Daniel Nelson, MD
Orthopaedic Surgery · Dakota Dunes, SDNPI 1922204239
Payments from drug & device makers
What this record shows
Stryker accounts for 90.2% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2019 at $1,886 and has fallen 91.5% since, to $160 in 2025.
Across 41 payments — averaging $93.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$3K
- Johnson & Johnson$121
- Zimmer Biomet$116
- Baudax Bio Inc.$80
- Irhythm Technologies, Inc.$31
- Medical Device Business Services, Inc.$25
What the payments were for
- Travel & lodging$1,87349%
- Food & beverage$1,94351%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Stryker | 36 | $3,444 |
| Johnson & Johnson | 1 | $121 |
| Zimmer Biomet | 1 | $116 |
| Baudax Bio Inc. | 1 | $80 |
| Irhythm Technologies, Inc. | 1 | $31 |
| Medical Device Business Services, Inc. | 1 | $25 |
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
$3,816 in reported general payments places this provider in the 55th percentile of 92 orthopaedic surgery providers in South Dakota.
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 |
|---|---|---|
| Cephalexin | 44 | $467 |
| Amoxicillin | 347 | $360 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 19 | $208 |
| Meloxicam | 128 | $192 |
| Tramadol Hcl | 60 | $166 |
| Oxycodone Hcl | 38 | $151 |
| Gabapentin | 17 | $137 |
| Celecoxib | 11 | $94 |
| Clindamycin Hcl | 91 | $87 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Dakota Dunes
- Joshua HockettDakota Dunes$15K
- Brian JohnsonDakota Dunes$14K
- Justin DeansDakota Dunes$13K
- Joseph CarreauDakota Dunes$7K
- Benjamin BissellDakota Dunes$7K
- Ryan MeisDakota Dunes$7K
- Steven StokesbaryDakota Dunes$3K
- Michael EspirituDakota Dunes$2K
- Daniel KensingerDakota Dunes$2K
- Stuart FrommRapid City$13.3M
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.