Noelle Digioia Guthrie, DO
Adult Reconstructive Orthopaedic Surgery · Pittsburgh, PANPI 1073053419
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $9,188 of the $14,521 with a category attached, or 63.3%. Smith+Nephew accounts for 81.6% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2024 at $7,784 and has fallen 52.1% since, to $3,728 in 2025.
Across 28 payments — averaging $518.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$12K
- Liberty Surgical Inc.$2K
- Johnson & Johnson$237
- Medical Device Business Services, Inc.$128
- Vericel Corporation$122
- Stryker$119
- plus $37 from 1 others
What the payments were for
- Consulting fees$9,18863%
- Travel & lodging$1,49910%
- Food & beverage$1,80612%
- Education$2,02814%
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 |
|---|---|---|
| Smith+Nephew | 19 | $11,850 |
| Liberty Surgical Inc. | 2 | $2,028 |
| Johnson & Johnson | 1 | $237 |
| Medical Device Business Services, Inc. | 3 | $128 |
| Vericel Corporation | 1 | $122 |
| Stryker | 1 | $119 |
| Acumed LLC | 1 | $37 |
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.
- Journey II$16,151
- REAL INTELLIGENCE$10,991
- Tandem$7,350
- HIP7$7,350
- JOURNEY$1,325
- RI.HIP NAVIGATION$1,325
- POLARSTEM$366
- OR3O Dual Mobility$148
- CAPRI CORPECTOMY CAGE SYSTEM$119
How this compares
$14,521 in reported general payments places this provider in the 70th percentile of 51 adult reconstructive orthopaedic surgery providers in Pennsylvania.
See all adult reconstructive orthopaedic surgery providers in Pennsylvania →
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.
Other adult reconstructive orthopaedic surgery in Pittsburgh
- Frank Johannes PlatePittsburgh$239K
- Jeffrey SeweckePittsburgh$84K
- Joseph KromkaPittsburgh$11K
- Lee SasalaPittsburgh$9K
- Matthew HadadPittsburgh$9K
- Timothy WaldenPittsburgh$9K
- James PiperPittsburgh$5K
- Todd BalogPittsburgh$5K
- Adolph YatesPittsburgh$561
- Robert BoothPhiladelphia$15M
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.