Thomas Perkins
Adult Reconstructive Orthopaedic Surgery · Rochester Hills, MINPI 1477658458
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,110 of the $2,650 with a category attached, or 79.6%. 15 manufacturers reported payments, led by Stryker at 27.3% of the total. That places this record below the midpoint for adult reconstructive orthopaedic surgery clinicians in MI, where the typical reported total is $8,679.
Across 82 payments — averaging $32.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$724
- Ferring Pharmaceuticals Inc.$653
- Pinnacle, Inc$609
- Smith+Nephew$266
- Bioventus LLC$78
- Zimmer Biomet$74
- plus $246 from 9 others
What the payments were for
- Food & beverage$2,11080%
- Education$54020%
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 |
|---|---|---|
| Stryker | 10 | $724 |
| Ferring Pharmaceuticals Inc. | 44 | $653 |
| Pinnacle, Inc | 3 | $609 |
| Smith+Nephew | 7 | $266 |
| Bioventus LLC | 4 | $78 |
| Zimmer Biomet | 2 | $74 |
| Vericel Corporation | 2 | $58 |
| Amgen | 3 | $41 |
| Avanos Medical | 1 | $26 |
| Nevro Corp. | 1 | $26 |
| Vertex | 1 | $22 |
| Surgenex LLC | 1 | $21 |
| ERMI LLC | 1 | $19 |
| Linvatec Corporation | 1 | $19 |
| Kowa Pharmaceuticals America, 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
$2,650 in reported general payments places this provider in the 30th percentile of 35 adult reconstructive orthopaedic surgery providers in Michigan.
See all adult reconstructive orthopaedic surgery providers in Michigan →
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 | 52 | $948 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 120 | $831 |
| Ondansetron OdtOndansetron | 74 | $816 |
| Cephalexin | 72 | $236 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 29 | $195 |
| Tramadol Hcl | 43 | $185 |
| Tramadol Hcl-AcetaminophenTramadol Hcl/Acetaminophen | 11 | $89 |
| Amoxicillin | 63 | $69 |
| Ondansetron Hcl | 11 | $35 |
| Clindamycin Hcl | 11 | $33 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Rochester Hills
- Michael MasiniYpsilanti$6.3M
- Jeffrey DeclaireRochester$5.4M
- Trevor BankaDetroit$339K
- Timothy EkpoGrand Blanc$295K
- Nicholas FrischAuburn Hills$244K
- Charles TauntLansing$126K
- Brian de BeaubienSaginaw$117K
- Daniel MeskoLansing$99K
- Anthony GemayelFlint$78K
- Sam Hakki HacketteWarren$40K
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.