Robert Otoole, MD
Orthopaedic Trauma · Baltimore, MDNPI 1821037458
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $397,209 of the $547,741 with a category attached, or 72.5%. Stryker accounts for 89.9% of it on its own, with 5 other manufacturers making up the rest. 2025 is the largest year on record at $397,575, more than ten times the $38,752 reported in 2019.
Across 164 payments — averaging $3339.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$492K
- Smith+Nephew$30K
- Synthes GmbH$18K
- Zimmer Biomet$8K
- Johnson & Johnson$77
- Globus Medical$14
What the payments were for
- Royalty or licence$397,20973%
- Consulting fees$122,93122%
- Speaking & faculty fees$13,3752%
- Travel & lodging$11,7052%
- Food & beverage$2,5220%
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 | 131 | $492,241 |
| Smith+Nephew | 3 | $29,781 |
| Synthes GmbH | 16 | $17,573 |
| Zimmer Biomet | 11 | $8,056 |
| Johnson & Johnson | 2 | $77 |
| Globus Medical | 1 | $14 |
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.
- PANGEA$404,509
- AXSOS$78,735
- TRIGEN Femoral (FAN/TAN/Meta Nail)$29,646
- Affixus$6,730
- Alps Prox Tib Plates$6,125
- Cable Ready Cable Grip$6,125
- PRO$2,202
- MINI MAXLOCK EXTREME$1,607
- THP$1,125
- Fastframe$1,125
- VARIAX$984
- GAMMA$388
- T2$170
- HOFFMANN$151
- EVOS$136
- Trauma Product Portfolio$116
How this compares
Too few orthopaedic trauma providers in Marylandto 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.
Other orthopaedic trauma in Baltimore
- Andrew PollakBaltimore$2M
- Marcus SciadiniBaltimore$510K
- Myron SlobogeanBaltimore$304K
- Greg OsgoodBaltimore$211K
- Jason NasconeBaltimore$123K
- W EglsederBaltimore$66K
- Herman JohalBaltimore$7K
- David StocktonBaltimore$1K
- Bryce SmetzerBaltimore$39
- Florian HuberSalisbury$12K
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.