Scott Macdonald, DO
Orthopaedic Surgery · Johnson City, TNNPI 1891041489
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $77,000 of the $114,030 with a category attached, or 67.5%. Alphatec Spine, Inc accounts for 98.4% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2023 at $32,575 and has fallen 98.6% since, to $459 in 2025. Among orthopaedic surgery clinicians in TN with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 116 payments — averaging $983.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alphatec Spine, Inc$112K
- Medtronic$436
- Medical Device Business Services, Inc.$312
- Sanara Medtech Inc.$305
- Stryker$217
- Linvatec Corporation$207
- plus $329 from 7 others
What the payments were for
- Consulting fees$77,00068%
- Speaking & faculty fees$560%
- Travel & lodging$30,75827%
- Food & beverage$5,8535%
- Education$3120%
- Entertainment$500%
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 |
|---|---|---|
| Alphatec Spine, Inc | 91 | $112,223 |
| Medtronic(2 entities) | 6 | $436 |
| Medical Device Business Services, Inc. | 1 | $312 |
| Sanara Medtech Inc. | 1 | $305 |
| Stryker | 3 | $217 |
| Linvatec Corporation | 2 | $207 |
| Smith+Nephew | 2 | $107 |
| Heron Therapeutics, Inc. | 1 | $89 |
| Orthofix Medical, Inc. | 5 | $76 |
| Zimmer Biomet | 1 | $22 |
| Boston Scientific | 1 | $14 |
| Johnson & Johnson | 1 | $12 |
| Biocomposites Inc | 1 | $9 |
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.
- Other - Miscellaneous$93,006
- AMP$7,000
- LTP$6,500
- Solus ALIF$6,500
- LIF$3,581
- INTELLIS ADAPTIVESTIM$386
- CellerateRx$305
- ALLOGRAFT TISSUE$207
- HALL POWER$207
- Battalion TLIF - PC$143
- Invictus MIS$113
- CASCADIA INTERBODY SYSTEM$108
- LINVATEC ARTHROSCOPY$100
How this compares
$114,030 in reported general payments places this provider in the 90th percentile of 381 orthopaedic surgery 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 |
|---|---|---|
| Methylprednisolone | 255 | $2,215 |
| Naloxone Hcl | 31 | $1,950 |
| Gabapentin | 128 | $1,217 |
| Meloxicam | 378 | $716 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 72 | $700 |
| Cyclobenzaprine Hcl | 124 | $671 |
| Celecoxib | 46 | $635 |
| Pregabalin | 43 | $405 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 59 | $378 |
| Ondansetron Hcl | 78 | $376 |
| Cefadroxil | 33 | $287 |
| Mupirocin | 18 | $158 |
| Tramadol Hcl | 32 | $69 |
| Alprazolam | 28 | $24 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Johnson City
- Larry WaldropJohnson City$45K
- Alan AikenJohnson City$45K
- Paul BradyKnoxville$20M
- Edwin SpencerKnoxville$2.5M
- Jesse DotyChattanooga$2.3M
- Thomas ThrockmortonGermantown$1.7M
- Alton HunterColumbia$820K
- Jefferson MorrisonNashville$678K
- Michael BeebeMemphis$626K
- Gregory PolkowskiNashville$526K
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.