Jacob Nelson
Foot & Ankle Surgery · Mesa, AZNPI 1104267780
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 64 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 28 manufacturers, the largest accounting for just 19.6% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $423 and has fallen 85.3% since, to $62 in 2025. That places this record below the midpoint for foot & ankle surgery clinicians in AZ, where the typical reported total is $2,373.
Across 64 payments — averaging $18.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$234
- Nevro Corp.$166
- Dynasplint Systems Inc.$97
- Amgen$60
- Orthofix Medical, Inc.$54
- Paratek Pharmaceuticals, Inc.$51
- plus $532 from 22 others
What the payments were for
- Food & beverage$1,194100%
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 |
|---|---|---|
| Smith+Nephew | 21 | $234 |
| Nevro Corp. | 3 | $166 |
| Dynasplint Systems Inc. | 1 | $97 |
| Amgen | 4 | $60 |
| Orthofix Medical, Inc. | 3 | $54 |
| Paratek Pharmaceuticals, Inc. | 3 | $51 |
| DJO, LLC | 3 | $49 |
| Merck | 3 | $45 |
| Sandoz | 2 | $40 |
| Celularity Inc. | 1 | $29 |
| Johnson & Johnson | 1 | $28 |
| Tactile Systems Technology Inc | 2 | $28 |
| Acell, Inc. | 1 | $27 |
| Organogenesis Inc. | 1 | $23 |
| AbbVie | 1 | $23 |
| Almirall LLC | 1 | $22 |
| Kowa Pharmaceuticals America, Inc. | 1 | $22 |
| Stryker | 1 | $21 |
| Bioventus LLC | 1 | $21 |
| Fidia Pharma USA Inc. | 1 | $21 |
| KCI USA, Inc. | 1 | $21 |
| Medtronic | 1 | $20 |
| Rikco International, LLC | 1 | $18 |
| Biotissue Holdings Inc. | 1 | $18 |
| Orpyx Medical Technologies US Inc. | 1 | $17 |
| Arteriocyte Medical Systems, Inc. | 1 | $17 |
| Zyla Life Sciences, Inc. | 1 | $15 |
| Electronic Waveform Lab, Inc. | 2 | $7 |
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.
- Senza$129
How this compares
$1,194 in reported general payments places this provider in the 30th percentile of 291 foot & ankle surgery providers in Arizona.
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 |
|---|---|---|
| Neomycin-Polymyxin-HydrocortNeomycin/Polymyxin B/Hydrocort | 11 | $478 |
| Ketoconazole | 19 | $386 |
| Mupirocin | 13 | $108 |
| Methylprednisolone | 15 | $70 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Mesa
- Scott MalingMesa$382K
- Jordan SistoMesa$54K
- Clay ShumwayMesa$32K
- Justin SinghMesa$30K
- Chase MoffatMesa$24K
- Jason HarrillMesa$16K
- Christopher SuykerbuykMesa$13K
- Nathan JeppesenMesa$10K
- Ryan ScottPhoenix$1.1M
- Jeffrey McAlisterScottsdale$578K
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.