Michael Duffy, MD
Orthopaedic Surgery of the Spine · Mansfield, TXNPI 1497878060
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (50.1%), travel and lodging and royalties or licence payments — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Medacta USA, Inc. at 50.2% of the total. Reporting peaked in 2019 at $61,696 and has fallen 74.5% since, to $15,708 in 2025.
Across 222 payments — averaging $728.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medacta USA, Inc.$81K
- Clariance, Inc.$30K
- Clariance SAS$29K
- Orthofix Medical, Inc.$13K
- Silony Medical Corp.$4K
- Globus Medical$2K
- plus $3K from 11 others
What the payments were for
- Royalty or licence$21,29013%
- Consulting fees$81,00650%
- Speaking & faculty fees$9,6006%
- Travel & lodging$41,40726%
- Food & beverage$8,3475%
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 | $81,079 |
| Clariance, Inc. | 51 | $29,880 |
| Clariance SAS | 13 | $28,781 |
| Orthofix Medical, Inc. | 11 | $13,137 |
| Silony Medical Corp. | 2 | $4,250 |
| Globus Medical(2 entities) | 23 | $1,764 |
| VB Spine LLC | 27 | $1,462 |
| Stryker | 9 | $438 |
| Spinevision SAS | 2 | $174 |
| Medtronic | 3 | $153 |
| Johnson & Johnson(2 entities) | 2 | $151 |
| Neo Spine USA, Inc. | 1 | $146 |
| Nexxt Spine LLC | 1 | $142 |
| Baxter Healthcare | 2 | $40 |
| Pfizer | 1 | $22 |
| GE HealthCare | 1 | $19 |
| Pylant Medical | 1 | $14 |
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$50,718
- MECTALIF$26,252
- Stand-Alone Cervical Cage$14,025
- Idys-ALIF ZP 3DTi$11,125
- Idys-LLIF 3DTi$8,388
- Idys-C ZP$8,153
- FORZA$7,500
- Idys-ALIF$7,048
- Idys-C ZP 3DTi$6,438
- LONESTAR Cervical Stand Alone (CSA)$4,448
- Mecta-C Cervical Cages$3,250
- Stand-Alone Cervical Plate$2,700
- Idys-LLIF ZP 3DTi$1,363
- LONESTAR$1,189
- Excelsius3D Imaging System$472
- Excelsius - GPS$376
- ExcelsiusGPS Robotic Navigation System$322
- Elegance$241
- Erisma-LP$179
- Idys-ALIF TiVac$163
How this compares
$161,650 in reported general payments places this provider in the 80th percentile of 207 orthopaedic surgery of the spine providers in Texas.
See all orthopaedic surgery of the spine providers in Texas →
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 113 | $3,117 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 73 | $1,613 |
| Celecoxib | 112 | $1,590 |
| Pregabalin | 48 | $1,580 |
| Gabapentin | 156 | $1,565 |
| Cyclobenzaprine Hcl | 93 | $1,030 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 31 | $990 |
| Methocarbamol | 75 | $769 |
| Tramadol Hcl | 98 | $700 |
| Methylprednisolone | 60 | $433 |
| Meloxicam | 153 | $360 |
| Tizanidine Hcl | 33 | $263 |
| Diazepam | 26 | $170 |
| Naproxen | 15 | $59 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Mansfield
- Randall DryerAustin$2.9M
- Craig KuhnsAustin$2.4M
- David WimberleyHouston$2.2M
- Jeffrey PhelpsNorth Richland Hills$1.9M
- Eric WieserArlington$1.5M
- Andrew ClavennaDallas$1.3M
- Ivan ChengKyle$1.2M
- Stephen TolhurstFlower Mound$1.1M
- Michael ObrienPlano$1M
- Mohammad EtminanRichmond$1M
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.