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

James Bruffey

Orthopaedic Surgery La Jolla, CA Medical Doctor

NPI 1447225446 CMS profile 201438

10666 N Torrey Pines Rd, La Jolla, CA 92037

Open in the dashboard

General payments

$1,073,799

372 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, James Bruffey of La Jolla, CA is reported in the CMS Open Payments database as having received $1,073,799 across 372 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 98th 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 $41,751 35
2024 General $152,781 51
2023 General $167,504 70
2022 General $177,941 71
2021 General $167,642 52
2020 General $202,869 44
2019 General $163,310 49

Beside peers

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

In program year 2025, general payments to James Bruffey were reported at $41,751. 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 James Bruffey Orthopaedic Surgery median Middle half National median
2019 $163,310 $644 $140–$2,844 $163
2020 $202,869 $312 $75–$1,860 $114
2021 $167,642 $520 $117–$2,495 $132
2022 $177,941 $598 $128–$2,731 $149
2023 $167,504 $461 $128–$2,264 $160
2024 $152,781 $497 $134–$2,475 $164
2025 $41,751 $563 $147–$2,717 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Seaspine Orthopedics Corporation $691,187 155 payments
  2. Orthofix Medical, Inc. $359,896 127 payments
  3. Silony Medical Corp. $9,125 10 payments
  4. Neo Spine USA Inc $6,228 1 payment
  5. SI-BONE, Inc. $2,404 11 payments
  6. Globus Medical, Inc. $1,407 21 payments
  7. Medtronic, Inc. $717 10 payments
  8. Medacta USA, Inc. $703 6 payments
  9. Alphatec Spine, Inc $583 5 payments
  10. NuVasive, Inc. $391 7 payments
  11. Other $1,159 19 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Royalty or License $910,882 144 payments
  2. Consulting Fee $145,831 97 payments
  3. Travel and Lodging $10,973 19 payments
  4. Food and Beverage $6,103 111 payments
  5. Entertainment $10 1 payment
Products named General payments · program years 2019–2025
  1. Shoreline ASC $228,518 17 payments
  2. Vu aPOD Prime NanoMetalene $173,861 11 payments
  3. Shoreline ACS Spine Hardware Systems $65,587 6 payments
  4. Shoreline ACS Spine Hardware Systems $64,654 6 payments
  5. Shoreline $64,114 7 payments
  6. Vu a-POD $60,437 4 payments
  7. Vu aPOD $59,121 3 payments
  8. Shoreline RT $56,202 15 payments
  9. Vu a-POD Prime NanoMetalene $36,323 5 payments
  10. Meridian $26,391 19 payments
  11. Other $251,002 274 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 · 11 drugs

Part D claims

491

Median for Orthopedic Surgery: 203

Drug cost

$5,654

Median for Orthopedic Surgery: $1,433

Branded share of claims

41.3%

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-Acetaminophen Oxycodone Hcl/Acetaminophen Brand 160 $3,625
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen Brand 43 $495
Methylprednisolone Generic 56 $318
Oxycodone Hcl Generic 38 $233
Cyclobenzaprine Hcl Generic 54 $224
Mupirocin Generic 25 $185
Dexamethasone Generic 22 $178
Methocarbamol Generic 19 $146
Gabapentin Generic 21 $113
Cephalexin Generic 40 $110

The 10 drugs with the highest cost, of 11 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 · 55 billing codes

Paid by Medicare

$334,036

Medicare's payments for the services billed

Medicare patients

452

Average age 75

Services billed

1,360

237 women, 215 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
Arthritis 75%
High blood pressure 64%
Ischemic heart disease 30%
Depression 28%
Osteoporosis 22%
Diabetes 20%
Chronic kidney disease 20%
Atrial fibrillation 17%

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

372 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 California

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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