Who Paid My Doc
Richard Guyer
Orthopaedic Surgery of the Spine Plano, TX Medical Doctor
NPI 1174567721 CMS profile 98909
6020 W Parker Rd, Plano, TX 75093
General payments
$758,409
Research payments
$5,780
Ownership & investment interest
$983,403
Research they led as principal investigator
$409,829
Through program year 2025, Richard Guyer of Plano, TX is reported in the CMS Open Payments database as having received $758,409 across 558 general payments and $5,780 in research payments paid to them. Separately, studies naming them as principal investigator received $409,829 in research payments, paid to institutions rather than to them. They also declared ownership or investment interests valued at $983,403 across 17 holdings.
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. The principal-investigator line is research money paid to institutions for studies they led — not to them — and is not added to anything either.
General payments for this record sit in the 93rd percentile of Orthopaedic Surgery of the Spine profiles with reported payments. Percentile describes the distribution, not the conduct.
By program year
16 rows| Year | Kind | Relative to this record's peak year | Amount | Records |
|---|---|---|---|---|
| 2025 | General | $53,395 | 38 | |
| 2024 | General | $66,184 | 56 | |
| 2023 | General | $105,194 | 89 | |
| 2022 | General | $85,491 | 93 | |
| 2022 | Research | $280 | 1 | |
| 2021 | General | $131,120 | 98 | |
| 2020 | General | $154,889 | 83 | |
| 2020 | Research | $5,500 | 3 | |
| 2019 | General | $162,136 | 101 | |
| 2025 | Ownership | $150,000 | 2 | |
| 2024 | Ownership | $150,000 | 2 | |
| 2023 | Ownership | $150,000 | 2 | |
| 2022 | Ownership | $150,000 | 2 | |
| 2021 | Ownership | $163,092 | 3 | |
| 2020 | Ownership | $113,092 | 3 | |
| 2019 | Ownership | $107,219 | 3 |
Beside peers
- Richard Guyer
- Orthopaedic Surgery of the Spine median
- Middle half of Orthopaedic Surgery of the Spine
- National median
In program year 2025, general payments to Richard Guyer were reported at $53,395. 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 | Richard Guyer | Orthopaedic Surgery of the Spine median | Middle half | National median |
|---|---|---|---|---|
| 2019 | $162,136 | $2,106 | $337–$18,608 | $163 |
| 2020 | $154,889 | $1,213 | $156–$15,082 | $114 |
| 2021 | $131,120 | $1,834 | $271–$15,617 | $132 |
| 2022 | $85,491 | $2,015 | $320–$17,036 | $149 |
| 2023 | $105,194 | $1,925 | $336–$14,599 | $160 |
| 2024 | $66,184 | $2,110 | $341–$12,483 | $164 |
| 2025 | $53,395 | $2,061 | $347–$14,651 | $169 |
Breakdown
A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.
Billing to Medicare
Part B · data year 2024 · 15 billing codesPaid by Medicare
$11,225
Medicare patients
56
Services billed
147
| Condition among their Medicare patients | Relative to the most common | Share of patients |
|---|---|---|
| Arthritis | 75% | |
| High blood pressure | 68% | |
| Diabetes | 29% | |
| Ischemic heart disease | 25% | |
| Chronic kidney disease | 23% |
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
562 reportedEvery 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 Texas
Randall Dryer
Orthopaedic Surgery of the Spine · Austin, TX
Craig Kuhns
Orthopaedic Surgery of the Spine · Austin, TX
David Wimberley
Orthopaedic Surgery of the Spine · Houston, TX
Jeffrey Phelps
Orthopaedic Surgery of the Spine · North Richland Hills, TX
Eric Wieser
Orthopaedic Surgery of the Spine · Arlington, TX
Andrew Clavenna
Orthopaedic Surgery of the Spine · Dallas, TX
Related records
Orthopaedic Surgery of the Spine in Texas
Practitioners in the same specialty and state, ranked by reported value.
All Orthopaedic Surgery of the Spine
Everyone recorded under this specialty, nationwide.
Doctors in Texas
Every practitioner in the state with a reported payment.
How to read this page
What each amount means, and what it does not mean.
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.