Donald Nuss
Pediatric Surgery · Norfolk, VANPI 1699789040
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $2,532,819 of the $2,535,949 with a category attached, or 99.9%. Zimmer Biomet accounts for 100.0% of it on its own, with 1 other manufacturer making up the rest. Reporting peaked in 2024 at $1,073,570 and has fallen 53.2% since, to $502,749 in 2025. Among pediatric surgery clinicians in VA 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 24 payments — averaging $105,665 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$2.5M
- Atricure, Inc.$76
What the payments were for
- Royalty or licence$2,532,819100%
- Consulting fees$2,8500%
- Food & beverage$2800%
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 |
|---|---|---|
| Zimmer Biomet | 23 | $2,535,873 |
| Atricure, Inc. | 1 | $76 |
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.
- MEDLINE$1,576,160
- NexGen$958,309
- Pectus Next Generation$600
- Pectus Bar$121
How this compares
$2,535,949 in reported general payments places this provider in the 95th percentile of 31 pediatric surgery providers in Virginia.
Other pediatric surgery in Norfolk
- Robert ObermeyerNorfolk$844K
- Robert KellyNorfolk$797K
- Michael GoretskyNorfolk$3K
- Marcia KuhnNorfolk$802
- Frazier FrantzNorfolk$260
- Natalie O'NeillNorfolk$199
- Katherine DavenportNorfolk$165
- Jamie GoldenNorfolk$154
- Sarah WilliamsonNorfolk$94
- David LanningRichmond$29K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.