Ryland Kagan, MD
Adult Reconstructive Orthopaedic Surgery · Portland, ORNPI 1104183888
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $120,347 of the $153,686 with a category attached, or 78.3%. 13 manufacturers reported payments, led by Encore Medical, LP at 48.6% of the total. Reporting peaked in 2024 at $63,699 and has fallen 59.7% since, to $25,652 in 2025. Among adult reconstructive orthopaedic surgery clinicians in OR with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 204 payments — averaging $753.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Encore Medical, LP$75K
- Orthalign Inc$43K
- Smith+Nephew$29K
- Medacta USA, Inc.$3K
- Stryker$1K
- Ortho Development Corporation$1K
- plus $1K from 7 others
Across 74 payments — averaging $5866.38 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Smith+Nephew$217K
- KCI USA, Inc.$139K
- Solventum Corporation$64K
- Zimmer Biomet$9K
- Medical Device Business Services, Inc.$4K
What the payments were for
- Consulting fees$120,34778%
- Travel & lodging$26,86017%
- Food & beverage$6,4784%
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 |
|---|---|---|
| Encore Medical, LP | 72 | $74,668 |
| Orthalign Inc | 40 | $42,769 |
| Smith+Nephew | 58 | $29,492 |
| Medacta USA, Inc. | 9 | $3,153 |
| Stryker | 10 | $1,314 |
| Ortho Development Corporation | 7 | $1,210 |
| KCI USA, Inc. | 1 | $800 |
| Zimmer Biomet | 2 | $154 |
| Johnson & Johnson | 1 | $55 |
| Kinamed, Inc. | 1 | $23 |
| Pixee Medical Inc. | 1 | $18 |
| Merck | 1 | $17 |
| Pacira Pharmaceuticals Incorporated | 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.
- Journey II$62,964
- ORTHALIGN PLUS$42,441
- DJO SURGICAL$21,614
- REAL INTELLIGENCE$12,297
- LEGION TKS$8,234
- Legion$2,915
- GMK REVISION$2,005
- REDAPT$1,821
- Engage Partial Knee System$1,553
- Legion Revision$1,510
- Navio Surgical System$1,325
- Tandem$1,243
- Balanced Knee System$1,040
- Entrada Hip Stem$1,040
- MAKO$859
- CORI$858
- PREVENA$800
- GMK SPHERE$702
- VISIONAIRE$578
- Journey II BCS$515
How this compares
$153,686 in reported general payments places this provider in the 95th percentile of 20 adult reconstructive orthopaedic surgery providers in Oregon.
See all adult reconstructive orthopaedic surgery providers in Oregon →
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 |
|---|---|---|
| Oxycodone Hcl | 25 | $182 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Portland
- Thomas HuffPortland$95K
- Gustav FischerPortland$24K
- Lily WoodPortland$14K
- Adam BarmadaPortland$2K
- Kathryn SchabelPortland$444
- James VanhorneGrants Pass$42K
- James HoMedford$15K
- Daniel CowleyGrants Pass$12K
- Jessica PhillipsBeaverton$12K
- Mary SkrzynskiBend$10K
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.