Clayton Nuelle, MD
Sports Medicine · Columbia, MONPI 1811125859
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (53.7%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Arthrex accounts for 79.7% of it on its own, with 11 other manufacturers making up the rest. 2025 is the largest year on record at $25,455, more than ten times the $1,971 reported in 2019. Among sports medicine 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 184 payments — averaging $485.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$71K
- Synthes GmbH$6K
- Elite Orthopedics, LLC$6K
- Vericel Corporation$4K
- Medinc Of Texas$1K
- Stryker$616
- plus $587 from 6 others
Across 5 payments — averaging $9670.60 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.
- Arthrex$48K
What the payments were for
- Consulting fees$20,10623%
- Speaking & faculty fees$47,92154%
- Travel & lodging$10,54412%
- Food & beverage$4,5785%
- Education$6,1027%
- Entertainment$620%
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 | 121 | $71,217 |
| Synthes GmbH | 6 | $6,088 |
| Elite Orthopedics, LLC | 22 | $5,650 |
| Vericel Corporation | 9 | $3,793 |
| Medinc Of Texas | 3 | $1,361 |
| Stryker | 13 | $616 |
| Skeletal Dynamics Inc | 3 | $225 |
| Aesculap Biologics, LLC | 1 | $124 |
| Pacira Therapeutics, Inc. | 2 | $118 |
| Trimed, Inc. | 1 | $71 |
| Johnson & Johnson | 2 | $38 |
| Zimmer Biomet | 1 | $12 |
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
$89,313 in reported general payments places this provider in the 95th percentile of 127 sports medicine 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 |
|---|---|---|
| Diclofenac Sodium | 11 | $402 |
| Meloxicam | 100 | $153 |
| Celecoxib | 13 | $140 |
| Cyclobenzaprine Hcl | 11 | $21 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Columbia
- Kristin OliverColumbia$209K
- Steven DefrodaColumbia$101K
- Justin DragerColumbia$78K
- Shawn SahotaColumbia$69K
- James StannardColumbia$68K
- Joshua HamannColumbia$57K
- Jeffrey KlottColumbia$50K
- Shen Ying MaColumbia$14K
- Byron TarboxColumbia$11K
- Keith KenterColumbia$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.