Theodore Guild, MD
Orthopaedic Surgery · Portsmouth, NHNPI 1841752391
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $3,114 of the $4,371 with a category attached, or 71.2%. 10 manufacturers reported payments, led by Paragon 28, Inc. at 34.5% of the total.
Across 23 payments — averaging $190.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragon 28, Inc.$2K
- Medshape, Inc.$1K
- Stryker$1K
- Johnson & Johnson$207
- Zimmer Biomet$170
- Lifenet Health$120
- plus $180 from 4 others
What the payments were for
- Travel & lodging$3,11471%
- Food & beverage$1,25729%
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 |
|---|---|---|
| Paragon 28, Inc. | 7 | $1,508 |
| Medshape, Inc. | 2 | $1,151 |
| Stryker | 5 | $1,034 |
| Johnson & Johnson | 2 | $207 |
| Zimmer Biomet | 1 | $170 |
| Lifenet Health | 1 | $120 |
| Smith+Nephew | 2 | $104 |
| Trilliant Surgical LLC. | 1 | $35 |
| Exactech, Inc. | 1 | $22 |
| Pacira Pharmaceuticals Incorporated | 1 | $19 |
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.
- DynaNail Mini$1,094
- SALVATION$848
- Ankle Fracture$804
- Portfolio$598
- NCB$170
- NA$146
- PliaFX Flo$120
How this compares
$4,371 in reported general payments places this provider in the 60th percentile of 141 orthopaedic surgery providers in New Hampshire.
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 | 18 | $94 |
| Oxycodone Hcl | 41 | $85 |
| Pregabalin | 20 | $70 |
| Ondansetron Hcl | 29 | $47 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Portsmouth
- Akhilesh SastryPortsmouth$966K
- Mayo NoerdlingerPortsmouth$529K
- Michael MorwoodPortsmouth$506K
- Brian BarryPortsmouth$4K
- Ryan LabellePortsmouth$4K
- William SutherlandPortsmouth$4K
- John-Erik BellLebanon$528K
- Ira ParsonsSomersworth$245K
- Alexander OremLebanon$215K
- David RichardsNashua$122K
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.