Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

REX A MARCO

Allopathic & Osteopathic Physicians Orthopaedic Surgery Orthopaedic Surgery of the Spine

NPI
1205861887
CMS profile
55016
Location
HOUSTON, TX

General Payments · PY2018–2024

$218,226.10

  • Reported across 214 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$5,433.49

23 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Royalty or License $2,910.12 3
Food and Beverage $1,493.37 19
Consulting Fee $1,030.00 1

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Globus Medical, Inc. $3,010.75 4
Medical Device Business Services, Inc. $1,030.00 1
DePuy Synthes Sales Inc. $753.08 13
Stryker Corporation $303.41 2
Medtronic, Inc. $137.52 1
Heron Therapeutics, Inc. $124.08 1
Carlsmed, Inc. $74.65 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $49,085.84 71
PY2019 $42,536.88 38
PY2020 $9,904.49 9
PY2021 $3,146.38 7
PY2022 $74,195.66 30
PY2023 $33,923.36 36
PY2024 $5,433.49 23

Payment records · PY2024 (23)

Sorted by paying entity, then date · as published by CMS

Program year 2024 201820192020202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Carlsmed, Inc. $74.65 03/15/2024 Food and Beverage Undisputed 01/23/2026 1143593548 CMS
DePuy Synthes Sales Inc. $9.26 01/31/2024 Food and Beverage Undisputed 01/23/2026 1077894078 CMS
DePuy Synthes Sales Inc. $132.13 02/07/2024 Food and Beverage Undisputed 01/23/2026 1077893432 CMS
DePuy Synthes Sales Inc. $37.44 02/28/2024 Food and Beverage Undisputed 01/23/2026 1077895344 CMS
DePuy Synthes Sales Inc. $58.89 03/20/2024 Food and Beverage Undisputed 01/23/2026 1077893378 CMS
DePuy Synthes Sales Inc. $9.62 03/24/2024 Food and Beverage Undisputed 01/23/2026 1077895054 CMS
DePuy Synthes Sales Inc. $140.01 04/04/2024 Food and Beverage Undisputed 01/23/2026 1077895078 CMS
DePuy Synthes Sales Inc. $74.63 05/29/2024 Food and Beverage Undisputed 01/23/2026 1077893616 CMS
DePuy Synthes Sales Inc. $80.78 06/26/2024 Food and Beverage Undisputed 01/23/2026 1077894860 CMS
DePuy Synthes Sales Inc. $45.34 07/17/2024 Food and Beverage Undisputed 01/23/2026 1077893636 CMS
DePuy Synthes Sales Inc. $9.74 08/24/2024 Food and Beverage Undisputed 01/23/2026 1077893026 CMS
DePuy Synthes Sales Inc. $58.78 08/28/2024 Food and Beverage Undisputed 01/23/2026 1077894380 CMS
DePuy Synthes Sales Inc. $38.71 10/31/2024 Food and Beverage Undisputed 01/23/2026 1077893358 CMS
DePuy Synthes Sales Inc. $57.75 11/25/2024 Food and Beverage Undisputed 01/23/2026 1077892972 CMS
Globus Medical, Inc. $100.63 01/24/2024 Food and Beverage Undisputed 01/23/2026 1144996211 CMS
Globus Medical, Inc. $952.21 04/26/2024 Royalty or License Undisputed 01/23/2026 1144996337 CMS
Globus Medical, Inc. $962.60 07/30/2024 Royalty or License Undisputed 01/23/2026 1144996333 CMS
Globus Medical, Inc. $995.31 10/30/2024 Royalty or License Undisputed 01/23/2026 1144996335 CMS
Heron Therapeutics, Inc. $124.08 06/05/2024 Food and Beverage Undisputed 01/23/2026 1147247706 CMS
Medical Device Business Services, Inc. $1,030.00 10/21/2024 Consulting Fee Undisputed 01/23/2026 1077863185 CMS
Medtronic, Inc. $137.52 05/01/2024 Food and Beverage Undisputed 01/23/2026 1117110594 CMS
Stryker Corporation $159.03 06/03/2024 Food and Beverage Undisputed 01/23/2026 1119905221 CMS
Stryker Corporation $144.38 09/05/2024 Food and Beverage Undisputed 01/23/2026 1119905223 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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