Richard Guyer, MD
Orthopaedic Surgery of the Spine · Plano, TXNPI 1174567721
Payments from drug & device makers
Across 679 payments — averaging $1941.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Centinel Spine, LLC$388K
- Globus Medical$382K
- Aesculap Implant Systems, LLC$201K
- Orthofix Medical, Inc.$148K
- Nanovis LLC$60K
- Stryker$48K
- plus $91K from 31 others
Across 4 payments — averaging $1445.00 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.$6K
- Globus Medical$280
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 |
|---|---|---|
| Centinel Spine, LLC | 122 | $387,741 |
| Globus Medical(2 entities) | 187 | $382,016 |
| Aesculap Implant Systems, LLC | 136 | $201,065 |
| Orthofix Medical, Inc. | 90 | $148,111 |
| Nanovis LLC | 4 | $60,240 |
| Stryker | 20 | $47,691 |
| Medacta USA, Inc. | 2 | $27,150 |
| Zimvie Inc. | 24 | $20,561 |
| Alphatec Spine, Inc | 15 | $12,326 |
| Dymicron | 2 | $7,000 |
| Highridge Medical LLC | 6 | $5,563 |
| Carlsmed, Inc. | 3 | $5,285 |
| Integrity Implants Inc. | 3 | $2,750 |
| Spinecraft, LLC | 1 | $2,000 |
| Axis Spine Technologies Inc. | 9 | $1,874 |
| Medtronic | 2 | $1,596 |
| Surgalign Spine Technologies, Inc. | 24 | $1,100 |
| Aesculap, Inc. | 2 | $1,050 |
| Degen Medical, Inc. | 2 | $471 |
| Innovasis Inc | 2 | $438 |
| Bioventus LLC | 1 | $264 |
| Biocomposites Inc | 2 | $228 |
| Painteq LLC | 1 | $226 |
| Kuros Biosciences USA, Inc | 1 | $206 |
| Augmedics Inc. | 2 | $190 |
| Johnson & Johnson | 1 | $163 |
| Carbofix Spine Inc | 1 | $151 |
| Acuity Surgical Devices, LLC | 1 | $142 |
| Baxter Healthcare | 1 | $121 |
| 4web, Inc. | 1 | $110 |
| Zimmer Biomet | 1 | $97 |
| Alafair Biosciences, Inc. | 1 | $95 |
| Spinal Elements, Inc. | 2 | $91 |
| Pacira Pharmaceuticals Incorporated | 1 | $84 |
| Clariance, Inc. | 1 | $29 |
| Cerapedics Inc. | 1 | $11 |
| Stimwave Technologies Incorporated | 4 | $0 |
How this compares
$1,318,238 in reported general payments places this provider in the 95th 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.
Other orthopaedic surgery of the spine in Plano
- Michael ObrienPlano$1M
- Scott BlumenthalPlano$1M
- Ralph RashbaumPlano$693K
- Mark ValentePlano$411K
- Jessica ShellockPlano$322K
- Kendall CarllPlano$185K
- Anthony OwusuPlano$149K
- Alexander SatinPlano$83K
- Randall DryerAustin$2.9M
- Craig KuhnsAustin$2.7M
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.