Justin Langan, MD
Orthopaedic Surgery · Nashville, TNNPI 1225323462
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $2,000 of the $3,075 with a category attached, or 65.0%. Acelrx Pharmaceuticals, Inc. accounts for 65.9% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2021 at $2,233 and has fallen 98.0% since, to $45 in 2024. That places this record below the midpoint for orthopaedic surgery clinicians in TN, where the typical reported total is $4,017.
Across 17 payments — averaging $180.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acelrx Pharmaceuticals, Inc.$2K
- Johnson & Johnson$708
- Alpha Orthopedic Systems$83
- Heraeus Medical, LLC.$81
- Medical Device Business Services, Inc.$49
- Integra Lifesciences Corporation$45
- plus $85 from 3 others
What the payments were for
- Consulting fees$2,00065%
- Travel & lodging$2468%
- Food & beverage$82927%
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 |
|---|---|---|
| Acelrx Pharmaceuticals, Inc. | 3 | $2,027 |
| Johnson & Johnson | 5 | $708 |
| Alpha Orthopedic Systems | 1 | $83 |
| Heraeus Medical, LLC. | 2 | $81 |
| Medical Device Business Services, Inc. | 1 | $49 |
| Integra Lifesciences Corporation | 1 | $45 |
| Smith+Nephew | 2 | $36 |
| Highridge Medical LLC | 1 | $29 |
| DJO, LLC | 1 | $20 |
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.
How this compares
$3,075 in reported general payments places this provider in the 40th 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 |
|---|---|---|
| Celecoxib | 23 | $802 |
| Oxycodone Hcl | 154 | $710 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 64 | $604 |
| Methylprednisolone | 52 | $340 |
| Meloxicam | 107 | $232 |
| Ondansetron Hcl | 34 | $143 |
| Cyclobenzaprine Hcl | 28 | $142 |
| Amoxicillin | 49 | $131 |
| Tramadol Hcl | 61 | $110 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 20 | $96 |
| Clindamycin Hcl | 14 | $41 |
| Cephalexin | 36 | $36 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Nashville
- Jefferson MorrisonNashville$678K
- Gregory PolkowskiNashville$526K
- Matthew WillisNashville$498K
- Michael ChristieNashville$474K
- David DeboerNashville$448K
- Rudolph GlattesNashville$444K
- John MartinNashville$212K
- Nicholas StrasserNashville$184K
- Jeffrey HodrickNashville$173K
- 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.