Akbar Nawab, MD
Orthopaedic Surgery · Louisville, KYNPI 1346241841
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (50.8%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Medacta USA, Inc. accounts for 98.6% of it on its own, with 17 other manufacturers making up the rest. Among orthopaedic surgery clinicians in KY with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 410 payments — averaging $2484.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medacta USA, Inc.$1M
- Arthrex$13K
- Smith+Nephew$453
- Blue Surgical LLC$204
- Pacira Pharmaceuticals Incorporated$151
- Kowa Pharmaceuticals America, Inc.$110
- plus $437 from 12 others
Across 17 payments — averaging $4010.88 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Medacta USA, Inc.$68K
What the payments were for
- Royalty or licence$517,04051%
- Consulting fees$448,12844%
- Speaking & faculty fees$15,9002%
- Travel & lodging$31,9143%
- Food & beverage$5,6251%
- Education$210%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Medacta USA, Inc. | 368 | $1,004,165 |
| Arthrex | 5 | $13,110 |
| Smith+Nephew | 5 | $453 |
| Blue Surgical LLC | 6 | $204 |
| Pacira Pharmaceuticals Incorporated | 3 | $151 |
| Kowa Pharmaceuticals America, Inc. | 1 | $110 |
| Johnson & Johnson(2 entities) | 4 | $90 |
| Vericel Corporation | 4 | $81 |
| Pacira Therapeutics, Inc. | 3 | $58 |
| Stryker | 1 | $40 |
| Bioventus LLC | 2 | $33 |
| Eagle Pharmaceuticals, Inc. | 2 | $27 |
| Alpha Orthopedic Systems | 1 | $24 |
| Vertex | 1 | $23 |
| Davol Inc. | 1 | $20 |
| Zimmer Biomet | 1 | $15 |
| Sanofi-aventis U.S. LLC | 1 | $14 |
| Acumed LLC | 1 | $13 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- MOTO UNI$342,471
- GMK SPHERE$261,031
- MOTO Partial Knee System$110,951
- MOTO$86,718
- MECTA$67,706
- Mecta-C Cervical Cages$31,898
- GMK Sphere Revision System$26,736
- KNEE & HIP INSTRUMENTS PATELLOFEMORAL AMZ$13,110
- MOTO Lateral$2,942
- MOTO PFJ$2,297
- AMISTEM$2,185
- T-Fix$170
- Journey II BCS$170
- PICO 7 Single Use Negative Pressure Wound Therapy$170
- REDAPT Revision Hip System$170
- JII Unicondylar Knee System$148
- NEXTAR$125
- EXPAREL$125
- Seglentis$110
- Bone Anchors with Arthroscopic Delivery System$101
How this compares
$1,018,629 in reported general payments places this provider in the 95th percentile of 322 orthopaedic surgery providers in Kentucky.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| EliquisApixaban | 19 | $5,061 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 115 | $1,010 |
| Mupirocin | 54 | $310 |
| Amoxicillin | 119 | $174 |
| Meloxicam | 14 | $150 |
| Promethazine Hcl | 65 | $80 |
| Tramadol Hcl | 63 | $67 |
| Clindamycin Hcl | 14 | $10 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Louisville
- Arthur MalkaniLouisville$9.6M
- Jonathan YerasimidesLouisville$4.3M
- John LewisLouisville$1.5M
- Joseph GreeneLouisville$581K
- George QuillLouisville$304K
- Rodolfo Zamora RendichLouisville$292K
- Richard SweetLouisville$238K
- Frank BonnarensLouisville$146K
- Ryan EadsLouisville$99K
- Kevin HarreldLouisville$87K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.