Theodore Belanger, MD
Orthopaedic Surgery · Rockwall, TXNPI 1700869997
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (47.8%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Nexxt Spine LLC at 55.3% of the total. Among orthopaedic surgery clinicians in TX 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 162 payments — averaging $1022.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nexxt Spine LLC$92K
- Globus Medical$68K
- Cerapedics Inc.$4K
- Kalitec Direct LLC$782
- Bioventus LLC$264
- Degen Medical, Inc.$261
- plus $977 from 10 others
Across 33 payments — averaging $2813.02 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.
- Premia Spine, Ltd.$55K
- Cerapedics Inc.$38K
What the payments were for
- Royalty or licence$79,09948%
- Consulting fees$61,37537%
- Speaking & faculty fees$5,5003%
- Travel & lodging$11,5897%
- Food & beverage$7,9545%
- Education$650%
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 |
|---|---|---|
| Nexxt Spine LLC | 24 | $91,584 |
| Globus Medical(2 entities) | 106 | $67,672 |
| Cerapedics Inc. | 14 | $4,041 |
| Kalitec Direct LLC | 4 | $782 |
| Bioventus LLC | 1 | $264 |
| Degen Medical, Inc. | 1 | $261 |
| Seaspine Orthopedics Corporation | 2 | $243 |
| Augmedics Inc. | 2 | $190 |
| Carlsmed, Inc. | 1 | $163 |
| Aesculap Implant Systems, LLC | 1 | $147 |
| Si-bone, Inc. | 1 | $90 |
| Johnson & Johnson | 1 | $59 |
| Boston Scientific | 1 | $31 |
| Abbott | 1 | $21 |
| Baxter Healthcare | 1 | $20 |
| Medline Industries LP | 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.
- Connexx Open System$79,099
- XLIF$37,032
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$10,518
- Nexxt Matrixx Products$10,341
- Connexx MIS System$8,500
- ALIF$7,153
- Xvision$862
- i-FACTOR Putty$470
- Pulse$269
- BONESCALPEL & SONICONE (O.R.)$264
- MaXcess$250
- Connexx Launch$247
- Matrixx ALIF System$230
- CosmoLock$173
- aprevo$163
- Connexx System$161
- ACTIVL$147
- Mariner Deformity$143
- Modulus$141
- Senza$140
How this compares
$165,582 in reported general payments places this provider in the 90th percentile of 1,337 orthopaedic surgery providers in Texas.
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 |
|---|---|---|
| ForteoTeriparatide | 29 | $116,044 |
| Teriparatide | 13 | $33,135 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 98 | $1,470 |
| Methocarbamol | 67 | $760 |
| Celecoxib | 67 | $742 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 41 | $493 |
| Gabapentin | 62 | $420 |
| Tramadol Hcl | 49 | $229 |
| Cyclobenzaprine Hcl | 17 | $142 |
| Tizanidine Hcl | 12 | $98 |
| Meloxicam | 26 | $93 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Rockwall
- Stephen BurkhartSan Antonio$185.3M
- Kirby HittTemple$9.1M
- Robert GrahamAustin$6.3M
- Richard JonesDallas$6.3M
- Stefan KreuzerHouston$6.2M
- Michael WirthSan Antonio$4.5M
- Stephen IncavoHouston$4.3M
- Thomas EdwardsHouston$4.1M
- James BrodskyDallas$2.5M
- Robert SchmidtFort Worth$2M
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.