Tyler Pidgeon, MD
Hand Surgery · Morrisville, NCNPI 1265725329
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (55.2%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. 24 manufacturers reported payments, led by Medartis Inc. at 49.9% of the total. 2025 is the largest year on record at $22,909, more than ten times the $779 reported in 2019. Among hand 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 69 payments — averaging $731.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medartis Inc.$25K
- Flower Orthopedics Coporation$8K
- Arthrex$4K
- Southtech Orthopedics$3K
- Integra Lifesciences Corporation$3K
- Restor3d, Inc.$3K
- plus $5K from 18 others
Across 13 payments — averaging $10,934 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.
- Medartis Inc.$82K
- Arthrex$42K
- Southtech Orthopedics$18K
What the payments were for
- Consulting fees$27,85055%
- Speaking & faculty fees$11,75023%
- Travel & lodging$1,9374%
- Food & beverage$5,21810%
- Education$3,7147%
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 |
|---|---|---|
| Medartis Inc. | 14 | $25,206 |
| Flower Orthopedics Coporation | 3 | $7,579 |
| Arthrex | 1 | $3,750 |
| Southtech Orthopedics | 4 | $3,457 |
| Integra Lifesciences Corporation | 3 | $2,905 |
| Restor3d, Inc. | 2 | $2,500 |
| Acumed LLC | 8 | $1,389 |
| Bioventus LLC | 6 | $579 |
| Skeletal Dynamics Inc | 1 | $524 |
| Trilliant Surgical LLC. | 4 | $450 |
| Checkpoint Surgical, Inc | 3 | $436 |
| Johnson & Johnson | 3 | $252 |
| Axogen | 3 | $250 |
| Trimed, Inc. | 1 | $152 |
| Zimmer Biomet | 1 | $144 |
| Stryker | 2 | $130 |
| Arthrosurface Incorporated | 1 | $129 |
| Osteocentric Technologies, Inc. | 1 | $128 |
| Exsomed Corporation | 1 | $118 |
| Next Science LLC | 1 | $97 |
| Encore Medical, LP | 1 | $94 |
| Biedermann Motech, Inc. | 1 | $90 |
| Alafair Biosciences, Inc. | 1 | $58 |
| Tricoast Surgical Solutions LLC | 3 | $52 |
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.
- APTUS$24,996
- INTEGRA$5,200
- ACUMED$2,783
- Geminus$524
- Align$524
- IJS$524
- Implate$524
- Checkpoint Stimulators$436
- Arsenal Sinus Support Plate$386
- TENOGLIDE$305
- INnate Implant$237
- A.L.P.S.$144
- AVANCE NERVE GRAFT$143
- AxoGuard Nerve Connector$143
- AxoGuard Nerve Protector$143
- AXOGUARD HA+ NERVE PROTECTOR$143
- AxoGuard Nerve Cap$143
- SpeedSpiral$129
- VA-LCP$129
- OsteoCentric 4.0 x 130mm LOCKING BONE SCREW FASTENER ST$128
How this compares
$50,470 in reported general payments places this provider in the 90th percentile of 79 hand 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 |
|---|---|---|
| Oxycodone Hcl | 29 | $91 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Morrisville
- Christpher KliftoDurham$575K
- Raymond GastonCharlotte$505K
- Ryan GarciaCharlotte$381K
- Richard MooreWilmington$177K
- Erica TaylorRaleigh$97K
- John YanikAsheville$32K
- Zhongyu LiWinston Salem$29K
- Patricia WellbornRaleigh$26K
- Anshul AgarwalaGreensboro$21K
- Ryan TarrRaleigh$19K
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.