Charles Chesnut, DO
Surgery · Las Vegas, NVNPI 1972823532
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $50,300 of the $76,230 with a category attached, or 66.0%. Arthrex accounts for 68.3% of it on its own, with 29 other manufacturers making up the rest. Reporting peaked in 2024 at $41,622 and has fallen 70.9% since, to $12,101 in 2025. Among surgery clinicians in NV 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 150 payments — averaging $508.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$52K
- Innocoll Pharmaceuticals Limited$16K
- Intuitive Surgical$5K
- TELA Bio, Inc.$1K
- Johnson & Johnson$848
- Goode Surgical Inc$255
- plus $1K from 24 others
What the payments were for
- Consulting fees$50,30066%
- Speaking & faculty fees$12,05016%
- Travel & lodging$5,5697%
- Food & beverage$4,3126%
- Education$4,0005%
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 |
|---|---|---|
| Arthrex | 46 | $52,027 |
| Innocoll Pharmaceuticals Limited | 25 | $15,629 |
| Intuitive Surgical | 11 | $5,411 |
| TELA Bio, Inc. | 18 | $1,040 |
| Johnson & Johnson(2 entities) | 7 | $848 |
| Goode Surgical Inc | 3 | $255 |
| AbbVie(2 entities) | 10 | $190 |
| Smith+Nephew | 2 | $145 |
| Avita Medical Americas, LLC | 1 | $139 |
| Acera Surgical, Inc. | 3 | $59 |
| Boston Scientific | 2 | $41 |
| Abiomed | 1 | $36 |
| Davol Inc. | 2 | $33 |
| Viiv Healthcare Company | 1 | $31 |
| Olympus America Inc. | 2 | $31 |
| KCI USA, Inc. | 2 | $29 |
| Cvrx, Inc. | 1 | $28 |
| Amgen | 1 | $27 |
| Polynovo North America LLC | 1 | $25 |
| Innovation Technologies Inc | 1 | $22 |
| Novo Nordisk | 1 | $22 |
| Medtronic | 1 | $21 |
| Heron Therapeutics, Inc. | 1 | $20 |
| Vertex | 1 | $20 |
| Dilon Technologies, Inc. | 1 | $19 |
| 180 Medical, Inc. | 1 | $19 |
| Merck | 1 | $17 |
| Antares Pharma, Inc. | 1 | $17 |
| Integra Lifesciences Corporation | 1 | $15 |
| AstraZeneca | 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.
- XARACOLL$15,525
- Da Vinci Surgical System$5,069
- ARTHREX$2,400
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex)$210
- RECELL$139
- GRAFIX PL$130
- Oasis$130
How this compares
$76,230 in reported general payments places this provider in the 95th percentile of 209 surgery 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 surgery in Las Vegas
- Arthur FuscoLas Vegas$155K
- Ovunc BardakciogluLas Vegas$128K
- Jiashou XuLas Vegas$79K
- Damon SchroerLas Vegas$74K
- Craig IwamotoLas Vegas$48K
- Arnold ChungLas Vegas$48K
- Stefan ChockLas Vegas$46K
- Matthew JohnsonLas Vegas$40K
- Clyde EllisLas Vegas$39K
- Morgan PomeranzLas Vegas$37K
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.