Paul Fortin, MD
Orthopaedic Surgery · Royal Oak, MINPI 1780688283
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (58.3%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Paragon 28, Inc. accounts for 85.2% of it on its own, with 12 other manufacturers making up the rest. Among orthopaedic surgery clinicians in MI 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 327 payments — averaging $1642.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragon 28, Inc.$458K
- Vilex LLC$21K
- Smith+Nephew$15K
- Extremity Medical$15K
- Stryker$9K
- Nuvasive Specialized Orthopedics, Inc.$8K
- plus $12K from 7 others
Across 12 payments — averaging $3175.93 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.
- Stryker$38K
What the payments were for
- Royalty or licence$313,10758%
- Consulting fees$155,96829%
- Speaking & faculty fees$13,1632%
- Travel & lodging$43,9168%
- Food & beverage$6,9021%
- Education$4,0161%
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 |
|---|---|---|
| Paragon 28, Inc. | 205 | $457,671 |
| Vilex LLC | 27 | $21,017 |
| Smith+Nephew | 8 | $14,829 |
| Extremity Medical | 8 | $14,627 |
| Stryker(2 entities) | 28 | $8,833 |
| Nuvasive Specialized Orthopedics, Inc. | 17 | $7,958 |
| Orthofix Medical, Inc. | 13 | $7,062 |
| Pinnacle, Inc | 10 | $3,428 |
| Globus Medical | 5 | $1,283 |
| Johnson & Johnson | 2 | $154 |
| Integra Lifesciences Corporation | 2 | $153 |
| Treace Medical Concepts, Inc. | 1 | $29 |
| Acumed LLC | 1 | $28 |
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.
- Portfolio$283,677
- Product Portfolio$136,499
- IO FiX$14,579
- Taylor Spatial Frame$14,171
- SPATIAL FRAME$13,737
- ILIZAROV$13,163
- Next Gen Ankle$9,750
- PRECICE$7,293
- INFINITY$6,902
- HINTERMANN$6,699
- TRUELOK SYSTEM$5,566
- Next Gen Ankle - R&D$4,118
- MONKEY RINGS$3,544
- APEX 3D$2,415
- TrueLok$1,141
- PRECICE Intramedullary Limb Lengthening System$1,100
- EVOS MINI$1,008
- EVOS$1,008
- INBONE$757
- INTEGRA$417
How this compares
$537,071 in reported general payments places this provider in the 95th percentile of 829 orthopaedic surgery providers in Michigan.
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 |
|---|---|---|
| Doxycycline Hyclate | 16 | $115 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 11 | $75 |
| Meloxicam | 11 | $44 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Royal Oak
- Asheesh BediAnn Arbor$9.4M
- Jerome WiaterBeverly Hills$3.9M
- Mark PintoChelsea$3.2M
- Kyle AndersonBingham Farms$3.1M
- Stephen BartolDetroit$2.6M
- Jad KhalilSouthfield$1.9M
- Jeffrey FischgrundSouthfield$1.8M
- John BlahaAnn Arbor$1.5M
- David MarkelSouthfield$1.5M
- Christopher ChuinardTraverse City$1.4M
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.