Christian Klare, MD
Orthopaedic Surgery · Nashua, NHNPI 1104169416
Payments from drug & device makers
What this record shows
The money is spread across several categories — grants (34.2%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 34 manufacturers reported payments, led by Globus Medical at 42.8% of the total. Reporting peaked in 2019 at $36,552 and has fallen 94.5% since, to $2,016 in 2025. Among orthopaedic surgery clinicians in NH 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 219 payments — averaging $400.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$38K
- Surgentec$19K
- Cerapedics Inc.$15K
- Alphatec Spine, Inc$4K
- Si-bone, Inc.$2K
- Spineology Inc.$2K
- plus $8K from 28 others
What the payments were for
- Consulting fees$27,51031%
- Speaking & faculty fees$3,0003%
- Grants$30,00034%
- Travel & lodging$18,25721%
- Food & beverage$8,85610%
- Education$650%
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 |
|---|---|---|
| Globus Medical(2 entities) | 44 | $37,542 |
| Surgentec | 6 | $19,480 |
| Cerapedics Inc. | 19 | $15,303 |
| Alphatec Spine, Inc | 19 | $4,079 |
| Si-bone, Inc. | 23 | $2,221 |
| Spineology Inc. | 10 | $1,501 |
| Medical Device Business Services, Inc. | 7 | $1,471 |
| Captiva Spine Inc | 5 | $1,466 |
| Medicrea USA, Corp. | 12 | $859 |
| Johnson & Johnson(3 entities) | 8 | $802 |
| 4web, Inc. | 8 | $611 |
| Spineart USA Inc | 1 | $605 |
| Boston Scientific | 10 | $334 |
| Bioventus LLC | 6 | $189 |
| Stryker | 4 | $189 |
| Orthofix Medical, Inc. | 8 | $162 |
| DJO, LLC | 3 | $115 |
| Amgen | 4 | $109 |
| Xtant Medical Inc | 1 | $98 |
| Centinel Spine, LLC | 1 | $82 |
| Smith+Nephew | 2 | $61 |
| Zimmer Biomet | 1 | $50 |
| Pacira Pharmaceuticals Incorporated | 2 | $45 |
| Surgalign Spine Technologies, Inc. | 2 | $41 |
| Vertex | 2 | $41 |
| Misonix Inc | 2 | $35 |
| Medtronic | 2 | $35 |
| Providence Medical Technology, Inc. | 1 | $32 |
| Baxter Healthcare | 1 | $25 |
| Relievant Medsystems, Inc. | 1 | $24 |
| Spinal Elements, Inc. | 1 | $23 |
| Lifenet Health | 1 | $21 |
| Abbott | 1 | $20 |
| Takeda Pharmaceuticals U.S.A., Inc. | 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.
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$44,655
- ION Facet Screw$12,636
- TiLink$6,844
- Other - Miscellaneous$3,387
- Excelsius - GPS$2,899
- XLIF$1,558
- EXPEDIUM$1,426
- Pulse$1,231
- iFuse Implant$1,175
- Transfasten LSF$1,100
- ExcelsiusGPS Robotic Navigation System$945
- INDEPENDENCE$725
- PASS-LP$717
- UNiD$717
- Perla TL$605
- OptiMesh Graft Containment$500
- Rampart Duo Interbody Fusion System$500
- IFUSE IMPLANT SYSTEM$450
- TLIF$314
- Excelsius Robotics System$203
How this compares
$87,688 in reported general payments places this provider in the 90th percentile of 141 orthopaedic surgery providers in New Hampshire.
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 |
|---|---|---|
| Gabapentin | 149 | $1,984 |
| Pregabalin | 68 | $1,516 |
| Tizanidine Hcl | 73 | $425 |
| Meloxicam | 72 | $365 |
| Cyclobenzaprine Hcl | 57 | $349 |
| Oxycodone Hcl | 34 | $229 |
| Methylprednisolone | 38 | $209 |
| Diclofenac Sodium | 23 | $189 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 21 | $154 |
| Methocarbamol | 15 | $148 |
| Tramadol Hcl | 29 | $84 |
| Lorazepam | 14 | $8 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Nashua
- David RichardsNashua$122K
- Matthew WilkeningNashua$79K
- Thomas FortneyNashua$54K
- Peter EyvazzadehNashua$19K
- Anand PadmanabhaNashua$16K
- Bryan BeanNashua$11K
- Andrew GarberNashua$9K
- Jason SmoakNashua$8K
- James BargerNashua$7K
- Daniel BouvierNashua$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.