Todd Guyette, MD
Hand Surgery · Kirkland, WANPI 1669579132
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $784 of the $1,130 with a category attached, or 69.4%. DJO, LLC accounts for 69.4% of it on its own, with 4 other manufacturers making up the rest. That places this record below the midpoint for hand surgery clinicians in WA, where the typical reported total is $1,269.
Across 149 payments — averaging $7.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- DJO, LLC$784
- Stryker$163
- Smith+Nephew$100
- Axogen$56
- Endo Pharmaceuticals Inc.$27
What the payments were for
- Speaking & faculty fees$78469%
- Food & beverage$34631%
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 |
|---|---|---|
| DJO, LLC | 144 | $784 |
| Stryker | 1 | $163 |
| Smith+Nephew | 1 | $100 |
| Axogen | 1 | $56 |
| Endo Pharmaceuticals Inc. | 2 | $27 |
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.
- PANGEA$163
- Navio Surgical System$100
How this compares
$1,130 in reported general payments places this provider in the 40th 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 102 | $511 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 13 | $112 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Kirkland
- Kurt AndersonKirkland$1K
- Steven SunKirkland$1K
- Thomas TrumbleBellevue$824K
- Jerry HuangSeattle$428K
- Mary ThayerBellevue$51K
- Chelsea BoeSeattle$32K
- Anthony LauderLongview$19K
- Julie RobertsFederal Way$19K
- Gregory ByrdOlympia$17K
- Chad TurnerSpokane Valley$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.