John Klekamp, MD
Orthopaedic Surgery of the Spine · Franklin, TNNPI 1053308502
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $130,388 of the $147,944 with a category attached, or 88.1%. Nexxt Spine LLC accounts for 98.8% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2019 at $62,964 and has fallen 51.7% since, to $30,387 in 2025.
Across 37 payments — averaging $3998.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nexxt Spine LLC$146K
- Orthofix Medical, Inc.$764
- Inari Medical, Inc.$500
- Cerapedics Inc.$175
- Zimvie Inc.$132
- Globus Medical$105
- plus $25 from 1 others
What the payments were for
- Royalty or licence$130,38888%
- Consulting fees$14,09710%
- Travel & lodging$3620%
- Food & beverage$3,0962%
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 |
|---|---|---|
| Nexxt Spine LLC | 24 | $146,242 |
| Orthofix Medical, Inc. | 3 | $764 |
| Inari Medical, Inc. | 4 | $500 |
| Cerapedics Inc. | 1 | $175 |
| Zimvie Inc. | 1 | $132 |
| Globus Medical | 3 | $105 |
| Innovation Technologies Inc | 1 | $25 |
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.
- Connexx Open System$73,628
- Struxxure L System$58,906
- Nexxt Matrixx Products$8,274
- Connexx MIS System$7,633
- FLOWTRIEVER CATHETER, S$611
- MISCELLANEOUS$596
- CT THROMBECTOMY SYSTEM KIT$352
- Connexx MIS & Open Systems$209
- i-FACTOR Putty$175
- TRANSITION$154
- Nexxt Spine Systems at Williamson$144
- Connexx Pedicle Screw System$137
- Corpectomy & Convexx Systems$137
- ProLift Expandable Interbody, 12mm x 28mm, Large 15 degree$132
- Connexx System$131
- Struxxure MCS System$130
- Instrumentation$130
- Nexxt Spine Systems Update$117
- Regatta Lateral System$113
- Matrixx ALIF System$109
How this compares
$147,944 in reported general payments places this provider in the 85th percentile of 51 orthopaedic surgery of the spine providers in Tennessee.
See all orthopaedic surgery of the spine providers in Tennessee →
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 |
|---|---|---|
| Celecoxib | 112 | $1,863 |
| Pregabalin | 109 | $1,268 |
| Methylprednisolone | 186 | $1,206 |
| Prednisone | 40 | $512 |
| Etodolac | 15 | $482 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 42 | $418 |
| Meloxicam | 164 | $418 |
| Diclofenac Sodium | 41 | $403 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 37 | $308 |
| Cyclobenzaprine Hcl | 40 | $260 |
| Gabapentin | 30 | $219 |
| Tizanidine Hcl | 56 | $210 |
| Tramadol Hcl | 62 | $147 |
| Mupirocin | 15 | $124 |
| Baclofen | 11 | $92 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Franklin
- Michael McNamaraFranklin$150K
- Lawrence BabatNashville$928K
- Raymond GardockiNashville$666K
- Samuel SchroerluckeMemphis$451K
- James JolleyChattanooga$231K
- John BurlesonSmyrna$184K
- Daniel WellsKnoxville$135K
- Colin CrosbyNashville$134K
- Garrick CasonCleveland$65K
- Samuel SwensonOak Ridge$57K
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.