Joshua Napora, MD
Orthopaedic Trauma · Cleveland, OHNPI 1306280763
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (43.4%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Smith+Nephew accounts for 60.8% of it on its own, with 9 other manufacturers making up the rest.
Across 155 payments — averaging $442.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$42K
- Stryker$25K
- Rock Medical Orthopedics, Inc.$1K
- Globus Medical$377
- Osteocentric Technologies, Inc.$185
- Johnson & Johnson$152
- plus $182 from 4 others
Across 6 payments — averaging $19,217 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.
- Stryker$115K
What the payments were for
- Consulting fees$17,40025%
- Speaking & faculty fees$29,75343%
- Travel & lodging$10,74016%
- Food & beverage$9,53714%
- Education$1,2002%
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 | 69 | $41,756 |
| Stryker | 66 | $24,779 |
| Rock Medical Orthopedics, Inc. | 1 | $1,200 |
| Globus Medical | 5 | $377 |
| Osteocentric Technologies, Inc. | 2 | $185 |
| Johnson & Johnson(2 entities) | 4 | $152 |
| Organogenesis Inc. | 3 | $81 |
| KCI USA, Inc. | 2 | $42 |
| Orthofix Medical, Inc. | 2 | $41 |
| Integra Lifesciences Corporation | 1 | $18 |
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.
- EVOS$70,989
- EVOS MINI$33,406
- HOFFMANN$23,359
- TRIGEN$15,055
- TRIGEN InterTAN$14,381
- IGNITE$3,352
- SALVATION$1,471
- GAMMA$1,263
- Taylor Spatial Frame$1,055
- PRO$963
- AXSOS$762
- VERTAPLEX$600
- SPS$309
- PANGEA$244
- PRO-DENSE$166
- PROFYLE$161
- OsteoCentric 4.0 x 130mm LOCKING BONE SCREW FASTENER ST$159
- Anthem$156
- AEQUALIS ASCEND FLEX$154
- AUGMENT INJECTABLE$152
How this compares
$68,630 in reported general payments places this provider in the 80th percentile of 38 orthopaedic trauma providers in Ohio.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 11 | $54 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic trauma in Cleveland
- Robert WetzelCleveland$574K
- George OchenjeleCleveland$344K
- Nathan MeskoCleveland$228K
- Lukas NystromCleveland$56K
- Christopher MatsonCleveland$50K
- Damien BillowCleveland$48K
- Anokha PadubidriCleveland$47K
- Cesar CereijoCleveland$39K
- Nicholas RomeoCleveland$22K
- Adam HirschfeldCleveland$13K
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.