111 |
| Gabapentin | 15 | $107 |
| Amoxicillin | 25 | $98 |
| Tramadol Hcl | 12 | $70 |
| Meloxicam | 27 | $68 |
| Oxycodone Hcl | 14 | $62 |
| Ondansetron Hcl | 12 | $46 |
| Tizanidine Hcl | 12 | $45 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Smithfield
- Thomas FehringCharlotte$18.3M
- Walter BeaverCharlotte$7.4M
- Robert AndersonCharlotte$6.6M
- William JiranekDurham$6.4M
- John MasonCharlotte$6.2M
- Thomas VailDurham$5.7M
- William DavisCharlotte$5.2M
- John EllingtonCharlotte$5.2M
- Mark EasleyDurham$4.2M
- Carroll JonesCharlotte$3.9M
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.