Chad Nall
Surgical · Springfield, MONPI 1619075975
Payments from drug & device makers
What this record shows
This record is dominated by education: $3,600 of the $5,678 with a category attached, or 63.4%. Titan Surgical Group, LLC accounts for 65.6% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2022 at $2,543 and has fallen 91.0% since, to $229 in 2025. Among surgical clinicians in MO 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 35 payments — averaging $162.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Titan Surgical Group, LLC$4K
- Pacira Pharmaceuticals Incorporated$1K
- Baxter Healthcare$196
- Stryker$158
- Smith+Nephew$146
- Vericel Corporation$114
- plus $193 from 4 others
What the payments were for
- Travel & lodging$98817%
- Food & beverage$1,09119%
- Education$3,60063%
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 |
|---|---|---|
| Titan Surgical Group, LLC | 10 | $3,726 |
| Pacira Pharmaceuticals Incorporated | 6 | $1,144 |
| Baxter Healthcare | 2 | $196 |
| Stryker | 4 | $158 |
| Smith+Nephew | 1 | $146 |
| Vericel Corporation | 5 | $114 |
| Inspire Medical Systems, Inc. | 1 | $92 |
| Vertex | 4 | $70 |
| Pacira Therapeutics, Inc. | 1 | $16 |
| Bioventus LLC | 1 | $15 |
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.
How this compares
$5,678 in reported general payments places this provider in the 95th percentile of 118 surgical providers in Missouri.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 99 | $522 |
| Methylprednisolone | 33 | $221 |
| Cyclobenzaprine Hcl | 28 | $160 |
| Tramadol Hcl | 46 | $121 |
| Cephalexin | 13 | $63 |
| Amoxicillin | 67 | $53 |
| Clindamycin Hcl | 33 | $50 |
Paid to pharmacies, not to this prescriber.
Other surgical in Springfield
- Frances AbbiattiSpringfield$3K
- Chad OliverSpringfield$3K
- Darin FincherSpringfield$1K
- Heather TackettSpringfield$983
- Mark BrownSpringfield$658
- Blake MartinSpringfield$569
- Libia ChandlerSpringfield$416
- Joshua BarbieriSpringfield$398
- Ciara GlennSaint Louis$9K
- Thomas PrangeSaint Louis$5K
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.