Physician profile
Richard D Guyer
NPI 1174567721
$758,408.65
in general payments reported to CMS, 2019-2025
38 companies · $53K in 2025
The $53K reported for 2025 was more than what 88% of Orthopaedic Surgery of The Spine providers received nationally (typical 2025 total: $2,116).
Payments by year
General and research payments by program year, as reported to CMS.
General payments by year: 2019: $162K · 2020: $155K · 2021: $131K · 2022: $85K · 2023: $105K · 2024: $66K · 2025: $53K.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Consulting Fee: $205K · Travel and Lodging: $8,735 · Food and Beverage: $7,781 · Royalty Or License: $2,760.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Consulting Fee | $205,496.14 |
| Travel and Lodging | $8,735.05 |
| Food and Beverage | $7,781.16 |
| Royalty Or License | $2,760.10 |
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. Research payments are listed separately below. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Centinel Spine, LLC | $166,675.32 | 2019-2025 | Prodisc C, Prodisc L, Prodisc C Vivo |
| Aesculap Implant Systems, LLC | $164,065.37 | 2019-2024 | Activl |
| Orthofix Medical, INC. | $148,111.34 | 2019-2025 | Mariner Deformity |
| Nuvasive, INC. | $77,028.29 | 2019-2023 | Simplify Cervical Artificial Disc |
| Nanovis LLC | $60,240.30 | 2019-2021 | |
| Stryker Corporation | $47,691.41 | 2019-2025 | Aleutian Cervical, Canyon Retractor Systems |
| Medacta USA, INC. | $27,150.00 | 2019-2024 | |
| Zimvie INC. | $20,560.81 | 2022-2023 | |
| Alphatec Spine, INC | $12,325.54 | 2019-2023 | Osseoscrew |
| Dymicron | $7,000.00 | 2020-2023 | Triadyme-C |
| Highridge Medical LLC | $5,562.84 | 2024-2025 | Vital, Spine-None, Mobi-C Plug & Fit US |
| Carlsmed, INC. | $5,284.93 | 2021-2025 | Aprevo |
| Globus Medical, INC. | $3,224.29 | 2023-2025 | Simplify Cervical Artificial Disc, Simplify Cervical Artificial Disc, Senza |
| Integrity Implants INC. | $2,750.00 | 2020 | |
| Spinecraft, LLC | $2,000.00 | 2023 |
Show all 37 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Axis Spine Technologies INC. | $1,873.67 | 2022-2024 | Alif, Axis Spine Technologies Alif |
| Medtronic USA, INC. | $1,596.36 | 2019-2020 | |
| Surgalign Spine Technologies, INC. | $1,099.62 | 2019-2021 | |
| Aesculap, INC. | $1,050.06 | 2022 | |
| Degen Medical, INC. | $470.51 | 2024-2025 | Alif |
| Innovasis INC | $438.41 | 2019-2021 | |
| Bioventus LLC | $263.58 | 2024 | Bonescalpel & Sonicone (O.R.) |
| Biocomposites INC | $227.84 | 2024 | |
| Painteq LLC | $226.24 | 2023 | Painteq |
| Kuros Biosciences USA, INC | $205.97 | 2023 | |
| Augmedics INC. | $190.35 | 2022 | |
| Ethicon US, LLC | $163.48 | 2025 | Evarrest, Vistaseal |
| Carbofix Spine INC | $151.15 | 2024 | |
| Acuity Surgical Devices, LLC | $142.11 | 2020 | |
| Baxter Healthcare | $121.32 | 2022 | |
| 4web, INC. | $110.28 | 2019 | |
| Zimmer Biomet Holdings, INC. | $97.10 | 2019 | |
| Alafair Biosciences, INC. | $94.87 | 2025 | Versawrap |
| Spinal Elements, INC. | $91.15 | 2024 | |
| Pacira Pharmaceuticals Incorporated | $83.94 | 2023 | Exparel, Iovera |
| Clariance, INC. | $29.00 | 2023 | Entire Product Portfolio |
| Cerapedics INC. | $11.20 | 2019 |
1 company reported research payments only; those appear in the research section below.
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.
Research and ownership
$5,780.00 in research payments reported 2019-2025. Research payments are often institution-directed and tied to clinical trials: they are reported under a clinician's name but frequently go to a hospital or research organization, and usually reflect participation in medical research.
$1,033,402.83 in ownership or investment interests, as reported to CMS. These are holdings a clinician or an immediate family member has in a company, not payments received.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Richard Guyer 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.