Michael Ruffolo, MD
Adult Reconstructive Orthopaedic Surgery · Raleigh, NCNPI 1326366048
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $2,223 of the $3,375 with a category attached, or 65.9%. Stryker accounts for 88.8% of it on its own, with 3 other manufacturers making up the rest. Reporting peaked in 2019 at $2,371 and has fallen 59.3% since, to $965 in 2025.
Across 29 payments — averaging $116.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$3K
- Zimmer Biomet$294
- Orthalign Inc$66
- Joint Active Systems, Inc.$18
What the payments were for
- Travel & lodging$2,22366%
- Food & beverage$1,15234%
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 |
|---|---|---|
| Stryker | 24 | $2,997 |
| Zimmer Biomet | 3 | $294 |
| Orthalign Inc | 1 | $66 |
| Joint Active Systems, Inc. | 1 | $18 |
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.
How this compares
Too few adult reconstructive orthopaedic surgery providers in North Carolinato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Oxycodone Hcl | 63 | $480 |
| Diclofenac Sodium | 27 | $293 |
| Celecoxib | 22 | $212 |
| Amoxicillin | 162 | $182 |
| Cefadroxil | 26 | $125 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $103 |
| Methylprednisolone | 15 | $102 |
| Tramadol Hcl | 21 | $66 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Raleigh
- David PollockBermuda Run$4.8M
- Thorsten SeylerDurham$2.2M
- Adam BrekkeDurham$86K
- John ShieldsWinston Salem$78K
- Andrew SchwartzDurham$75K
- Jason NorcrossHickory$55K
- Eric DilboneMorrisville$28K
- Walter FruehWilmington$26K
- David CaseyPinehurst$20K
- Charles LongHendersonville$18K
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.