Nader Paksima, DO
Hand Surgery · New York, NYNPI 1730140138
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $112,055 of the $171,132 with a category attached, or 65.5%. Stryker accounts for 97.8% of it on its own, with 10 other manufacturers making up the rest. 2025 is the largest year on record at $79,428, 5.4 times the $14,582 reported in 2019. Among hand surgery clinicians in NY with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 137 payments — averaging $1249.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$167K
- Gotham Surgical Solutions & Devices, Inc.$1K
- Sonex Health, Inc.$591
- Encore Medical, LP$555
- Arthrex$462
- Acumed LLC$374
- plus $496 from 5 others
What the payments were for
- Royalty or licence$45,33026%
- Consulting fees$112,05565%
- Travel & lodging$9,8376%
- Food & beverage$2,6682%
- Education$1,2411%
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 | 117 | $167,412 |
| Gotham Surgical Solutions & Devices, Inc. | 1 | $1,241 |
| Sonex Health, Inc. | 4 | $591 |
| Encore Medical, LP | 1 | $555 |
| Arthrex | 2 | $462 |
| Acumed LLC | 5 | $374 |
| Suvon Surgical LLC | 3 | $173 |
| Medartis Inc. | 1 | $142 |
| Skeletal Dynamics Inc | 1 | $135 |
| Bayer | 1 | $28 |
| Endo Pharmaceuticals Inc. | 1 | $19 |
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.
- VARIAX$144,493
- AXSOS$20,902
- AUGMENT INJECTABLE$15,750
- HOFFMANN$13,750
- GAMMA$13,750
- PRO$4,629
- T2 ALPHA$4,500
- REMOTION$2,812
- SWANSON$2,500
- RAYHACK$2,500
- INBONE$1,250
- PANGEA$1,065
- REUNION$1,000
- ORTHOLOC 3DI$500
- SURPASS EVOLVE$500
- PRIME SERIES$500
- Sx-One Microknife$486
- ACUMED$148
- APTUS$142
- Geminus$135
How this compares
$171,132 in reported general payments places this provider in the 95th percentile of 178 hand surgery providers in New York.
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 hand surgery in New York
- Michael HausmanNew York$128K
- Otis BarronNew York$122K
- Dan ZlotolowNew York$91K
- Daniel OseiNew York$51K
- Anthony SapienzaNew York$44K
- Duretti FufaNew York$43K
- Jaehon KimNew York$35K
- Omri AyalonNew York$29K
- Jacques HacquebordNew York$22K
- Remy RabinovichNew York$17K
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.