Patrick Denard, MD
Orthopaedic Surgery · Medford, ORNPI 1578684627
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $8,671,562 of the $11,531,845 with a category attached, or 75.2%. Arthrex accounts for 99.8% of it on its own, with 40 other manufacturers making up the rest. 2025 is the largest year on record at $2,909,265, 4.9 times the $596,332 reported in 2019. Among orthopaedic surgery clinicians in OR 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 2,061 payments — averaging $5595.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$11.5M
- Pacira Pharmaceuticals Incorporated$8K
- Steelhead Surgical Inc$6K
- Summit Surgical Corp.$404
- Medwest Associates$384
- Pylant Medical$348
- plus $5K from 35 others
Across 148 payments — averaging $10,211 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.
- Arthrex$1.5M
- Encore Medical, LP$27K
- Stryker$24K
Across 1 payment — averaging $1,156,610 each. An ownership or investment interest held by the physician or an immediate family member.
- Zurimed Technologies Inc.$1.2M
What the payments were for
- Royalty or licence$8,671,56275%
- Consulting fees$1,041,3769%
- Speaking & faculty fees$1,603,06514%
- Travel & lodging$186,8952%
- Food & beverage$24,6760%
- Education$4,2700%
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.
- ARTHREX$39,499,499
- SHOULDER IMPLANTS FIBERTAK KNOTLESS$775,567
- ARTHROPLASTY IMPLANTS SHOULDER ARTHROPLASTY & FRACTURE UNIVERS$557,904
- ARTHROPLASTY IMPLANTS SHOULDER ARTHROPLASTY & FRACTURE REVERS$556,979
- ARTHROPLASTY INSTRUMENTS SHOULDER ARTHROPLASTY & FRACTURE SUTURE KITS$536,716
- KNEE & HIP IMPLANTS HIP FIBERTAK$440,948
- ARTHROPLASTY IMPLANTS ANATOMIC TOTAL SHOULDER GLENOIDS$238,559
- ARTHROPLASTY IMPLANTS REVERS TOTAL SHOULDER REVERS$235,559
- ARTHROPLASTY IMPLANTS REVERS TOTAL SHOULDER MODULAR GLENOID SYSTEM$235,372
- ARTHROPLASTY IMPLANTS ANATOMIC TOTAL SHOULDER SUTURE KITS$234,997
- SHOULDER IMPLANTS OTHER CLAVICLE FRACTURE$95,768
- ARTHROPLASTY IMPLANTS SHOULDER ARTHROPLASTY & FRACTURE ECLIPSE$15,375
- ARTHROPLASTY INSTRUMENTS SHOULDER ARTHROPLASTY & FRACTURE VIP TECHNOLOGY$12,563
- EXPAREL$8,062
- SHOULDER IMPLANTS SPEEDBRIDGE COMPOSITE ANCHORS$5,250
- ARTHROPLASTY IMPLANTS SHOULDER ARTHROPLASTY & FRACTURE INCLIPSE$1,500
- SHOULDER IMPLANTS SWIVELOCKS COMPOSITE ANCHORS$1,500
- ARTHROPLASTY INSTRUMENTS VIP TECHNOLOGY VIP 5D$1,500
- SHOULDER INSTRUMENTS ANCHOR SPECIFIC INSTRUMENTS FIBERTAK$1,500
- ARTHROPLASTY INSTRUMENTS VIP TECHNOLOGY VIP 3D$563
How this compares
$11,531,845 in reported general payments places this provider in the 95th percentile of 228 orthopaedic surgery providers in Oregon.
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 |
|---|---|---|
| Methylprednisolone | 18 | $102 |
| Oxycodone Hcl | 31 | $86 |
| Ondansetron Hcl | 14 | $79 |
| Meloxicam | 11 | $39 |
| Gabapentin | 21 | $21 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Medford
- Jeffrey HorinekMedford$25K
- Samer Al-HumadiMedford$16K
- Ryan ColleyMedford$15K
- Andrew NahrMedford$14K
- James BallardOregon City$2.4M
- Steven MadeyLake Oswego$1.2M
- Daniel FitzpatrickEugene$481K
- Michelle WelbornPortland$364K
- Elizabeth LiebermanPortland$353K
- Jonathan SalesPortland$303K
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.