Rick Gemma, DO
Surgery · Cuyahoga Falls, OHNPI 1376595645
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $4,370 of the $6,132 with a category attached, or 71.3%. Intuitive Surgical accounts for 90.7% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2022 at $2,428 and has fallen 98.2% since, to $45 in 2025.
Across 28 payments — averaging $218.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$6K
- Smith+Nephew$287
- Inspire Medical Systems, Inc.$161
- Davol Inc.$47
- W. L. Gore & Associates, Inc.$45
- Covidien LP$17
- plus $16 from 1 others
Across 2 payments — averaging $11,084 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.
- Covidien LP$22K
What the payments were for
- Travel & lodging$4,37071%
- Food & beverage$1,69428%
- Education$451%
- Gifts$220%
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 |
|---|---|---|
| Intuitive Surgical | 20 | $5,559 |
| Smith+Nephew | 3 | $287 |
| Inspire Medical Systems, Inc. | 1 | $161 |
| Davol Inc. | 1 | $47 |
| W. L. Gore & Associates, Inc. | 1 | $45 |
| Covidien LP | 1 | $17 |
| Medtronic | 1 | $16 |
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.
How this compares
$6,132 in reported general payments places this provider in the 70th percentile of 988 surgery providers in Ohio.
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 |
|---|---|---|
| Clindamycin Hcl | 13 | $26 |
| Metronidazole | 14 | $13 |
Paid to pharmacies, not to this prescriber.
Other surgery in Cuyahoga Falls
- Greg StarleyCuyahoga Falls$594K
- Paul FerraroCuyahoga Falls$34K
- Jonathan ThompsonWest Chester$2.1M
- Raymond OndersCleveland$1.2M
- Neilendu KunduCleveland$808K
- Michael MearaColumbus$808K
- Chase WehrleCleveland$741K
- Craig JarrettCleveland$622K
- Ihya GorgunCleveland$527K
- Marshall SpaldingColumbus$450K
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.