Richard Peek, MD
Orthopaedic Surgery of the Spine · Little Rock, ARNPI 1598743759
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $711 of the $955 with a category attached, or 74.5%. Medtronic accounts for 95.4% of it on its own, with 2 other manufacturers making up the rest. Reporting peaked in 2019 at $911 and has fallen 97.5% since, to $23 in 2024.
Across 11 payments — averaging $86.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$911
- Abbott$23
- Spinal Elements, Inc.$21
What the payments were for
- Travel & lodging$71174%
- Food & beverage$24426%
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 |
|---|---|---|
| Medtronic | 9 | $911 |
| Abbott | 1 | $23 |
| Spinal Elements, Inc. | 1 | $21 |
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.
- O-ARM-ST$643
How this compares
Too few orthopaedic surgery of the spine providers in Arkansasto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 208 | $4,484 |
| Diclofenac Sodium | 310 | $3,924 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 166 | $3,147 |
| Pregabalin | 75 | $3,123 |
| Gabapentin | 276 | $2,518 |
| Celecoxib | 116 | $1,599 |
| Oxycodone Hcl | 88 | $1,299 |
| Tizanidine Hcl | 85 | $1,208 |
| Cyclobenzaprine Hcl | 130 | $1,176 |
| Nabumetone | 68 | $1,063 |
| Sulindac | 41 | $815 |
| Meloxicam | 201 | $814 |
| Butalbital-Acetaminophen-CaffeButalb/Acetaminophen/Caffeine | 22 | $789 |
| Carisoprodol | 48 | $774 |
| Methylprednisolone | 98 | $758 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Little Rock
- Jared SealeLittle Rock$1M
- Edward SaerLittle Rock$364
- Gannon RandolphBentonville$39K
- Mark FegerConway$13K
- Patrick ChanSearcy$8K
- Wayne BruffettNorth Little Rock$4K
- Travis RichardsonParagould$263
- David ArnoldConway$174
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.