Marc Richard, MD
Orthopaedic Surgery · Durham, NCNPI 1720286578
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (46.2%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 33 manufacturers reported payments, led by Acumed LLC at 57.6% of the total. Among orthopaedic surgery clinicians in NC with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 445 payments — averaging $1444.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acumed LLC$371K
- Encore Medical, LP$87K
- Restor3d, Inc.$64K
- Medartis Inc.$51K
- Medical Device Business Services, Inc.$20K
- Zimmer Biomet$12K
- plus $38K from 27 others
Across 1 payment — averaging $123,430 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.
- Acumed LLC$123K
Across 1 payment — averaging $48,669 each. An ownership or investment interest held by the physician or an immediate family member.
- Restor3d, Inc.$49K
What the payments were for
- Royalty or licence$8,0691%
- Consulting fees$296,82746%
- Speaking & faculty fees$282,76444%
- Travel & lodging$38,2766%
- Food & beverage$11,7062%
- Education$5,2911%
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 |
|---|---|---|
| Acumed LLC | 231 | $370,553 |
| Encore Medical, LP | 65 | $86,825 |
| Restor3d, Inc. | 10 | $63,924 |
| Medartis Inc. | 24 | $50,891 |
| Medical Device Business Services, Inc. | 6 | $20,177 |
| Zimmer Biomet | 29 | $12,229 |
| Bioventus LLC | 12 | $9,589 |
| Pioneer Surgical Technology, Inc. | 3 | $7,903 |
| Exsomed Corporation | 16 | $6,305 |
| Southtech Orthopedics | 7 | $4,913 |
| Biocircuit Technologies Inc | 2 | $2,118 |
| RTI Surgical, Inc | 1 | $1,513 |
| Medshape, Inc. | 1 | $1,500 |
| Flower Orthopedics Coporation | 1 | $750 |
| Trimed, Inc. | 3 | $651 |
| Checkpoint Surgical, Inc | 5 | $587 |
| Total Joint Orthopedics, Inc. | 2 | $341 |
| Osteomed LLC | 3 | $298 |
| Osteocentric Technologies, Inc. | 3 | $265 |
| Johnson & Johnson | 3 | $252 |
| Integra Lifesciences Corporation | 2 | $220 |
| Field Orthopaedics Pty Ltd | 1 | $167 |
| Stryker | 2 | $130 |
| Arthrosurface Incorporated | 1 | $129 |
| Arthrex | 1 | $121 |
| Illuminoss Medical, Inc. | 1 | $104 |
| Biedermann Motech, Inc. | 2 | $104 |
| Next Science LLC | 1 | $97 |
| Axogen | 1 | $95 |
| Smith+Nephew | 2 | $64 |
| Alafair Biosciences, Inc. | 1 | $58 |
| Tricoast Surgical Solutions LLC | 2 | $48 |
| Endo Pharmaceuticals Inc. | 1 | $13 |
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.
- ACUMED$389,690
- DJO SURGICAL$118,238
- Elbow Plating System$114,977
- Hand Fracture System$114,502
- Acu-Loc Wrist Plating System$88,555
- Anatomic Radial Head System$59,143
- APTUS$50,662
- Acutrak Headless Compression Screw System$40,780
- Clavicle Plating System$38,885
- INnate Implant$38,356
- Osteotomy System$25,292
- DJO Surgical Discovery Elbow System$20,941
- LCP PLATES & SCREWS$19,568
- Polarus 3 Solution$17,875
- InFrame Implant$15,555
- Forearm Rod System$14,272
- MODULAR HAND SYSTEM$10,526
- OsteoMed$10,135
- Phase-Wrist Spanning DVR Crosslock Plate$7,903
- Radial Head Plating System$6,795
How this compares
$642,933 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| Prednisone | 12 | $21 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Durham
- William JiranekDurham$6.4M
- Thomas VailDurham$5.7M
- Mark EasleyDurham$4M
- Michael BolognesiDurham$2.3M
- Christopher BrownDurham$2.3M
- Samuel AdamsDurham$1.8M
- James NunleyDurham$1.6M
- James DeorioDurham$1.3M
- Richard MatherDurham$711K
- David RuchDurham$321K
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.