Has Rex Marco received payments from drug or device companies?

Yes. Drug and device makers reported $174,397 in general payments to Rex Marco across 164 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Rex Marco did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Rex Marco come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Rex Marco

Orthopaedic Surgery of the Spine · Houston, TXNPI 1205861887

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $117,363 of the $174,397 with a category attached, or 67.3%. 13 manufacturers reported payments, led by Medical Device Business Services, Inc. at 28.2% of the total. Reporting peaked in 2022 at $74,196 and has fallen 92.9% since, to $5,257 in 2025.

$174,397in general payments, 2019–2025

Across 164 payments — averaging $1063.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Medical Device Business Services, Inc.$49K
Globus Medical$42K
Johnson & Johnson$33K
Stryker$27K
Cerapedics Inc.$21K
Medtronic$1K
plus $1K from 7 others

What the payments were for

Royalty or licence$17,95910%
Consulting fees$117,36367%
Grants$23,11213%
Travel & lodging$7,0284%
Food & beverage$8,8385%
Education$990%

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
Medical Device Business Services, Inc.	23	$49,112
Globus Medical(2 entities)	27	$41,535
Johnson & Johnson	56	$33,112
Stryker	23	$26,689
Cerapedics Inc.	12	$21,214
Medtronic(2 entities)	10	$1,406
Alphatec Spine, Inc	4	$576
Si-bone, Inc.	2	$292
Heron Therapeutics, Inc.	1	$124
Kuros Biosciences USA, Inc	1	$124
Wound Management Technologies, Inc	2	$81
Carlsmed, Inc.	1	$75
Pacira Pharmaceuticals Incorporated	2	$59

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.

CONDUIT$45,708
EXPEDIUM$33,239
I-FACTOR PEPTIDE ENHANCED BONE GRAFT$21,085
TRITANIUM$15,863
SERRATO$15,736
XIA$15,736
NAVIGATION$8,357
AIRO$8,250
Mesh Corpectomy Cage$7,864
Colosseum$7,020
Mesh$3,074
EVEREST SPINAL SYSTEM$1,894
MAZOR X SYSTEM$649
UNID_PASS$617
VIPER$596
SYMPHONY$390
BASE$364
MESA SPINAL SYSTEM$159
CAPRI CORPECTOMY CAGE SYSTEM$144
AQUAMANTYS$139

How this compares

$174,397 in reported general payments places this provider in the 80th percentile of 207 orthopaedic surgery of the spine providers in Texas.

See all orthopaedic surgery of the spine providers in Texas →

Other orthopaedic surgery of the spine in Houston

David WimberleyHouston$2.2M
Shah-Nawaz DodwadHouston$710K
Leonard KibuuleHouston$621K
Vivek KushwahaHouston$573K
Robert MohrHouston$352K
Bernhard MeyerHouston$238K
Ryan StuckeyHouston$181K
Richard FrancisHouston$156K
Ra'kerry RahmanHouston$45K
Randall DryerAustin$2.9M

See the full list for Texas →

Where these figures come from

Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
Identity: NPPES NPI Registry, July 2026.

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