Lacey Nelson, PA
Surgical · N Kansas City, MONPI 1639467806
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 38 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 14 manufacturers reported payments, led by Stryker at 34.3% of the total. Reporting peaked in 2021 at $539 and has fallen 96.2% since, to $20 in 2025.
Across 38 payments — averaging $27.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$355
- Amgen$263
- Heron Therapeutics, Inc.$75
- Smith+Nephew$65
- Insight Medical Systems, Inc.$58
- Bioventus LLC$43
- plus $178 from 8 others
What the payments were for
- Food & beverage$1,037100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 | 5 | $355 |
| Amgen | 16 | $263 |
| Heron Therapeutics, Inc. | 3 | $75 |
| Smith+Nephew | 1 | $65 |
| Insight Medical Systems, Inc. | 2 | $58 |
| Bioventus LLC | 2 | $43 |
| Baudax Bio Inc. | 2 | $40 |
| Pacira Pharmaceuticals Incorporated | 1 | $29 |
| Encore Medical, LP | 1 | $22 |
| Davol Inc. | 1 | $21 |
| Ferring Pharmaceuticals Inc. | 1 | $19 |
| Arbor Pharmaceuticals, Inc. | 1 | $17 |
| Kowa Pharmaceuticals America, Inc. | 1 | $15 |
| Titan Surgical Group, LLC | 1 | $14 |
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
$1,037 in reported general payments places this provider in the 75th percentile of 118 surgical providers in Missouri.
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 | 38 | $500 |
| Ibuprofen | 44 | $316 |
| Gabapentin | 20 | $105 |
| Meloxicam | 41 | $101 |
Paid to pharmacies, not to this prescriber.
Other surgical in N Kansas City
- Ciara GlennSaint Louis$9K
- Chad NallSpringfield$6K
- Thomas PrangeSaint Louis$5K
- Lia GauseLiberty$4K
- Frances AbbiattiSpringfield$3K
- Drew CottrillSaint Joseph$3K
- Chad OliverSpringfield$3K
- Sigal FridmanSaint Louis$3K
- Ella BarberSaint Louis$3K
- Cynthia KrinochkinBallwin$3K
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.