Chad Smalley, MD
Sports Medicine · Chattanooga, TNNPI 1891728457
Payments from drug & device makers
What this record shows
The money is spread across several categories — entertainment (33.7%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Deroyal Industries, Inc. at 41.0% of the total. Reporting peaked in 2022 at $2,941 and has fallen 69.2% since, to $907 in 2025.
Across 32 payments — averaging $198.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Deroyal Industries, Inc.$3K
- Alpha Orthopedic Systems$1K
- Arthrex$1K
- Smith+Nephew$843
- Spinal Simplicity, LLC$187
- Stryker$164
- plus $194 from 4 others
What the payments were for
- Travel & lodging$1,43923%
- Food & beverage$1,58225%
- Education$1,20019%
- Entertainment$2,14634%
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 |
|---|---|---|
| Deroyal Industries, Inc. | 6 | $2,610 |
| Alpha Orthopedic Systems | 4 | $1,278 |
| Arthrex | 13 | $1,091 |
| Smith+Nephew | 2 | $843 |
| Spinal Simplicity, LLC | 1 | $187 |
| Stryker | 2 | $164 |
| MML US, Inc. | 1 | $120 |
| Johnson & Johnson | 1 | $41 |
| Nevro Corp. | 1 | $31 |
| Epimed International, Inc | 1 | $2 |
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
$6,367 in reported general payments places this provider in the 65th percentile of 147 sports medicine providers in Tennessee.
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 |
|---|---|---|
| Naloxone Hcl | 87 | $5,682 |
| Celecoxib | 97 | $2,201 |
| Ondansetron Hcl | 180 | $877 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 76 | $848 |
| Diclofenac Sodium | 29 | $542 |
| Meloxicam | 200 | $462 |
| Gabapentin | 60 | $246 |
| Oxycodone Hcl | 29 | $212 |
| Tramadol Hcl | 78 | $198 |
| Methylprednisolone | 32 | $194 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 19 | $176 |
| Tamsulosin Hcl | 57 | $100 |
| Promethazine Hcl | 12 | $60 |
| Amoxicillin | 12 | $12 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Chattanooga
- Brandon CincereChattanooga$22K
- Benjamin MillerChattanooga$20K
- Bill SmithChattanooga$5K
- Jeffrey DlabachCollierville$504K
- Ian ByramFranklin$252K
- Jw ByrdNashville$248K
- Lucas RichieLebanon$159K
- Zachary PharrColumbia$75K
- Colin LooneyFranklin$68K
- Jonathan BryantBristol$67K
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.