Troy Pierce, MD
Orthopaedic Surgery · Bismarck, NDNPI 1972521870
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,721 of the $2,555 with a category attached, or 67.4%. 23 manufacturers reported payments, led by Exactech, Inc. at 36.4% of the total. Reporting peaked in 2023 at $1,213 and has fallen 91.5% since, to $103 in 2025. That places this record below the midpoint for orthopaedic surgery clinicians in ND, where the typical reported total is $3,290.
Across 58 payments — averaging $44.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Exactech, Inc.$929
- Johnson & Johnson$620
- Smith+Nephew$298
- Endo Pharmaceuticals Inc.$99
- Kerecis Limited$86
- Amgen$65
- plus $458 from 17 others
What the payments were for
- Speaking & faculty fees$562%
- Travel & lodging$69327%
- Food & beverage$1,72167%
- Education$853%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Exactech, Inc. | 4 | $929 |
| Johnson & Johnson | 16 | $620 |
| Smith+Nephew | 9 | $298 |
| Endo Pharmaceuticals Inc. | 2 | $99 |
| Kerecis Limited | 3 | $86 |
| Amgen | 4 | $65 |
| Sioux Surgical Inc | 1 | $62 |
| Lima USA, Inc. | 1 | $60 |
| Omeros Corporation | 4 | $52 |
| Innovation Technologies Inc | 1 | $37 |
| Zimmer Biomet | 1 | $34 |
| Medtronic | 1 | $30 |
| Daiichi Sankyo Inc. | 1 | $20 |
| BD | 1 | $20 |
| Convatec Inc. | 1 | $19 |
| Pfizer | 1 | $18 |
| Polynovo North America LLC | 1 | $18 |
| Stryker | 1 | $18 |
| Ultragenyx Pharmaceutical Inc. | 1 | $16 |
| Vertex | 1 | $15 |
| Kowa Pharmaceuticals America, Inc. | 1 | $15 |
| AstraZeneca | 1 | $13 |
| Rayner Intraocular Lenses Limited | 1 | $12 |
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
$2,555 in reported general payments places this provider in the 40th percentile of 61 orthopaedic surgery providers in North Dakota.
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 | 14 | $283 |
| Meloxicam | 41 | $149 |
| Amoxicillin | 102 | $94 |
| Tramadol Hcl | 12 | $29 |
| Clindamycin Hcl | 17 | $21 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Bismarck
- Brian DahlBismarck$31K
- Anthony KaschBismarck$5K
- Timothy BoppBismarck$4K
- Laura BruseBismarck$4K
- Duncan AckermanBismarck$3K
- Brock NorrieBismarck$3K
- Derrick CoteBismarck$3K
- Timothy JuelsonBismarck$3K
- Ian FyfeBismarck$1K
- Chad CarlsonBismarck$1K
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.