Robert Garrison, MD
Orthopaedic Surgery · Little Rock, ARNPI 1790745099
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $1,062 of the $1,625 with a category attached, or 65.3%. Medical Device Business Services, Inc. accounts for 66.8% of it on its own, with 6 other manufacturers making up the rest. 2025 is the largest year on record at $1,266, 5.7 times the $220 reported in 2021. That places this record below the midpoint for orthopaedic surgery clinicians in AR, where the typical reported total is $2,620.
Across 15 payments — averaging $108.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$1K
- Johnson & Johnson$208
- Zimmer Biomet$100
- Stryker$98
- Osteocentric Technologies, Inc.$83
- Smith+Nephew$37
- plus $13 from 1 others
What the payments were for
- Travel & lodging$1,06265%
- Food & beverage$56335%
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. | 5 | $1,086 |
| Johnson & Johnson | 5 | $208 |
| Zimmer Biomet | 1 | $100 |
| Stryker | 1 | $98 |
| Osteocentric Technologies, Inc. | 1 | $83 |
| Smith+Nephew | 1 | $37 |
| Cardinal Health 200 LLC | 1 | $13 |
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.
- NA$1,062
- Comp Primary Revision Stem$100
How this compares
$1,625 in reported general payments places this provider in the 35th percentile of 168 orthopaedic surgery providers in Arkansas.
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 in Little Rock
- Benjamin StronachLittle Rock$2.5M
- Charles BarnesLittle Rock$2.1M
- Kenneth MartinLittle Rock$322K
- David BumpassLittle Rock$175K
- Lawrence O'MalleyLittle Rock$151K
- Jason SmithLittle Rock$102K
- Richard McCarthyLittle Rock$75K
- Jacob TauntonLittle Rock$62K
- Jeffrey ReeseLittle Rock$59K
- Justin RabinowitzLittle Rock$45K
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.