Thomas Trumble, MD
Hand Surgery · Bellevue, WANPI 1114003837
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $806,171 of the $824,111 with a category attached, or 97.8%. Arthrex accounts for 81.8% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2023 at $193,980 and has fallen 79.0% since, to $40,762 in 2025. Among hand surgery clinicians in WA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 104 payments — averaging $7924.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$674K
- Trimed, Inc.$139K
- Summit Surgical Corp.$6K
- Axogen$2K
- Ensemble Orthopedics, Inc$1K
- Linvatec Corporation$750
- plus $1K from 12 others
What the payments were for
- Royalty or licence$806,17198%
- Consulting fees$7500%
- Travel & lodging$7,9641%
- Food & beverage$3,2260%
- Education$6,0001%
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 |
|---|---|---|
| Arthrex | 22 | $674,384 |
| Trimed, Inc. | 30 | $138,982 |
| Summit Surgical Corp. | 5 | $6,000 |
| Axogen | 5 | $1,674 |
| Ensemble Orthopedics, Inc | 10 | $1,202 |
| Linvatec Corporation | 2 | $750 |
| Zimmer Biomet | 9 | $356 |
| Skeletal Dynamics Inc | 2 | $228 |
| Amniox Medical, Inc. | 5 | $134 |
| Acera Surgical, Inc. | 1 | $79 |
| Integra Lifesciences Corporation | 2 | $73 |
| Orthofix Medical, Inc. | 3 | $65 |
| Endo Pharmaceuticals Inc. | 3 | $49 |
| Medartis Inc. | 1 | $39 |
| Anika Therapeutics, Inc. | 1 | $31 |
| Sientra, Inc. | 1 | $28 |
| Nevro Corp. | 1 | $21 |
| Tenex Health Inc. | 1 | $15 |
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.
- ARTHREX$2,288,306
- DISTAL EXTREMITIES IMPLANTS HAND & WRIST DISTAL RADIUS$154,274
- DISTAL EXTREMITIES IMPLANTS TRAUMA DISTAL RADIUS$57,631
- Tools - WFS$24,160
- Tools - AFS$10,751
- AxoGuard Nerve Connector$1,651
- AxoGuard Nerve Protector$1,651
- Ensemble CMC$892
- TRUESHOT$750
- Geminus$228
- Align$228
- IJS$228
- Implate$228
- Comp Primary Revision Stem$115
How this compares
$824,111 in reported general payments places this provider in the 95th percentile of 75 hand surgery providers in Washington.
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 |
|---|---|---|
| Oxycodone Hcl | 82 | $447 |
| Ondansetron OdtOndansetron | 81 | $362 |
| Cephalexin | 22 | $243 |
| Celecoxib | 13 | $199 |
| Ketorolac Tromethamine | 34 | $180 |
| Hydroxyzine Pamoate | 55 | $140 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $136 |
| Tramadol Hcl | 17 | $37 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Bellevue
- Mary ThayerBellevue$51K
- Grant LohseBellevue$4K
- Cameron SchickBellevue$1K
- Matthew LyonsBellevue$1K
- David ZeltserBellevue$1K
- Jerry HuangSeattle$428K
- Chelsea BoeSeattle$32K
- Anthony LauderLongview$19K
- Julie RobertsFederal Way$19K
- Gregory ByrdOlympia$17K
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.