Physician profile
Roy Frederick Small
NPI 1447746318
$46,913.43
in general payments reported to CMS, 2019-2025
24 companies · $14K in 2025
The $14K reported for 2025 was more than what 89% of Orthopaedic Surgery providers received nationally (typical 2025 total: $569).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $1,919 · 2020: $3,391 · 2021: $3,088 · 2022: $5,431 · 2023: $15K · 2024: $4,359 · 2025: $14K.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Travel and Lodging: $18K · Consulting Fee: $7,929 · Food and Beverage: $6,771 · Education: $340.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Travel and Lodging | $18,044.84 |
| Consulting Fee | $7,929.00 |
| Food and Beverage | $6,771.08 |
| Education | $339.97 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Medical Device Business Services, INC. | $15,483.61 | 2019-2025 | Na, Actis, Attune |
| Linkbio Corp | $10,459.92 | 2023-2025 | |
| Pinnacle, INC | $10,279.86 | 2019-2024 | |
| Smith+Nephew, INC. | $4,783.76 | 2024-2025 | Journey II, Real Intelligence, Journey |
| Stryker Corporation | $1,797.08 | 2022-2025 | Mako, Axsos, Hoffmann |
| Acumed LLC | $915.31 | 2022 | |
| Osteoremedies, LLC | $677.81 | 2024-2025 | Remedy Spacer, Remedy Spectrum Gv Spacer, Biobrush |
| Depuy Synthes Sales INC. | $559.54 | 2020-2025 | Actis, Velys |
| Think Surgical, INC. | $262.44 | 2025 | |
| Axogen | $248.51 | 2023 | Avance Nerve Graft |
| Heron Therapeutics, INC. | $245.37 | 2022-2024 | Zynrelef |
| Zimmer Biomet Holdings, INC. | $143.83 | 2021 | |
| Amgen INC. | $134.06 | 2019 | |
| Convatec INC. | $124.27 | 2023 | |
| Biocomposites INC | $102.75 | 2022 |
Show all 24 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Onkos Surgical, INC. | $100.14 | 2021 | |
| Csl Behring | $99.47 | 2019 | |
| Zoll Services LLC (A/K/A Zoll Lifecor Corp) | $96.32 | 2019-2021 | |
| Si-Bone, INC. | $94.06 | 2020 | |
| Polynovo North America LLC | $87.84 | 2024 | Novosorb Btm |
| Orthofix Medical, INC. | $87.40 | 2023 | Physio-Stim |
| Ethicon US, LLC | $59.75 | 2025 | Stratafix, Monocryl, Dermabond |
| Sanara Medtech INC. | $58.10 | 2021 | |
| Janssen Biotech, INC. | $12.23 | 2019 |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Roy Small listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.