James Rappaport, MD
Orthopaedic Surgery of the Spine · Reno, NVNPI 1619953791
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (51.7%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 14 manufacturers reported payments, led by Medtronic at 57.6% of the total. Reporting peaked in 2019 at $6,867 and has fallen 94.5% since, to $376 in 2025. That places this record below the midpoint for orthopaedic surgery of the spine clinicians in NV, where the typical reported total is $14,410.
Across 38 payments — averaging $315.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$7K
- Nexxt Spine LLC$3K
- Highridge Medical LLC$1K
- Cerapedics Inc.$228
- Ossdsign USA Incorporated$119
- Nevro Corp.$92
- plus $353 from 8 others
Across 1 payment — averaging $690.00 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.
- Globus Medical$690
What the payments were for
- Speaking & faculty fees$6,19752%
- Travel & lodging$4,29336%
- Food & beverage$1,26411%
- Entertainment$1511%
- Other$821%
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 |
|---|---|---|
| Medtronic(2 entities) | 5 | $6,900 |
| Nexxt Spine LLC | 13 | $3,054 |
| Highridge Medical LLC | 5 | $1,242 |
| Cerapedics Inc. | 2 | $228 |
| Ossdsign USA Incorporated | 1 | $119 |
| Nevro Corp. | 1 | $92 |
| Surgalign Spine Technologies, Inc. | 3 | $84 |
| Baxter Healthcare | 1 | $82 |
| Next Science LLC | 1 | $39 |
| Wenzel Spine, Inc. | 1 | $36 |
| Si-bone, Inc. | 2 | $34 |
| Bioventus LLC | 1 | $33 |
| Zimvie Inc. | 1 | $27 |
| Biocomposites Inc | 1 | $19 |
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.
- OSTEOCOOL RF ABLATION$6,587
- Nexxt Spine Product Offerings$2,805
- MOBI-C PLUG & FIT US$1,124
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$208
- KYPHON Balloon Kyphoplasty$152
- Nexxt Matrixx Cervical Systems$150
- UNID_PASS$139
- OssDsign Catalyst$119
How this compares
$11,988 in reported general payments places this provider in the 45th percentile of 30 orthopaedic surgery of the spine providers in Nevada.
See all orthopaedic surgery of the spine providers in Nevada →
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.
Other orthopaedic surgery of the spine in Reno
- John HalkiReno$129K
- David SingReno$109K
- Vadim GozReno$25K
- James OlsonReno$755
- Phelps KipReno$96
- Kornelis PoelstraLas Vegas$2.2M
- George ElkanichLas Vegas$322K
- John ThalgottLas Vegas$320K
- Kevin SharifHenderson$262K
- Mark KabinsLas Vegas$118K
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.