Todd Lansford, MD
Orthopaedic Surgery · North Charleston, SCNPI 1730379942
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (56.3%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. Alphatec Spine, Inc accounts for 74.5% of it on its own, with 35 other manufacturers making up the rest. 2025 is the largest year on record at $110,914, 2.4 times the $46,314 reported in 2019. Among orthopaedic surgery clinicians in SC 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 521 payments — averaging $549.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alphatec Spine, Inc$213K
- Globus Medical$47K
- Abbott$17K
- Boston Scientific$5K
- Medtronic$1K
- Providence Medical Technology, Inc.$436
- plus $2K from 30 others
Across 23 payments — averaging $7872.61 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.
- Orthofix Medical, Inc.$179K
- Globus Medical$2K
What the payments were for
- Royalty or licence$161,14556%
- Consulting fees$28,61410%
- Speaking & faculty fees$38,17513%
- Travel & lodging$43,60415%
- Food & beverage$14,5375%
- Education$1260%
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 |
|---|---|---|
| Alphatec Spine, Inc | 76 | $213,360 |
| Globus Medical(2 entities) | 45 | $46,961 |
| Abbott | 97 | $16,756 |
| Boston Scientific | 208 | $5,464 |
| Medtronic(2 entities) | 32 | $1,272 |
| Providence Medical Technology, Inc. | 5 | $436 |
| Intrinsic Therapeutics | 4 | $273 |
| Zimmer Biomet | 4 | $165 |
| Nevro Corp. | 2 | $163 |
| Acera Surgical, Inc. | 1 | $137 |
| Kowa Pharmaceuticals America, Inc. | 3 | $131 |
| Si-bone, Inc. | 5 | $105 |
| Stryker | 4 | $103 |
| Amgen(2 entities) | 5 | $95 |
| Osteocentric Technologies, Inc. | 1 | $87 |
| Kuros Biosciences USA, Inc | 1 | $87 |
| Johnson & Johnson(2 entities) | 3 | $67 |
| Biotissue Holdings Inc. | 2 | $57 |
| Spineology Inc. | 2 | $54 |
| Treace Medical Concepts, Inc. | 2 | $54 |
| SPR Therapeutics, Inc | 1 | $44 |
| Sanofi-aventis U.S. LLC | 2 | $42 |
| Bioventus LLC | 2 | $40 |
| Curonix LLC | 2 | $30 |
| Kyowa Kirin, Inc. | 1 | $28 |
| Fidia Pharma USA Inc. | 1 | $27 |
| Augmedics Inc. | 1 | $24 |
| Ultragenyx Pharmaceutical Inc. | 1 | $21 |
| Convatec Inc. | 1 | $20 |
| Electronic Waveform Lab, Inc. | 1 | $17 |
| Endo Pharmaceuticals Inc. | 1 | $16 |
| Innovation Technologies Inc | 1 | $16 |
| AbbVie | 1 | $15 |
| Smith+Nephew | 1 | $14 |
| Zyla Life Sciences, Inc. | 1 | $11 |
| Orthofix Medical, Inc. | 1 | $9 |
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.
- Other - Miscellaneous$144,566
- LIF$57,050
- ALTERA$11,838
- INDEPENDENCE$8,929
- PROCLAIM$8,439
- ELSA ATP$8,075
- Excelsius - GPS$5,633
- Proclaim Family of SCS IPGs$5,173
- CREO$4,584
- CALIBER$3,511
- RISE$2,125
- Neuromodulation Dspsbls and Accs$1,004
- Excelsius Robotics System$782
- Intracept$750
- Battalion TLIF - PC$702
- Solus ALIF$604
- GENERAL PAIN MANAGEMENT$482
- VESALE Lumbar Plate$425
- INTELLIS ADAPTIVESTIM$386
- Proclaim IPG$346
How this compares
$286,200 in reported general payments places this provider in the 95th percentile of 325 orthopaedic surgery providers in South 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 |
|---|---|---|
| Celecoxib | 192 | $3,889 |
| Gabapentin | 286 | $1,967 |
| Tramadol Hcl | 295 | $1,360 |
| Oxycodone Hcl | 201 | $1,314 |
| Tizanidine Hcl | 116 | $1,174 |
| Lidocaine | 17 | $970 |
| Cephalexin | 63 | $936 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 67 | $889 |
| Methocarbamol | 64 | $787 |
| Carisoprodol | 196 | $783 |
| Pregabalin | 45 | $780 |
| Methylprednisolone | 55 | $377 |
| Diclofenac Sodium ErDiclofenac Sodium | 12 | $341 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 19 | $223 |
| Meloxicam | 46 | $176 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in North Charleston
- Christopher BattistaNorth Charleston$58K
- Daniel SullivanNorth Charleston$22K
- William SmithColumbia$7.7M
- Richard FrischMt Pleasant$1M
- Brent PonceCharleston$874K
- Chi LimSpartanburg$320K
- Nicholas GrimaldiColumbia$203K
- Richard MarksWest Columbia$176K
- James LogingClinton$118K
- Justin SmithRock Hill$102K
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.