Julian Lugo Pico, MD
Orthopaedic Surgery · Nashville, TNNPI 1811398035
Payments from drug & device makers
Across 142 payments — averaging $146.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$6K
- Alphatec Spine, Inc$5K
- Globus Medical$4K
- Medtronic$2K
- Arthrex$2K
- Music City Medical Technologies, LLC$1K
- plus $638 from 5 others
What the payments were for
- Travel & lodging$11,88257%
- Food & beverage$8,51341%
- Education$4342%
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 |
|---|---|---|
| Stryker | 49 | $6,472 |
| Alphatec Spine, Inc | 16 | $4,741 |
| Globus Medical(2 entities) | 16 | $3,552 |
| Medtronic | 29 | $2,377 |
| Arthrex | 17 | $1,781 |
| Music City Medical Technologies, LLC | 8 | $1,270 |
| Medical Device Business Services, Inc. | 3 | $388 |
| Cerapedics Inc. | 1 | $110 |
| Orthofix Medical, Inc. | 1 | $84 |
| Johnson & Johnson | 1 | $32 |
| Biocomposites Inc | 1 | $24 |
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.
- Other - Miscellaneous$3,134
- EVEREST SPINAL SYSTEM$2,741
- XLIF$2,267
- SERRATO$1,427
- CD HORIZON SPINAL SYSTEM$898
- ExcelsiusGPS Robotic Navigation System$553
- Hedron A$421
- TRITANIUM$332
- CAPRI CORPECTOMY CAGE SYSTEM$327
- ESCALATE$324
- XIA 3$313
- MAZOR X SYSTEM$194
- OASYS$174
- ES2 SPINAL SYSTEM$172
- CENTERPIECE PLATE FIXATION SYSTEM$168
- OZARK CERVICAL PLATE SYSTEM$164
- YUKON OCT SPINAL SYSTEM$164
- Trestle Luxe$159
- AIRO$150
- Velys$148
How this compares
$20,829 in reported general payments places this provider in the 75th percentile of 381 orthopaedic 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Gabapentin | 42 | $472 |
| Methocarbamol | 25 | $360 |
| Cyclobenzaprine Hcl | 21 | $98 |
| Oxycodone Hcl | 20 | $94 |
| Methylprednisolone | 21 | $79 |
| Meloxicam | 27 | $28 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Nashville
- Jefferson MorrisonNashville$910K
- Matthew WillisNashville$850K
- David DeboerNashville$746K
- Michael ChristieNashville$583K
- Gregory PolkowskiNashville$526K
- Rudolph GlattesNashville$444K
- John MartinNashville$250K
- Jeffrey HodrickNashville$239K
- Nicholas StrasserNashville$223K
- Brian DierckmanNashville$172K
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.