Stephen Kouba, MD
Orthopaedic Surgery · Fayetteville, NCNPI 1073588620
Payments from drug & device makers
Across 133 payments — averaging $21.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$599
- Radius Health, Inc.$264
- Fidia Pharma USA Inc.$214
- Pacira Therapeutics, Inc.$198
- ERMI LLC$135
- Si-bone, Inc.$135
- plus $1K from 30 others
What the payments were for
- Food & beverage$2,80899%
- Education$181%
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 |
|---|---|---|
| Amgen | 26 | $599 |
| Radius Health, Inc. | 12 | $264 |
| Fidia Pharma USA Inc. | 17 | $214 |
| Pacira Therapeutics, Inc. | 6 | $198 |
| ERMI LLC | 4 | $135 |
| Si-bone, Inc. | 4 | $135 |
| Orthofix Medical, Inc. | 6 | $107 |
| Ferring Pharmaceuticals Inc. | 6 | $94 |
| Bioventus LLC | 3 | $92 |
| Boston Scientific | 4 | $90 |
| Johnson & Johnson(2 entities) | 4 | $78 |
| Ultragenyx Pharmaceutical Inc. | 4 | $71 |
| Sanofi-aventis U.S. LLC | 3 | $70 |
| Smith+Nephew | 1 | $70 |
| DJO, LLC | 4 | $62 |
| Avanos Medical | 2 | $57 |
| AbbVie | 3 | $55 |
| Davol Inc. | 2 | $50 |
| Baxter Healthcare | 2 | $46 |
| Medtronic | 3 | $43 |
| Zimmer Biomet | 1 | $38 |
| Precision Medical Products Inc. | 2 | $36 |
| Acell, Inc. | 1 | $22 |
| Endo Pharmaceuticals Inc. | 1 | $21 |
| Vericel Corporation | 1 | $19 |
| Acera Surgical, Inc. | 1 | $19 |
| Medacta USA, Inc. | 1 | $18 |
| Biodelivery Sciences International, Inc. | 1 | $17 |
| Daiichi Sankyo Inc. | 1 | $16 |
| Acelrx Pharmaceuticals, Inc. | 1 | $15 |
| Apria Healthcare LLC | 1 | $14 |
| Axogen | 1 | $14 |
| Kowa Pharmaceuticals America, Inc. | 1 | $13 |
| Tenex Health Inc. | 1 | $12 |
| Convatec Inc. | 1 | $11 |
| Kinex Medical Company LLC | 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.
- EVENITY$241
How this compares
$2,826 in reported general payments places this provider in the 35th percentile of 845 orthopaedic surgery providers in North Carolina.
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 |
|---|---|---|
| EliquisApixaban | 11 | $6,123 |
| Celecoxib | 58 | $1,059 |
| Alendronate Sodium | 40 | $271 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 23 | $260 |
| Gabapentin | 30 | $211 |
| Ibuprofen | 18 | $176 |
| Methylprednisolone | 25 | $140 |
| Prednisone | 84 | $134 |
| Meloxicam | 68 | $133 |
| Tramadol Hcl | 36 | $109 |
| Naproxen | 12 | $84 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Fayetteville
- Thomas FehringCharlotte$18.3M
- Walter BeaverCharlotte$7.4M
- Robert AndersonCharlotte$6.6M
- William JiranekDurham$6.4M
- John MasonCharlotte$6.2M
- Thomas VailDurham$5.7M
- William DavisCharlotte$5.2M
- John EllingtonCharlotte$5.2M
- Mark EasleyDurham$4.2M
- Carroll JonesCharlotte$3.9M
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.