Medical Doctor Program year 2025 Reported 2022–2025 Source: CMS Open Payments, 2026 publication

Brett Rocos

Orthopaedic Surgery of the Spine Durham, NC Medical Doctor

NPI 1972226322 CMS profile 11393630

Duke Spine Center Clinic 1B/1C 40 Medicine Circle, # 1B/1C, Durham, NC 27710

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General payments

$40,354

222 records reported · program years 2022–2025

Research payments

$0

Paid to them · None reported · program years 2022–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Brett Rocos of Durham, NC is reported in the CMS Open Payments database as having received $40,354 across 222 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 66th percentile of Orthopaedic Surgery of the Spine profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

4 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $18,072 54
2024 General $8,063 62
2023 General $13,688 101
2022 General $531 5

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Brett Rocos
  • Orthopaedic Surgery of the Spine median
  • Middle half of Orthopaedic Surgery of the Spine
  • National median

In program year 2025, general payments to Brett Rocos were reported at $18,072. Among 1,704 Orthopaedic Surgery of the Spine profiles paid that year, the median was $2,061 and the middle half received between $347 and $14,651.

Show as a table
Year Brett Rocos Orthopaedic Surgery of the Spine median Middle half National median
2019 $0 $2,106 $337–$18,608 $163
2020 $0 $1,213 $156–$15,082 $114
2021 $0 $1,834 $271–$15,617 $132
2022 $531 $2,015 $320–$17,036 $149
2023 $13,688 $1,925 $336–$14,599 $160
2024 $8,063 $2,110 $341–$12,483 $164
2025 $18,072 $2,061 $347–$14,651 $169

Breakdown

Who paid General payments · program years 2022–2025
  1. Bioventus LLC $17,378 16 payments
  2. Medtronic, Inc. $9,219 125 payments
  3. Alphatec Spine, Inc $3,612 9 payments
  4. NuVasive, Inc. $3,167 28 payments
  5. Silony Medical Corp. $3,125 1 payment
  6. Medical Device Business Services, Inc. $1,101 7 payments
  7. Globus Medical, Inc. $954 12 payments
  8. Orthofix Medical, Inc. $744 5 payments
  9. DePuy Synthes Sales Inc. $412 11 payments
  10. SI-BONE, Inc. $202 2 payments
  11. Other $440 6 payments

Every payment, record by record

What the payments were for General payments · program years 2022–2025
  1. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $16,500 7 payments
  2. Travel and Lodging $10,372 54 payments
  3. Food and Beverage $10,357 160 payments
  4. Consulting Fee $3,125 1 payment
Products named General payments · program years 2022–2025
  1. BONESCALPEL & SONICONE (O.R.) $17,223 13 payments
  2. Verticale MIS $3,125 1 payment
  3. CD HORIZON SPINAL SYSTEM $2,716 41 payments
  4. UNID_PASS $2,389 32 payments
  5. STEALTHSTATION S8 PLATFORM $1,806 18 payments
  6. Other - Miscellaneous $1,782 5 payments
  7. RELINE $1,635 14 payments
  8. ANTERALIGN SPINAL SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY $1,403 9 payments
  9. Teligen $1,190 9 payments
  10. Mariner Deformity $694 4 payments
  11. Other $3,202 54 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 · 3 drugs

Part D claims

67

Median for Orthopedic Surgery: 203

Drug cost

$486

Median for Orthopedic Surgery: $1,433

Branded share of claims

20.9%

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
Oxycodone Hcl Generic 39 $311
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen Brand 14 $109
Gabapentin Generic 14 $66

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 · 58 billing codes

Paid by Medicare

$98,718

Medicare's payments for the services billed

Medicare patients

166

Average age 71

Services billed

429

92 women, 74 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 75%
Depression 40%
Ischemic heart disease 31%
Diabetes 28%
Chronic kidney disease 28%
Osteoporosis 22%
Atrial fibrillation 21%

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

222 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 of the Spine 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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