Robert Marchand, MD
Orthopaedic Surgery · Wakefield, RINPI 1881658896
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $1,334,563 of the $1,416,363 with a category attached, or 94.2%. Stryker accounts for 100.0% of it on its own, with 7 other manufacturers making up the rest. Among orthopaedic surgery clinicians in RI with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 918 payments — averaging $1542.88 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$1.4M
- Orthosensor Inc.$369
- Engage Uni, LLC$114
- Pacira Pharmaceuticals Incorporated$50
- Vertex$32
- Teleflex LLC$30
- plus $49 from 2 others
Across 69 payments — averaging $12,895 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.
- Stryker$890K
What the payments were for
- Consulting fees$1,334,56394%
- Travel & lodging$74,0435%
- Food & beverage$7,6441%
- Gifts$1140%
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 |
|---|---|---|
| Stryker | 907 | $1,415,720 |
| Orthosensor Inc. | 3 | $369 |
| Engage Uni, LLC | 1 | $114 |
| Pacira Pharmaceuticals Incorporated | 3 | $50 |
| Vertex | 1 | $32 |
| Teleflex LLC | 1 | $30 |
| Bioventus LLC | 1 | $27 |
| Acera Surgical, 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.
- MAKO$1,255,532
- TRIATHLON$116,337
- INSIGNIA$20,094
- TRIDENT$19,125
- MOTIONSENSE DIGITAL GONIOMETER$18,938
- TRITANIUM$18,375
- ACCOLADE$12,188
- AEQUALIS$10,500
- Verasense$4,774
- REUNION$3,000
- NEW PRODUCT DEVELOPMENT$1,875
- ZIPSEAL 16 SURGICAL SKIN CLOSURE KIT$1,500
- 1688$1,500
- TORNIER FLEX$1,125
- RESTORIS$1,125
- SURG - HEAVY DUTY - OTHER$750
- EZOUT$375
- Engage Partial Knee System$114
How this compares
$1,416,363 in reported general payments places this provider in the 95th percentile of 124 orthopaedic surgery providers in Rhode Island.
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 |
|---|---|---|
| Tranexamic Acid | 442 | $2,325 |
| Meloxicam | 465 | $658 |
| Omeprazole | 419 | $414 |
| Amoxicillin | 136 | $301 |
| Mupirocin | 39 | $301 |
| Clindamycin Hcl | 16 | $63 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Wakefield
- Michael BradleyWakefield$1.4M
- Ian MadomWakefield$125K
- Anthony BuonannoJohnston$2M
- Alan DanielsEast Providence$1.9M
- Edward PaxtonProvidence$244K
- Valentin AntociEast Providence$210K
- Dominic KleinhenzEast Providence$164K
- Bassel DieboEast Providence$138K
- Steven BokshanProvidence$130K
- Christopher HutchinsWesterly$75K
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.