Brian Adams
Orthopaedic Surgery · Iowa City, IANPI 1982696357
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $737,864 of the $865,194 with a category attached, or 85.3%. 14 manufacturers reported payments, led by Smith+Nephew at 41.9% of the total. Among orthopaedic surgery clinicians in IA 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 274 payments — averaging $3157.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$362K
- Integra Lifesciences Corporation$282K
- Extremity Medical$175K
- Trimed, Inc.$22K
- Stryker$19K
- Xiros Inc$4K
- plus $878 from 8 others
Across 2 payments — averaging $1415.63 each. An ownership or investment interest held by the physician or an immediate family member.
- Extremity Medical$3K
What the payments were for
- Royalty or licence$737,86485%
- Consulting fees$31,4414%
- Speaking & faculty fees$79,4009%
- Travel & lodging$11,7731%
- Food & beverage$4,5751%
- Education$1400%
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 | 94 | $362,311 |
| Integra Lifesciences Corporation | 85 | $282,009 |
| Extremity Medical | 27 | $175,451 |
| Trimed, Inc. | 20 | $22,121 |
| Stryker(2 entities) | 33 | $18,830 |
| Xiros Inc | 5 | $3,594 |
| Pacira Pharmaceuticals Incorporated | 1 | $320 |
| Ascension Orthopedics, Inc. | 1 | $250 |
| Zimmer Biomet | 2 | $148 |
| Johnson & Johnson | 2 | $79 |
| 3M Company | 1 | $26 |
| Si-bone, Inc. | 1 | $22 |
| Sanara Medtech Inc. | 1 | $20 |
| Endo Pharmaceuticals Inc. | 1 | $12 |
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.
- FREEDOM WRIST$263,740
- XMCP$175,451
- INTEGRA$144,374
- Integra Spider Limted Wrist Fusion System$143,114
- CarpalFiX$91,384
- APEX$79,599
- Total Wrist Fusion$52,949
- External Fixation System$45,757
- TITAN-SHOULDER$45,474
- DRUJ-DISTAL RADIAN ULNAR JOINT$37,052
- PYRO MCP$27,701
- First Choice DRUJ System$24,685
- EVOS$18,635
- REVERSE SHOULDER$17,773
- Ascension$16,750
- MCP$12,037
- PIP$12,037
- SIMPLICITI$11,647
- DRUJ$10,257
- Hat-Trick$8,375
How this compares
$865,194 in reported general payments places this provider in the 95th percentile of 219 orthopaedic surgery providers in Iowa.
Other orthopaedic surgery in Iowa City
- John CallaghanIowa City$23.3M
- Cesar de Cesar NettoIowa City$693K
- Robert WestermannIowa City$182K
- Joseph BuckwalterIowa City$132K
- Brendan PattersonIowa City$122K
- Nicholas BedardIowa City$59K
- Charles ClarkIowa City$50K
- Dallas VanornyIowa City$37K
- Joseph GalvinIowa City$28K
- John GreenIowa City$18K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.