Jordi Puente Espel, MD
Plastic and Reconstructive Surgery · Nashville, TNNPI 1851657597
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (40.1%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by Synthes GmbH at 57.4% of the total. 2025 is the largest year on record at $5,122, 3.5 times the $1,484 reported in 2019. Among plastic and reconstructive surgery clinicians in TN with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 75 payments — averaging $213.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Synthes GmbH$9K
- AbbVie$3K
- Axogen$1K
- Stryker$474
- Acera Surgical, Inc.$453
- Integra Lifesciences Corporation$345
- plus $1K from 12 others
What the payments were for
- Consulting fees$1,0006%
- Speaking & faculty fees$5,00031%
- Travel & lodging$6,43540%
- Food & beverage$3,59922%
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 |
|---|---|---|
| Synthes GmbH | 12 | $9,199 |
| AbbVie(2 entities) | 28 | $3,311 |
| Axogen | 3 | $1,184 |
| Stryker | 3 | $474 |
| Acera Surgical, Inc. | 6 | $453 |
| Integra Lifesciences Corporation | 4 | $345 |
| TELA Bio, Inc. | 4 | $339 |
| KCI USA, Inc. | 2 | $147 |
| Medline Industries LP | 1 | $106 |
| Mentor Worldwide LLC | 2 | $105 |
| Baxter Healthcare | 1 | $102 |
| Acell, Inc. | 1 | $77 |
| Kerecis Limited | 1 | $71 |
| Pacira Pharmaceuticals Incorporated | 2 | $41 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $36 |
| Alnylam Pharmaceuticals Inc. | 1 | $18 |
| Medtronic | 1 | $14 |
| QOL Medical, LLC | 1 | $12 |
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.
- NATRELLE SALINE-FILLED BREAST IMPLANTS$2,741
- STRATTICE RECONSTRUCTIVE TISSUE MATRIX BPS$2,094
- AxoGuard Nerve Protector$1,184
- AxoGuard Nerve Connector$1,184
- 1788$427
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex)$297
- PRIMATRIX$242
- TCC-EZ$242
- AMNIOEXCEL$242
- Restrata Wound Matrix$228
- Cavilon Advanced Skin Protectant$111
- DERMATAC$111
- PREVENA$111
- V.A.C. VERAFLO CLEANSE CHOICE$111
- Dermatology and Wound Care$106
- No Related Product$102
How this compares
$16,034 in reported general payments places this provider in the 90th percentile of 77 plastic and reconstructive surgery providers in Tennessee.
See all plastic and reconstructive surgery 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.
Other plastic and reconstructive surgery in Nashville
- Daniel HatefNashville$673K
- Lois WagstromNashville$19K
- Galen PerdikisNashville$7K
- Matthew PontellNashville$7K
- Robert GarzaNashville$6K
- Omotayo ArowojoluNashville$4K
- Lauren ConnorNashville$4K
- John HillNashville$3K
- Panambur Laxminaraya BhandariNashville$3K
- William LineaweaverNashville$2K
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.