Peter Derman, MD
Orthopaedic Surgery of the Spine · Frisco, TXNPI 1942567961
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (56.8%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Arthrex accounts for 67.2% of it on its own, with 37 other manufacturers making up the rest. 2025 is the largest year on record at $439,095, more than ten times the $6,267 reported in 2019. Among orthopaedic surgery of the spine clinicians in TX 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 556 payments — averaging $1412.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$528K
- Joimax, Inc.$121K
- Degen Medical, Inc.$47K
- Integrity Implants Inc. Dba Accelus$37K
- Integrity Implants Inc.$21K
- Synthes GmbH$17K
- plus $13K from 32 others
Across 1 payment — averaging $21,375 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.
- Orthofix Medical, Inc.$21K
What the payments were for
- Royalty or licence$49,9276%
- Consulting fees$181,83323%
- Speaking & faculty fees$446,31257%
- Travel & lodging$93,25612%
- Food & beverage$13,7512%
- Entertainment$2830%
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.
- FlareHawk$41,813
- ALIF$24,440
- SOLAR$12,544
- Cervical Stand Alone$9,598
- XR$6,482
- Neo Pedicle Screw System$4,016
- XLIF$708
- ExcelsiusGPS Robotic Navigation System$689
- MagnetOs$388
- ReActiv8$385
- i-FACTOR Putty$358
- ACTIVL$276
- iGA$248
- LessRay$245
- Direct Look$234
- LIF$193
- RISE-L . RISE-L A/L$177
- Other - Miscellaneous$164
- VISTASEAL$163
- EVARREST$163
How this compares
$785,363 in reported general payments places this provider in the 90th percentile of 207 orthopaedic surgery of the spine providers in Texas.
See all orthopaedic surgery of the spine providers in Texas →
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 | 84 | $772 |
| Cyclobenzaprine Hcl | 32 | $390 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $245 |
| Methylprednisolone | 35 | $202 |
| Meloxicam | 11 | $19 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Frisco
- Mohammed KhaleelFrisco$85K
- Randall DryerAustin$2.9M
- Craig KuhnsAustin$2.4M
- David WimberleyHouston$2.2M
- Jeffrey PhelpsNorth Richland Hills$1.9M
- Eric WieserArlington$1.5M
- Andrew ClavennaDallas$1.3M
- Ivan ChengKyle$1.2M
- Stephen TolhurstFlower Mound$1.1M
- Michael ObrienPlano$1M
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.