Alex Lencioni, MD
Sports Medicine · Reno, NVNPI 1881199685
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (49.8%), grants and food and beverage — rather than concentrated in one kind of arrangement. Smith+Nephew accounts for 70.3% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2024 at $18,792 and has fallen 93.1% since, to $1,299 in 2025. Among sports medicine clinicians in NV with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 85 payments — averaging $483.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$29K
- Gemini Mountain Medical, LLC$6K
- Stryker$4K
- Arthrex$2K
- Evolution Surgical, Inc$435
- Kinamed, Inc.$114
What the payments were for
- Grants$13,33332%
- Travel & lodging$3,5859%
- Food & beverage$3,7129%
- Education$20,48550%
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 |
|---|---|---|
| Smith+Nephew | 18 | $28,905 |
| Gemini Mountain Medical, LLC | 5 | $6,000 |
| Stryker | 31 | $3,957 |
| Arthrex | 19 | $1,705 |
| Evolution Surgical, Inc | 11 | $435 |
| Kinamed, Inc. | 1 | $114 |
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.
- MICRORAPTOR$2,002
- Healicoil$1,659
- AEQUALIS PERFORM$1,318
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$1,028
- Q-FIX$1,001
- Ultrabraid$1,001
- INSPACE$342
- AXSOS$170
- NA$162
- MAKO$162
- LARGE CANNULATED SCREWS$137
- Peri-Loc VLP$137
- TRIGEN Meta-Nail$137
- OR3O Dual Mobility$111
- REDAPT$111
- FLEXIBLE GUIDE PIN (STRYKER ACL VERSITOMIC)$104
How this compares
$41,115 in reported general payments places this provider in the 90th percentile of 49 sports medicine providers in Nevada.
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.
Other sports medicine in Reno
- Brian GilmerReno$204K
- Daniel CurtisReno$42K
- Troy ShieldsReno$26K
- Renny UppalReno$6K
- Meagan McCarthyReno$4K
- Michael KalisvaartReno$800
- Tori EdmistonReno$361
- Mark StovakReno$171
- Phillip ZinniReno$118
- Ryan DobbsReno$106
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.