Wayne Bruffett, MD
Orthopaedic Surgery of the Spine · North Little Rock, ARNPI 1952389280
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $2,400 of the $3,826 with a category attached, or 62.7%. 9 manufacturers reported payments, led by Spine Wave, Inc. at 52.6% of the total. Reporting peaked in 2019 at $2,422 and has fallen 95.4% since, to $111 in 2024.
Across 64 payments — averaging $59.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Spine Wave, Inc.$2K
- Medical Device Business Services, Inc.$900
- Johnson & Johnson$484
- Medtronic$182
- Globus Medical$99
- Midsouth Orthopedics Inc.$56
- plus $92 from 3 others
What the payments were for
- Consulting fees$2,40063%
- Food & beverage$1,42637%
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 |
|---|---|---|
| Spine Wave, Inc. | 24 | $2,013 |
| Medical Device Business Services, Inc. | 1 | $900 |
| Johnson & Johnson | 23 | $484 |
| Medtronic | 3 | $182 |
| Globus Medical | 6 | $99 |
| Midsouth Orthopedics Inc. | 2 | $56 |
| Spinal Elements, Inc. | 2 | $34 |
| Amgen | 2 | $32 |
| Si-bone, Inc. | 1 | $26 |
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.
- Spinal Implants$1,500
How this compares
Too few orthopaedic surgery of the spine providers in Arkansasto place this figure against a meaningful peer group, so we don't.
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-AcetaminophenOxycodone Hcl/Acetaminophen | 50 | $844 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 34 | $565 |
| Gabapentin | 17 | $185 |
| Methylprednisolone | 21 | $144 |
| Meloxicam | 47 | $137 |
| Tizanidine Hcl | 11 | $117 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in North Little Rock
- Jared SealeLittle Rock$1M
- Gannon RandolphBentonville$39K
- Mark FegerConway$13K
- Patrick ChanSearcy$8K
- Richard PeekLittle Rock$955
- Edward SaerLittle Rock$364
- Travis RichardsonParagould$263
- David ArnoldConway$174
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.