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

James Rubano

Orthopaedic Surgery Wilmington, DE Medical Doctor

NPI 1134169667 CMS profile 1192527

1941 Limestone Rd Ste 101, Wilmington, DE 19808

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General payments

$39,132

94 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 Rubano of Wilmington, DE is reported in the CMS Open Payments database as having received $39,132 across 94 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 87th 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 $16,795 30
2024 General $1,514 13
2023 General $9,544 10
2022 General $7,836 10
2021 General $2,489 16
2020 General $90 4
2019 General $865 11

Beside peers

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

In program year 2025, general payments to James Rubano were reported at $16,795. 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 Rubano Orthopaedic Surgery median Middle half National median
2019 $865 $644 $140–$2,844 $163
2020 $90 $312 $75–$1,860 $114
2021 $2,489 $520 $117–$2,495 $132
2022 $7,836 $598 $128–$2,731 $149
2023 $9,544 $461 $128–$2,264 $160
2024 $1,514 $497 $134–$2,475 $164
2025 $16,795 $563 $147–$2,717 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Ortho Development Corporation $36,893 41 payments
  2. Stryker Corporation $1,433 40 payments
  3. Total Joint Orthopedics, Inc. $375 3 payments
  4. DePuy Synthes Sales Inc. $114 1 payment
  5. Smith+Nephew, Inc. $73 2 payments
  6. Eclipse Technology Solutions Inc. $64 2 payments
  7. Heron Therapeutics, Inc. $64 1 payment
  8. Pacira CryoTech Incorporated $63 1 payment
  9. Pacira Pharmaceuticals Incorporated $18 1 payment
  10. Orthofix Medical, Inc. $18 1 payment
  11. Other $17 1 payment

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Royalty or License $12,631 15 payments
  2. Consulting Fee $12,250 11 payments
  3. Compensation for serving as faculty or as a speaker for a medical education program $7,500 2 payments
  4. Travel and Lodging $3,616 4 payments
  5. Food and Beverage $3,135 62 payments
Products named General payments · program years 2019–2025
  1. Trivicta $17,647 24 payments
  2. Ovation Hip Stem $4,304 6 payments
  3. Legend $1,315 4 payments
  4. MAKO Knees, Hips $661 16 payments
  5. MAKO Joint Replacement Hips, Knees $326 11 payments
  6. MAKO Knees, Hips $298 7 payments
  7. Balanced Knee Revision System $278 1 payment
  8. TRIATHLON $116 5 payments
  9. SIGMA $114 1 payment
  10. Ovation Tribute Hip Stem $103 1 payment
  11. Other $602 13 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 · 13 drugs

Part D claims

1,099

Median for Orthopedic Surgery: 203

Drug cost

$6,466

Median for Orthopedic Surgery: $1,433

Branded share of claims

2.2%

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
Celecoxib Generic 93 $1,563
Meloxicam Generic 157 $1,322
Oxycodone Hcl Generic 251 $1,309
Gabapentin Generic 123 $807
Amoxicillin Generic 196 $318
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen Brand 24 $285
Diazepam Generic 97 $150
Clindamycin Hcl Generic 40 $146
Omeprazole Generic 24 $132
Ondansetron Hcl Generic 23 $121

The 10 drugs with the highest cost, of 13 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 · 64 billing codes

Paid by Medicare

$1,056,356

Of which drugs: $281,239

Medicare patients

1,458

Average age 74

Services billed

20,485

949 women, 509 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 74%
Diabetes 29%
Ischemic heart disease 23%
Depression 22%
Chronic kidney disease 20%
Osteoporosis 17%
Atrial fibrillation 15%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg J7322 Office 166 10,324 $141,772
Hyaluronan or derivative, monovisc, for intra-articular injection, per dose J7327 Office 149 238 $129,312
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324 Office 11 60 $5,757
Injection, dexamethasone sodium phosphate, 1 mg J1100 Office 373 2,688 $227

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

94 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 Delaware

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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