Spencer Guinn, MD
Orthopaedic Surgery · Jonesboro, ARNPI 1124099841
Payments from drug & device makers
Across 36 payments — averaging $94.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$2K
- Stryker$1K
- Johnson & Johnson$115
- DJO, LLC$81
- Amgen$58
- Baudax Bio Inc.$51
- plus $111 from 6 others
What the payments were for
- Travel & lodging$2,50674%
- Food & beverage$88526%
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 |
|---|---|---|
| Smith+Nephew | 12 | $1,748 |
| Stryker | 8 | $1,227 |
| Johnson & Johnson | 1 | $115 |
| DJO, LLC | 2 | $81 |
| Amgen(2 entities) | 4 | $58 |
| Baudax Bio Inc. | 3 | $51 |
| In2bones USA, LLC | 1 | $36 |
| Pacira Pharmaceuticals Incorporated | 1 | $35 |
| Bioventus LLC | 1 | $16 |
| Ferring Pharmaceuticals Inc. | 1 | $12 |
| Orthofix Medical, Inc. | 1 | $12 |
| One Surgical, Inc. | 1 | $0 |
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.
- HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET$1,027
- BIORAPTOR$690
- Accu-pass$690
- Healicoil$670
- IVY AIR$142
How this compares
$3,391 in reported general payments places this provider in the 55th percentile of 168 orthopaedic surgery providers in Arkansas.
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 |
|---|---|---|
| Celecoxib | 77 | $1,306 |
| Diclofenac Sodium | 19 | $412 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 35 | $213 |
| Promethazine Hcl | 40 | $145 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 59 | $141 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 21 | $131 |
| Ibuprofen | 86 | $124 |
| Meloxicam | 64 | $120 |
| Ondansetron Hcl | 13 | $110 |
| Tramadol Hcl | 32 | $40 |
| IbuIbuprofen | 12 | $26 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Jonesboro
- Jason BrandtJonesboro$116K
- Brandon ByrdJonesboro$17K
- Benjamin StronachLittle Rock$2.7M
- Charles BarnesLittle Rock$2.5M
- Jay LipkeLittle Rock$498K
- Kenneth MartinLittle Rock$332K
- William HefleyNorth Little Rock$319K
- Wesley CoxFayetteville$309K
- David BumpassLittle Rock$246K
- Lawrence O'MalleyLittle Rock$151K
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.