Jacob Elkins, MD
Orthopaedic Surgery · Iowa City, IANPI 1194163972
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $9,900 of the $12,909 with a category attached, or 76.7%. 8 manufacturers reported payments, led by Medical Device Business Services, Inc. at 57.6% of the total. Reporting peaked in 2022 at $7,732 and has fallen 64.0% since, to $2,784 in 2025.
Across 62 payments — averaging $208.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$7K
- Depuy Synthes Products, Inc.$3K
- Johnson & Johnson$2K
- Zimmer Biomet$605
- Smith+Nephew$271
- Stryker$195
- plus $69 from 2 others
Across 141 payments — averaging $1239.29 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.
- Depuy Synthes Products, Inc.$175K
What the payments were for
- Consulting fees$9,90077%
- Travel & lodging$290%
- Food & beverage$2,98123%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 7 | $7,439 |
| Depuy Synthes Products, Inc. | 2 | $2,728 |
| Johnson & Johnson(2 entities) | 32 | $1,601 |
| Zimmer Biomet | 12 | $605 |
| Smith+Nephew | 5 | $271 |
| Stryker | 2 | $195 |
| Pacira Therapeutics, Inc. | 1 | $66 |
| Heraeus Medical, LLC. | 1 | $3 |
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
$12,909 in reported general payments places this provider in the 85th percentile of 219 orthopaedic surgery providers in Iowa.
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 |
|---|---|---|
| Meloxicam | 17 | $23 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Iowa City
- John CallaghanIowa City$23.3M
- Brian AdamsIowa City$865K
- Cesar de Cesar NettoIowa City$693K
- Robert WestermannIowa City$182K
- Joseph BuckwalterIowa City$132K
- Brendan PattersonIowa City$122K
- Nicholas BedardIowa City$59K
- Charles ClarkIowa City$50K
- Dallas VanornyIowa City$37K
- Joseph GalvinIowa City$28K
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.