Todd Irwin, MD
Orthopaedic Surgery · Charlotte, NCNPI 1386777191
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (46.9%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Paragon 28, Inc. accounts for 75.6% of it on its own, with 31 other manufacturers making up the rest. Among orthopaedic surgery clinicians in NC with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 301 payments — averaging $903.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragon 28, Inc.$206K
- Medline Industries LP$25K
- Vilex LLC$15K
- Stryker$10K
- GLW, Inc$8K
- Peerless Surgical Inc.$2K
- plus $7K from 26 others
Across 22 payments — averaging $20,274 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Stryker$446K
Across 3 payments — averaging $31,071 each. An ownership or investment interest held by the physician or an immediate family member.
- GLW, Inc$93K
What the payments were for
- Royalty or licence$127,59347%
- Consulting fees$104,05538%
- Speaking & faculty fees$7,2003%
- Travel & lodging$21,7348%
- Food & beverage$11,3344%
- Gifts$570%
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 |
|---|---|---|
| Paragon 28, Inc. | 106 | $205,558 |
| Medline Industries LP | 46 | $25,472 |
| Vilex LLC | 18 | $14,717 |
| Stryker(2 entities) | 19 | $10,144 |
| GLW, Inc | 2 | $7,646 |
| Peerless Surgical Inc. | 15 | $1,526 |
| Restor3d, Inc. | 6 | $1,129 |
| Arthrex | 4 | $557 |
| Orthofix Medical, Inc. | 17 | $519 |
| Bone Support Inc. | 4 | $511 |
| Bioventus LLC | 24 | $474 |
| Smith+Nephew | 6 | $419 |
| Medshape, Inc. | 3 | $389 |
| Johnson & Johnson | 4 | $365 |
| Embody, Inc. | 2 | $351 |
| Ossio Inc | 2 | $290 |
| Acumed LLC | 3 | $269 |
| Sanara Medtech Inc. | 1 | $242 |
| Kerecis Limited | 2 | $176 |
| Osteoremedies, LLC | 1 | $172 |
| Encore Medical, LP | 1 | $147 |
| Medical Device Business Services, Inc. | 1 | $139 |
| Ossur Americas, Inc. | 1 | $137 |
| Novastep Inc. | 1 | $136 |
| Globus Medical | 2 | $125 |
| ERMI LLC | 1 | $108 |
| Vertex | 3 | $88 |
| Osteocentric Technologies, Inc. | 1 | $87 |
| Amgen | 2 | $24 |
| Zimmer Biomet | 1 | $22 |
| Avanos Medical | 1 | $21 |
| DJO, LLC | 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.
- Product Portfolio$78,146
- Portfolio$77,690
- MEDLINE UNITE$17,785
- INFINITY$9,250
- MEDLINE INDUSTRIES, INC.$9,210
- Dermatology and Wound Care$7,200
- Artemis$6,970
- ALPHALOK Calc Fx - R&D$6,817
- MEDLINE$6,500
- PENDING$3,250
- Creed HammerThread$2,632
- MJFS4536$1,740
- Ankle Fracture$992
- Medline Unite Foot Plating System$904
- ALPHALOK$670
- APEX 3D$596
- Kerecis Omega3 Marigen$577
- MOTOBAND$521
- CERAMENTBONE VOID FILLER$511
- CellerateRx$242
How this compares
$271,973 in reported general payments places this provider in the 90th percentile of 845 orthopaedic surgery providers in North Carolina.
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 |
|---|---|---|
| Diclofenac Sodium | 19 | $172 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 17 | $95 |
| Ibuprofen | 11 | $79 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 13 | $61 |
| Meloxicam | 19 | $17 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Charlotte
- Thomas FehringCharlotte$18.3M
- Walter BeaverCharlotte$7.4M
- Robert AndersonCharlotte$6.6M
- John MasonCharlotte$5.7M
- William DavisCharlotte$5.2M
- John EllingtonCharlotte$4.9M
- Carroll JonesCharlotte$3.6M
- John MasonisCharlotte$3.4M
- Bruce CohenCharlotte$2.4M
- Anthony KwonCharlotte$1.9M
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.