Christopher Nelson, DO
Adult Reconstructive Orthopaedic Surgery · West Des Moines, IANPI 1740403500
Payments from drug & device makers
What this record shows
Smith+Nephew accounts for 69.4% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2019 at $2,798 and has fallen 95.7% since, to $120 in 2025.
Across 42 payments — averaging $123.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$4K
- Medtronic$1K
- Johnson & Johnson$193
- Medical Device Business Services, Inc.$120
- Illuminoss Medical, Inc.$29
- Zimmer Biomet$17
- plus $16 from 1 others
Across 1 payment — averaging $73,900 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Smith+Nephew$74K
What the payments were for
- Travel & lodging$2,81754%
- Food & beverage$2,35746%
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 | 29 | $3,593 |
| Medtronic | 4 | $1,207 |
| Johnson & Johnson | 3 | $193 |
| Medical Device Business Services, Inc. | 3 | $120 |
| Illuminoss Medical, Inc. | 1 | $29 |
| Zimmer Biomet | 1 | $17 |
| Dynasplint Systems Inc. | 1 | $16 |
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.
- Hipstruments$2,046
- Q-FIX Hip$1,421
- AQUAMANTYS$1,066
- Q-FIX$896
- ACCUPASS DIRECT Crescent XL$848
- Hip Positioning System$403
- ATTUNE$125
- SPEEDLOCK HIP$109
How this compares
Too few adult reconstructive orthopaedic surgery providers in Iowato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Mupirocin | 162 | $977 |
| Diclofenac Sodium | 40 | $804 |
| Cephalexin | 127 | $110 |
| Tramadol Hcl | 25 | $79 |
| Meloxicam | 23 | $71 |
| Clindamycin Hcl | 64 | $60 |
| Amoxicillin | 44 | $33 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in West Des Moines
- Christopher DickinsonWest Des Moines$9K
- Omar AkhtarCedar Rapids$533K
- Nicolas NoiseuxIowa City$69K
- Sandeep MunjalCedar Rapids$33K
- Jeffrey NassifCedar Rapids$31K
- David DemikCedar Rapids$14K
- Todd PetersonClive$14K
- Yogesh KolwadkarSpencer$8K
- Ryan PokorneyBettendorf$4K
- Benjamin BeecherDes Moines$2K
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.