Has Roman Guerrero-Maestre, MD received payments from drug or device companies?

Yes. Drug and device makers reported $3,176 in general payments to Roman Guerrero-Maestre, MD across 51 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Roman Guerrero-Maestre, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Roman Guerrero-Maestre, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Roman Guerrero-Maestre, MD

Orthopaedic Surgery of the Spine · Plymouth, MNNPI 1598103913

Payments from drug & device makers

What this record shows

This record is dominated by travel and lodging: $1,909 of the $3,176 with a category attached, or 60.1%. Medtronic accounts for 89.4% of it on its own, with 4 other manufacturers making up the rest. Reporting peaked in 2019 at $2,890 and has fallen 98.2% since, to $51 in 2023. That places this record below the midpoint for orthopaedic surgery of the spine clinicians in MN, where the typical reported total is $3,706.

$3,176in general payments, 2019–2025

Across 51 payments — averaging $62.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Medtronic$3K
Stryker$178
Globus Medical$71
Orthofix Medical, Inc.$51
Zimmer Biomet$36

What the payments were for

Travel & lodging$1,90960%
Food & beverage$1,26740%

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(2 entities)	40	$2,840
Stryker	6	$178
Globus Medical	2	$71
Orthofix Medical, Inc.	2	$51
Zimmer Biomet	1	$36

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

$3,176 in reported general payments places this provider in the 45th percentile of 39 orthopaedic surgery of the spine providers in Minnesota.

See all orthopaedic surgery of the spine providers in Minnesota →

Medicare billing

Part B allowed, 2024

$75,431

Medicare patients

167

Services billed

589

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
Celecoxib	96	$1,247
Gabapentin	87	$851
Pregabalin	43	$712
Oxycodone Hcl	55	$490
Methocarbamol	49	$395
Methylprednisolone	48	$351
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	24	$226
Duloxetine Hcl	12	$198
Meloxicam	34	$150
Cyclobenzaprine Hcl	19	$101
Nabumetone	19	$81
Tramadol Hcl	23	$79
Prednisone	25	$72

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery of the spine in Plymouth

Eiman ShafaMinneapolis$570K
Glenn ButtermannRoseville$259K
Nicholas WillsEagan$241K
Tenner GuillaumeSaint Paul$163K
Benjamin MuellerFridley$89K
Michael SmithEdina$43K
Nathan WandermanWoodbury$42K
Nathan HendricksonMinneapolis$34K
Todd JackmanEdina$30K
John ShermanEdina$28K

See the full list for Minnesota →

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.

Is this you, or does something look wrong? →