Ryan Gocke, MD
Orthopaedic Surgery · North Chesterfield, VANPI 1992916449
Payments from drug & device makers
Across 79 payments — averaging $170.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$10K
- Corelink, LLC$2K
- Precision Spine, Inc.$610
- Stryker$493
- Johnson & Johnson$224
- Nanovis LLC$137
- plus $189 from 4 others
What the payments were for
- Consulting fees$5,72542%
- Travel & lodging$4,55534%
- Food & beverage$2,83421%
- Entertainment$3903%
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 |
|---|---|---|
| Globus Medical(2 entities) | 51 | $9,986 |
| Corelink, LLC | 10 | $1,864 |
| Precision Spine, Inc. | 2 | $610 |
| Stryker | 8 | $493 |
| Johnson & Johnson(2 entities) | 2 | $224 |
| Nanovis LLC | 1 | $137 |
| VB Spine LLC | 1 | $130 |
| Medtronic(2 entities) | 2 | $31 |
| Seaspine Orthopedics Corporation | 1 | $17 |
| MML US, Inc. | 1 | $10 |
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.
- Excelsius - GPS$5,708
- ExcelsiusGPS Robotic Navigation System$1,366
- Excelsius Robotics System$878
- COALITION AGX$678
- NEXGEN ANTERIOR CERVICAL PLATE SYSTEM$610
- STRATAFIX$200
- SURGIFLO Hemostatic Matrix$200
- ETHICON$200
- Excelsius3D Imaging System$154
- AFFINITI$137
- AFFINITI CORTILOC$135
- EVEREST SPINAL SYSTEM$130
How this compares
$13,503 in reported general payments places this provider in the 70th percentile of 473 orthopaedic surgery providers in Virginia.
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 |
|---|---|---|
| Prednisone | 142 | $2,577 |
| Methylprednisolone | 72 | $451 |
| Meloxicam | 116 | $289 |
| Diclofenac Sodium | 16 | $131 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in North Chesterfield
- Dale YoungNorth Chesterfield$10.9M
- Mark de BloisNorth Chesterfield$4M
- David MillerNorth Chesterfield$1.8M
- Joshua HerzogNorth Chesterfield$1.5M
- Miles BirminghamNorth Chesterfield$92K
- James DowdVirginia Beach$6.5M
- Cato LaurencinCharlottesville$3.5M
- Randall PeytonSterling$2.9M
- William MihalkoCharlottesville$2.1M
- Keith LawhornFairfax$1.8M
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.