Ira Parsons, MD
Orthopaedic Surgery · Somersworth, NHNPI 1689693152
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $183,206 of the $245,208 with a category attached, or 74.7%. 16 manufacturers reported payments, led by Exactech, Inc. at 44.0% of the total. Reporting peaked in 2019 at $75,053 and has fallen 93.9% since, to $4,577 in 2025. Among orthopaedic surgery clinicians in NH 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 200 payments — averaging $1226.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Exactech, Inc.$108K
- Catalyst Orthoscience$60K
- Restor3d, Inc.$31K
- Conformis, Inc.$25K
- Orthosensor Inc.$16K
- Microport Orthopedics Inc$2K
- plus $4K from 10 others
Across 3 payments — averaging $1650.66 each. An ownership or investment interest held by the physician or an immediate family member.
- Catalyst Orthoscience$5K
What the payments were for
- Royalty or licence$3,4261%
- Consulting fees$183,20675%
- Speaking & faculty fees$17,4757%
- Travel & lodging$13,1275%
- Food & beverage$8,0223%
- Other$19,9528%
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 |
|---|---|---|
| Exactech, Inc. | 81 | $107,859 |
| Catalyst Orthoscience | 25 | $59,856 |
| Restor3d, Inc. | 14 | $30,640 |
| Conformis, Inc. | 27 | $25,234 |
| Orthosensor Inc. | 7 | $15,860 |
| Microport Orthopedics Inc | 9 | $2,052 |
| Stryker | 10 | $1,421 |
| Smith+Nephew | 12 | $1,230 |
| Encore Medical, LP | 2 | $286 |
| Medacta USA, Inc. | 3 | $256 |
| Pacira Pharmaceuticals Incorporated | 3 | $247 |
| Johnson & Johnson | 1 | $105 |
| Vertex | 3 | $63 |
| Maxx Orthopedics, Inc. | 1 | $50 |
| AstraZeneca | 1 | $31 |
| Merck | 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.
- EQUINOXE$103,887
- Catalyst Total CSR$31,661
- Verasense$16,667
- Identity Imprint CR$7,425
- Identity Imprint PS$7,425
- iTotal$6,975
- Catalyst CSR Shoulder System$6,441
- Identity Imprint Knee Replacement System$5,150
- iTotal Identity PS$3,150
- NOVATION HIP$2,565
- MPO Medial Pivot Knee$1,750
- CSR & R1 Reverse Total Shoulder Systems$1,283
- R1 Reverse Total Shoulder$1,283
- Archer 3D Software$1,283
- iTotal CR$1,000
- ITOTAL CRUCIATE RETAINING (CR) KNEE REPLACEMENT SYSTEM$709
- POLARSTEM$480
- R3$480
- POLAR3$480
- DJO SURGICAL$286
How this compares
$245,208 in reported general payments places this provider in the 95th percentile of 141 orthopaedic surgery providers in New Hampshire.
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 |
|---|---|---|
| EliquisApixaban | 11 | $6,404 |
| Oxycodone Hcl | 188 | $1,056 |
| Doxycycline Hyclate | 76 | $900 |
| Cefadroxil | 77 | $887 |
| Calcitonin-SalmonCalcitonin,salmon,synthetic | 11 | $729 |
| Tramadol Hcl | 274 | $647 |
| Ondansetron Hcl | 191 | $535 |
| Amoxicillin | 312 | $464 |
| Scopolamine | 20 | $433 |
| Methylprednisolone | 57 | $360 |
| Celecoxib | 16 | $346 |
| Mupirocin | 45 | $281 |
| Cephalexin | 88 | $172 |
| Dexamethasone | 138 | $165 |
| Methocarbamol | 42 | $147 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Somersworth
- Akhilesh SastryPortsmouth$966K
- Mayo NoerdlingerPortsmouth$529K
- John-Erik BellLebanon$528K
- Michael MorwoodPortsmouth$506K
- Alexander OremLebanon$215K
- David RichardsNashua$122K
- Philip WolinskyLebanon$110K
- Ida GitajnLebanon$107K
- Stella LeeLebanon$106K
- Christian KlareNashua$88K
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.