Thomas Vail
Orthopaedic Surgery · Durham, NCNPI 1598852014
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $5,491,749 of the $5,680,171 with a category attached, or 96.7%. Depuy Synthes Products, Inc. accounts for 98.7% of it on its own, with 4 other manufacturers making up the rest. Among orthopaedic surgery clinicians in NC 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 161 payments — averaging $35,281 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Depuy Synthes Products, Inc.$5.6M
- Medical Device Business Services, Inc.$73K
- Johnson & Johnson$2K
- Stryker$31
- Janssen Research & Development, LLC$17
What the payments were for
- Royalty or licence$5,491,74997%
- Consulting fees$177,8143%
- Travel & lodging$9,1460%
- Food & beverage$1,4610%
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 |
|---|---|---|
| Depuy Synthes Products, Inc. | 131 | $5,605,739 |
| Medical Device Business Services, Inc. | 26 | $72,822 |
| Johnson & Johnson(2 entities) | 2 | $1,561 |
| Stryker | 1 | $31 |
| Janssen Research & Development, LLC | 1 | $17 |
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
$5,680,171 in reported general payments places this provider in the 95th percentile of 845 orthopaedic surgery providers in North Carolina.
Other orthopaedic surgery in Durham
- William JiranekDurham$6.4M
- Mark EasleyDurham$4M
- Michael BolognesiDurham$2.3M
- Christopher BrownDurham$2.3M
- Samuel AdamsDurham$1.8M
- James NunleyDurham$1.6M
- James DeorioDurham$1.3M
- Richard MatherDurham$711K
- Marc RichardDurham$643K
- David RuchDurham$321K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.