Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Alfred Geissele

Orthopaedic Surgery Hickory, NC Medical Doctor

NPI 1902858863 CMS profile 132063

2165 Medical Park Drive, Hickory, NC 28602

Open in the dashboard

General payments

$13,294

58 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Alfred Geissele of Hickory, NC is reported in the CMS Open Payments database as having received $13,294 across 58 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 74th percentile of Orthopaedic Surgery profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $138 5
2024 General $1,017 8
2023 General $1,538 24
2022 General $30 2
2021 General $67 3
2020 General $4,800 3
2019 General $5,703 13

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Alfred Geissele
  • Orthopaedic Surgery median
  • Middle half of Orthopaedic Surgery
  • National median

In program year 2025, general payments to Alfred Geissele were reported at $138. Among 15,343 Orthopaedic Surgery profiles paid that year, the median was $563 and the middle half received between $147 and $2,717.

Show as a table
Year Alfred Geissele Orthopaedic Surgery median Middle half National median
2019 $5,703 $644 $140–$2,844 $163
2020 $4,800 $312 $75–$1,860 $114
2021 $67 $520 $117–$2,495 $132
2022 $30 $598 $128–$2,731 $149
2023 $1,538 $461 $128–$2,264 $160
2024 $1,017 $497 $134–$2,475 $164
2025 $138 $563 $147–$2,717 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. SI-BONE, Inc. $10,469 13 payments
  2. Medtronic, Inc. $1,802 25 payments
  3. Boston Scientific Corporation $775 5 payments
  4. Collegium Pharmaceutical, Inc. $93 6 payments
  5. Orthofix Medical, Inc. $67 4 payments
  6. Abbott Laboratories $34 2 payments
  7. Vertex Pharmaceuticals Incorporated $20 1 payment
  8. Flexion Therapeutics, Inc. $18 1 payment
  9. Hospira, Inc. $15 1 payment

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Consulting Fee $10,100 5 payments
  2. Food and Beverage $1,733 44 payments
  3. Travel and Lodging $1,460 9 payments
Products named General payments · program years 2019–2025
  1. IFUSE IMPLANT $10,469 13 payments
  2. MAZOR X SYSTEM $1,613 19 payments
  3. Superion Indirect Decompression System $630 4 payments
  4. XTAMPZA $78 5 payments
  5. Spinal-Stim $41 2 payments
  6. Physio-Stim $38 1 payment
  7. JOURNAVX $20 1 payment
  8. Physio-Stim Osteogenesis Stimulator $20 1 payment
  9. Proclaim Family of SCS IPGs $19 1 payment
  10. KYPHON Balloon Kyphoplasty $19 1 payment
  11. Other $132 10 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 15 drugs

Part D claims

2,030

Median for Orthopedic Surgery: 203

Drug cost

$18,947

Median for Orthopedic Surgery: $1,433

Branded share of claims

4.6%

Median for Orthopedic Surgery: 11.6%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Etodolac Generic 124 $4,384
Diclofenac Sodium Generic 417 $3,869
Meloxicam Generic 911 $3,046
Celecoxib Generic 140 $2,852
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen Brand 63 $1,134
Gabapentin Generic 67 $869
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen Brand 30 $631
Nabumetone Generic 55 $536
Sulindac Generic 55 $513
Tizanidine Hcl Generic 78 $431

The 10 drugs with the highest cost, of 15 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 18,934 Part D prescribers listed as Orthopedic Surgery; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 77 billing codes

Paid by Medicare

$109,511

Of which drugs: $157

Medicare patients

296

Average age 74

Services billed

1,461

175 women, 121 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Arthritis 74%
Depression 33%
Diabetes 32%
Chronic kidney disease 31%
Ischemic heart disease 26%
Osteoporosis 25%
COPD 21%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301 Office 25 104 $82
Injection, ketorolac tromethamine, per 15 mg J1885 Office 12 52 $30
Injection, dexamethasone sodium phosphate, 1 mg J1100 Office 30 302 $27

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Records

58 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Orthopaedic Surgery in North Carolina

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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