Paul Lachiewicz
Orthopaedic Surgery · Chapel Hill, NCNPI 1033210539
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (45.6%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. Heron Therapeutics, Inc. accounts for 96.8% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2019 at $53,548 and has fallen 96.8% since, to $1,696 in 2023. Among orthopaedic surgery clinicians in NC with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 168 payments — averaging $816.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Heron Therapeutics, Inc.$133K
- Innocoll Pharmaceuticals Limited$3K
- KCI USA, Inc.$973
- Total Joint Orthopedics, Inc.$187
- Next Science LLC$173
- Smith+Nephew$149
- plus $346 from 7 others
What the payments were for
- Consulting fees$62,54746%
- Speaking & faculty fees$52,71338%
- Travel & lodging$18,74714%
- Food & beverage$3,2022%
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 |
|---|---|---|
| Heron Therapeutics, Inc. | 149 | $132,781 |
| Innocoll Pharmaceuticals Limited | 1 | $2,600 |
| KCI USA, Inc. | 2 | $973 |
| Total Joint Orthopedics, Inc. | 4 | $187 |
| Next Science LLC | 2 | $173 |
| Smith+Nephew | 1 | $149 |
| Zimmer Biomet | 2 | $135 |
| Medtronic | 1 | $78 |
| Pacira Therapeutics, Inc. | 1 | $50 |
| Tactile Systems Technology Inc | 2 | $38 |
| Medacta USA, Inc. | 1 | $18 |
| BD | 1 | $14 |
| Convatec Inc. | 1 | $13 |
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
$137,209 in reported general payments places this provider in the 90th percentile of 845 orthopaedic surgery providers in North Carolina.
Other orthopaedic surgery in Chapel Hill
- Robert CreightonChapel Hill$303K
- Thomas FehringCharlotte$18.3M
- Walter BeaverCharlotte$7.4M
- Robert AndersonCharlotte$6.6M
- William JiranekDurham$6.4M
- John MasonCharlotte$5.7M
- Thomas VailDurham$5.7M
- William DavisCharlotte$5.2M
- John EllingtonCharlotte$4.9M
- Mark EasleyDurham$4M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.