Paul Segebarth, MD
Orthopaedic Surgery · Charlotte, NCNPI 1508913476
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (34.8%), speaking fees and consulting fees — rather than concentrated in one kind of arrangement. 19 manufacturers reported payments, led by Synthes GmbH at 59.5% of the total. Reporting peaked in 2024 at $16,397 and has fallen 52.0% since, to $7,877 in 2025. 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 197 payments — averaging $360.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Synthes GmbH$42K
- Globus Medical$11K
- Medical Device Business Services, Inc.$8K
- Cutting Edge Spine, LLC$3K
- Alphatec Spine, Inc$2K
- MML US, Inc.$2K
- plus $3K from 13 others
Across 104 payments — averaging $1804.23 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.
- Globus Medical$145K
- Tyber Medical, LLC$20K
- Medtronic$19K
- MML US, Inc.$4K
What the payments were for
- Royalty or licence$2,7204%
- Consulting fees$11,44816%
- Speaking & faculty fees$24,00034%
- Travel & lodging$24,67535%
- Food & beverage$7,70611%
- Education$3971%
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 |
|---|---|---|
| Synthes GmbH | 49 | $42,212 |
| Globus Medical(2 entities) | 65 | $11,124 |
| Medical Device Business Services, Inc. | 7 | $8,161 |
| Cutting Edge Spine, LLC | 2 | $2,720 |
| Alphatec Spine, Inc | 10 | $2,071 |
| MML US, Inc. | 6 | $1,653 |
| Orthofix Medical, Inc. | 21 | $901 |
| Johnson & Johnson | 10 | $584 |
| Nevro Corp. | 3 | $317 |
| Medtronic | 5 | $301 |
| Abbott | 2 | $237 |
| Intrinsic Therapeutics | 2 | $220 |
| Boston Scientific | 2 | $161 |
| VB Spine LLC | 1 | $122 |
| Relievant Medsystems, Inc. | 1 | $56 |
| Medacta USA, Inc. | 1 | $50 |
| Electronic Waveform Lab, Inc. | 8 | $30 |
| Pfizer | 1 | $13 |
| Amgen | 1 | $12 |
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.
- VIPER$7,748
- ALIF$6,966
- ReActiv8$1,631
- Other - Miscellaneous$1,093
- ExcelsiusGPS Robotic Navigation System$818
- XLIF$505
- Spinal-Stim$490
- VuePoint$397
- RELINE$397
- TLX$397
- Pulse$388
- Excelsius3D Imaging System$306
- Omnia$236
- Cervical-STIM$150
- WaveWriter Alpha Prime 16$148
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$145
- BIOLOGICS$144
- PROCLAIM$136
- INTELLIS ADAPTIVESTIM$129
- CD HORIZON SPINAL SYSTEM$127
How this compares
$70,946 in reported general payments places this provider in the 90th percentile of 845 orthopaedic surgery providers in North Carolina.
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 |
|---|---|---|
| Gabapentin | 63 | $631 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 20 | $243 |
| Pregabalin | 16 | $153 |
| Tizanidine Hcl | 37 | $148 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $132 |
| Methylprednisolone | 17 | $109 |
| Oxycodone Hcl | 17 | $100 |
| Diazepam | 11 | $7 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Charlotte
- Thomas FehringCharlotte$18.3M
- Walter BeaverCharlotte$7.4M
- Robert AndersonCharlotte$6.6M
- John MasonCharlotte$5.7M
- William DavisCharlotte$5.2M
- John EllingtonCharlotte$4.9M
- Carroll JonesCharlotte$3.6M
- John MasonisCharlotte$3.4M
- Bruce CohenCharlotte$2.4M
- Anthony KwonCharlotte$1.9M
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.