Ross Smith, MD
Orthopaedic Trauma · Johnson City, TNNPI 1437596293
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,530 of the $4,052 with a category attached, or 62.5%. 13 manufacturers reported payments, led by Stryker at 34.5% of the total. Reporting peaked in 2019 at $2,229 and has fallen 60.3% since, to $884 in 2025. That places this record below the midpoint for orthopaedic trauma clinicians in TN, where the typical reported total is $5,863.
Across 58 payments — averaging $69.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$1K
- Synthes GmbH$1K
- Johnson & Johnson$413
- Biocomposites Inc$267
- Sanara Medtech Inc.$209
- Medical Device Business Services, Inc.$176
- plus $282 from 7 others
What the payments were for
- Travel & lodging$1,45236%
- Food & beverage$2,53062%
- Education$692%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 | 32 | $1,398 |
| Synthes GmbH | 1 | $1,307 |
| Johnson & Johnson | 6 | $413 |
| Biocomposites Inc | 2 | $267 |
| Sanara Medtech Inc. | 4 | $209 |
| Medical Device Business Services, Inc. | 3 | $176 |
| Si-bone, Inc. | 1 | $127 |
| Wound Management Technologies, Inc | 1 | $48 |
| Skeletal Dynamics Inc | 4 | $28 |
| DJO, LLC | 1 | $23 |
| Ossur Americas, Inc. | 1 | $21 |
| Pacira Pharmaceuticals Incorporated | 1 | $18 |
| Integra Lifesciences Corporation | 1 | $17 |
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$249
- Stimulan$236
- JOINTPOINT$145
- ACTIS$145
- ACCOLADE$130
- HOFFMANN$130
- iFuse Implant$127
- TFN ADVANCED$120
- TRAUMA$103
How this compares
$4,052 in reported general payments places this provider in the 45th percentile of 27 orthopaedic trauma providers in Tennessee.
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 |
|---|---|---|
| Enoxaparin Sodium | 13 | $1,060 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 18 | $152 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 16 | $103 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic trauma in Johnson City
- Robert HarrisJohnson City$177K
- Jeffery MartinJohnson City$594
- Daniel KrenkJohnson City$569
- Tania FergusonNashville$155K
- Bryce CunninghamChattanooga$55K
- Phillip MitchellNashville$32K
- Katherine BuesserNashville$30K
- Jason EvansNashville$28K
- Erin HoferNashville$25K
- William ObremskeyNashville$14K
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.