Howard Nelson, DDS
Oral and Maxillofacial Surgery · Hagerstown, MDNPI 1811067952
Payments from drug & device makers
What this record shows
Zimvie Inc. accounts for 76.7% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2024 at $1,539 and has fallen 92.1% since, to $122 in 2025.
Across 46 payments — averaging $49.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimvie Inc.$2K
- Zimmer Biomet$242
- Salvin Dental Specialties, Inc.$87
- Dentsply Sirona Inc$70
- Biohorizons Implant Systems Inc.$40
- Dentsply IH Inc.$27
- plus $61 from 3 others
What the payments were for
- Travel & lodging$1,12950%
- Food & beverage$1,12750%
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 |
|---|---|---|
| Zimvie Inc. | 23 | $1,729 |
| Zimmer Biomet | 10 | $242 |
| Salvin Dental Specialties, Inc. | 1 | $87 |
| Dentsply Sirona Inc | 4 | $70 |
| Biohorizons Implant Systems Inc. | 3 | $40 |
| Dentsply IH Inc. | 2 | $27 |
| Kls-martin L.p. | 1 | $21 |
| Carestream Dental, LLC | 1 | $21 |
| Straumann USA LLC | 1 | $18 |
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.
- Tapered Screw-Vent$1,067
- TSX Implants$134
How this compares
$2,255 in reported general payments places this provider in the 70th percentile of 173 oral and maxillofacial surgery providers in Maryland.
See all oral and maxillofacial surgery providers in Maryland →
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 |
|---|---|---|
| Dexamethasone | 43 | $1,330 |
| Amoxicillin | 268 | $742 |
| Chlorhexidine Gluconate | 175 | $663 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 246 | $634 |
| Clotrimazole | 16 | $607 |
| Nystatin | 20 | $524 |
| Clindamycin Hcl | 65 | $285 |
| Penicillin V Potassium | 53 | $245 |
| Azithromycin | 27 | $140 |
| Ibuprofen | 48 | $101 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 43 | $98 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 31 | $91 |
Paid to pharmacies, not to this prescriber.
Other oral and maxillofacial surgery in Hagerstown
- Gary KoterwasHagerstown$3K
- Richard KramerHagerstown$2K
- Gary WarburtonBaltimore$330K
- Donita DyalramBaltimore$112K
- Jeffrey PosnickChevy Chase$90K
- Kiara BrownCatonsville$28K
- Leonardo MenendezBowie$19K
- Michael WillIjamsville$16K
- Daniel RichardsonElkridge$11K
- Richard GardenSeverna Park$10K
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.