Mitchell Garden, MD
Orthopaedic Surgery · Middletown, NYNPI 1952304263
Payments from drug & device makers
Across 110 payments — averaging $89.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$5K
- Johnson & Johnson$1K
- Boston Scientific$997
- Choice Spine, LLC$568
- Si-bone, Inc.$498
- Biotronik NRO, Inc.$267
- plus $1K from 16 others
What the payments were for
- Travel & lodging$3,11232%
- Food & beverage$6,60967%
- Entertainment$951%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Globus Medical | 32 | $4,977 |
| Johnson & Johnson | 31 | $1,093 |
| Boston Scientific | 11 | $997 |
| Choice Spine, LLC | 4 | $568 |
| Si-bone, Inc. | 5 | $498 |
| Biotronik NRO, Inc. | 7 | $267 |
| Integrity Implants Inc. | 1 | $259 |
| Prosidyan, Inc | 1 | $241 |
| Spineart USA Inc | 1 | $225 |
| 4web, Inc. | 1 | $145 |
| Stratus Medical, LLC | 1 | $82 |
| Sanara Medtech Inc. | 1 | $76 |
| Abbott | 2 | $73 |
| Intrinsic Therapeutics | 1 | $57 |
| Merck | 3 | $53 |
| Royal Biologics, Inc. | 2 | $51 |
| Highridge Medical LLC | 1 | $41 |
| CSL Behring | 1 | $33 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $23 |
| Smith+Nephew | 1 | $22 |
| Ossdsign USA Incorporated | 1 | $18 |
| Spinal Elements, Inc. | 1 | $17 |
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.
- ExcelsiusGPS Robotic Navigation System$1,654
- Excelsius - GPS$1,181
- RISE$647
- Excelsius Robotics System$589
- Blackhawk$447
- Tiger Shark$447
- Blackbird$447
- Tomcat$447
- VEO$447
- GENERAL PAIN MANAGEMENT$241
- FIBERGRAFT$241
- Perla TL$225
- VIPER$212
- Excelsius Deformity$171
- SPINE TRUSS SYSTEM$145
- XLIF$130
- WAVEWRITER ALPHA$123
- Elsa/Rise L$118
- Simplify Cervical Artificial Disc$116
- WaveWriter Alpha Prime 16$106
How this compares
$9,816 in reported general payments places this provider in the 65th percentile of 1,079 orthopaedic surgery providers in New York.
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-AcetaminophenOxycodone Hcl/Acetaminophen | 26 | $485 |
| Gabapentin | 12 | $321 |
| Methylprednisolone | 41 | $293 |
| Methocarbamol | 41 | $244 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 23 | $164 |
| Celecoxib | 11 | $134 |
| Tramadol Hcl | 23 | $65 |
| Oxycodone Hcl | 14 | $50 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Middletown
- Anthony RomeoNew York$27M
- Lawrence LenkeNew York$26.8M
- Edwin SuNew York$14.1M
- William RicciNew York$11.6M
- Steven HaasNew York$11.5M
- Giles ScuderiNew York$10.9M
- Joseph ZuckermanNew York$9.9M
- Evan FlatowNew York$9.6M
- Bradford ParsonsNew York$9.4M
- Geoffrey WestrichNew York$8M
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.