Micah Smith, MD
Orthopaedic Surgery · Fort Wayne, INNPI 1679730832
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (54.2%), royalties or licence payments and travel and lodging — rather than concentrated in one kind of arrangement. 42 manufacturers reported payments, led by Globus Medical at 31.6% of the total. 2025 is the largest year on record at $164,546, 5.7 times the $28,910 reported in 2019. Among orthopaedic surgery clinicians in IN 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 583 payments — averaging $1155.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$213K
- Surgentec$123K
- The Institute Of Musculoskeletal Science And Education$76K
- Integrity Implants Inc. Dba Accelus$39K
- Zimmer Biomet$36K
- Stryker$34K
- plus $152K from 36 others
Across 57 payments — averaging $9322.97 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.
- Spineart SA$415K
- Si-bone, Inc.$36K
- Zimmer Biomet$27K
- Globus Medical$27K
- Spineart USA Inc$21K
- Spineology Inc.$5K
What the payments were for
- Royalty or licence$181,21927%
- Consulting fees$365,37354%
- Speaking & faculty fees$39,3636%
- Travel & lodging$69,83810%
- Food & beverage$15,6732%
- Education$5000%
- Gifts$5300%
- Charitable contribution$1,2500%
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.
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.
- Osteoflo$54,625
- Vyrsa V1$51,726
- FlareHawk$48,014
- ExcelsiusGPS Robotic Navigation System$45,751
- ION$37,125
- Enza 2.0$29,906
- Hydrofiber$28,777
- Excelsius - GPS$26,598
- OptiMesh Interbody Fusion System$26,386
- Spira$22,652
- Hydroputty$20,423
- ION Facet Screw System$18,000
- ELSA$15,950
- Orthros Quarter Turn$15,747
- IFUSE IMPLANT SYSTEM$14,883
- ION Facet Screw$14,024
- CREO MIS Stabilization System$13,849
- PD-Spine-New Product$11,716
- ROSA-One-Spine$11,400
- ROSA Spine$10,636
How this compares
$673,745 in reported general payments places this provider in the 95th percentile of 400 orthopaedic surgery providers in Indiana.
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 |
|---|---|---|
| Mupirocin | 197 | $1,305 |
| Gabapentin | 118 | $1,127 |
| Celecoxib | 52 | $1,008 |
| Tizanidine Hcl | 133 | $806 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 52 | $687 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 41 | $504 |
| Methocarbamol | 32 | $401 |
| Pregabalin | 14 | $385 |
| Prednisone | 61 | $249 |
| Cyclobenzaprine Hcl | 39 | $245 |
| Tramadol Hcl | 34 | $125 |
| Cephalexin | 20 | $100 |
| Meloxicam | 41 | $86 |
| Diazepam | 11 | $10 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Fort Wayne
- John WilliamsFort Wayne$2.7M
- Alan McGeeFort Wayne$1.1M
- Alan McGeeFort Wayne$135K
- Brandon HugginsFort Wayne$87K
- Christopher JohnsonFort Wayne$86K
- Michael LeeFort Wayne$42K
- Frank KolisekGreenwood$7.5M
- David FisherIndianapolis$5.9M
- Michael BerendIndianapolis$4M
- Sanford KunkelIndianapolis$1.9M
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.