William Jiranek, MD
Orthopaedic Surgery · Durham, NCNPI 1184714941
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $6,354,075 of the $6,393,097 with a category attached, or 99.4%. Depuy Synthes Products, Inc. accounts for 99.5% of it on its own, with 14 other manufacturers making up the rest. Among orthopaedic surgery clinicians in NC 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 121 payments — averaging $52,836 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Depuy Synthes Products, Inc.$6.4M
- Medical Device Business Services, Inc.$16K
- Microport Orthopedics Inc$8K
- Synthes GmbH$6K
- Smith+Nephew$1K
- Zimmer Biomet$695
- plus $1K from 9 others
What the payments were for
- Royalty or licence$6,354,07599%
- Consulting fees$29,2000%
- Speaking & faculty fees$1,5000%
- Travel & lodging$4,9020%
- Food & beverage$3,4200%
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 |
|---|---|---|
| Depuy Synthes Products, Inc. | 53 | $6,359,863 |
| Medical Device Business Services, Inc. | 13 | $15,693 |
| Microport Orthopedics Inc | 9 | $8,317 |
| Synthes GmbH | 10 | $6,089 |
| Smith+Nephew | 12 | $1,057 |
| Zimmer Biomet | 10 | $695 |
| Total Joint Orthopedics, Inc. | 4 | $483 |
| Linkbio Corp | 2 | $185 |
| Moximed, Inc | 2 | $167 |
| Davol Inc. | 1 | $148 |
| Orthosensor Inc. | 1 | $120 |
| Johnson & Johnson | 1 | $102 |
| Next Science LLC | 1 | $89 |
| Medtronic | 1 | $77 |
| Heraeus Medical, LLC. | 1 | $11 |
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.
- ATTUNE$4,788,716
- SUMMIT$1,585,865
- SIGMA$1,585,865
- MPO Hip System$8,104
- ROSA$399
- Journey II XR$348
- POLARSTEM$348
- Journey II$348
- Anthology$348
- JOURNEY II UK$330
- CORI$209
- OR3O$209
- REDAPT$209
- MISHA KNEE SYSTEM, SMALL, LEFT$128
- Verasense$120
- Journey II BCS$109
How this compares
$6,393,097 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| Meloxicam | 35 | $50 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Durham
- Thomas VailDurham$5.7M
- Mark EasleyDurham$4M
- Michael BolognesiDurham$2.3M
- Christopher BrownDurham$2.3M
- Samuel AdamsDurham$1.8M
- James NunleyDurham$1.6M
- James DeorioDurham$1.3M
- Richard MatherDurham$711K
- Marc RichardDurham$643K
- David RuchDurham$321K
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.