Thomas Buford, DO
Pain Medicine · Flowood, MSNPI 1104357862
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $6,079 of the $9,645 with a category attached, or 63.0%. 18 manufacturers reported payments, led by Spinal Simplicity, LLC at 31.3% of the total. 2025 is the largest year on record at $3,216, 3.7 times the $873 reported in 2021.
Across 226 payments — averaging $42.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Spinal Simplicity, LLC$3K
- Boston Scientific$2K
- Medtronic$2K
- Abbott$1K
- Curonix LLC$267
- Foundation Fusion Solutions, LLC$187
- plus $747 from 12 others
What the payments were for
- Travel & lodging$3,56537%
- Food & beverage$6,07963%
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 |
|---|---|---|
| Spinal Simplicity, LLC | 23 | $3,014 |
| Boston Scientific | 29 | $2,089 |
| Medtronic | 90 | $1,865 |
| Abbott | 50 | $1,475 |
| Curonix LLC | 8 | $267 |
| Foundation Fusion Solutions, LLC | 1 | $187 |
| Relievant Medsystems, Inc. | 2 | $156 |
| Si-bone, Inc. | 1 | $118 |
| Nevro Corp. | 4 | $110 |
| Biotronik NRO, Inc. | 2 | $95 |
| Vertos Medical, Inc. | 5 | $68 |
| Nalu Medical, Inc. | 3 | $51 |
| Vertex | 2 | $36 |
| Stryker | 1 | $34 |
| Merck | 2 | $29 |
| AbbVie | 1 | $20 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $15 |
| Collegium Pharmaceutical, Inc. | 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.
How this compares
$9,645 in reported general payments places this provider in the 75th percentile of 48 pain medicine providers in Mississippi.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 285 | $5,624 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 99 | $2,212 |
| Gabapentin | 173 | $1,628 |
| Pregabalin | 76 | $1,010 |
| Naloxone Hcl | 11 | $730 |
| Tizanidine Hcl | 44 | $431 |
| Duloxetine Hcl | 28 | $361 |
| Tramadol Hcl | 74 | $341 |
| Cyclobenzaprine Hcl | 79 | $305 |
| Celecoxib | 22 | $302 |
| Oxycodone Hcl | 16 | $288 |
| Methocarbamol | 28 | $259 |
| Methadone Hcl | 14 | $235 |
| Amitriptyline Hcl | 19 | $172 |
| Diclofenac Sodium | 15 | $168 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Flowood
- Landon BurnsFlowood$22K
- Jeremy SmithermanFlowood$11K
- Ronald WilliamsFlowood$105
- John DoddFlowood$83
- Jeffrey SummersFlowood$47
- Rayhan TariqLaurel$64K
- Alan TorreyVicksburg$30K
- Joe CookByram$21K
- Bretley SitzmanHattiesburg$18K
- Michael ScarbroughCorinth$15K
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.