Ryan Constantine
Plastic and Reconstructive Surgery · Sunnyvale, TXNPI 1760989677
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (50.7%), travel and lodging and education — rather than concentrated in one kind of arrangement. It is spread thinly across 20 manufacturers, the largest accounting for just 18.3%. 2025 is the largest year on record at $3,674, more than ten times the $44 reported in 2019.
Across 65 payments — averaging $115.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$1K
- Skeletal Dynamics Inc$1K
- Gemini Mountain Medical, LLC$1K
- Axogen$673
- Integra Lifesciences Corporation$545
- Stryker$438
- plus $2K from 14 others
What the payments were for
- Travel & lodging$2,51133%
- Food & beverage$3,82051%
- Education$1,20016%
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 |
|---|---|---|
| Arthrex | 12 | $1,381 |
| Skeletal Dynamics Inc | 5 | $1,236 |
| Gemini Mountain Medical, LLC | 1 | $1,200 |
| Axogen | 8 | $673 |
| Integra Lifesciences Corporation | 6 | $545 |
| Stryker | 8 | $438 |
| AbbVie(2 entities) | 4 | $367 |
| Pylant Medical | 5 | $321 |
| Innovation Technologies Inc | 2 | $241 |
| Access Pro Medical, LLC | 2 | $196 |
| Endo USA, Inc. | 2 | $159 |
| Mentor Worldwide LLC | 2 | $135 |
| Sonex Health, Inc. | 1 | $126 |
| Endo Pharmaceuticals Inc. | 1 | $116 |
| Polynovo North America LLC | 1 | $104 |
| Avita Medical Americas, LLC | 1 | $104 |
| Medartis Inc. | 1 | $100 |
| Smith+Nephew | 1 | $47 |
| TELA Bio, Inc. | 1 | $29 |
| Bausch & Lomb Americas Inc. | 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.
- INTEGRA$1,200
- Geminus$1,104
- Align$1,104
- IJS$1,104
- Implate$1,104
- NA$515
- INTEGRA DERMAL REGENERATION TEMPLATE$452
- PRIMATRIX$296
- XIAFLEX$252
- Irrisept$241
- NATRELLE SALINE-FILLED BREAST IMPLANTS$234
- VSP SYSTEM, VSP CRANIAL$172
- SMARTLOCK$172
- Matriderm$163
- OMNIGRAFT$156
- SURGIMEND$156
- ULTRAGUIDECTR$126
- ULTRAGUIDETFR$126
- CONEXTIONS TR TENDON REPAIR SYSTEM-IMPLANT MECHANISM$118
- MENTOR MemoryGel Resterilizable Gel Sizer$118
How this compares
$7,532 in reported general payments places this provider in the 75th percentile of 378 plastic and reconstructive surgery providers in Texas.
See all plastic and reconstructive surgery providers in Texas →
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Oxycodone Hcl | 13 | $30 |
Paid to pharmacies, not to this prescriber.
Other plastic and reconstructive surgery in Sunnyvale
- Aldona SpiegelHouston$759K
- Charles ButlerHouston$227K
- Michael KlebucHouston$204K
- Joshua LemmonRichardson$118K
- Patrick GarveyHouston$117K
- Rukmini RednamHouston$113K
- Edward ChangHouston$111K
- Alina SholarAustin$110K
- Ashley SteinbergBellaire$102K
- Eric MinnsLubbock$98K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.