Has Nathan Jacobson, MD received payments from drug or device companies?

Yes. Drug and device makers reported $37,855 in general payments to Nathan Jacobson, MD across 58 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Nathan Jacobson, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Nathan Jacobson, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Nathan Jacobson, MD

Orthopaedic Surgery · Rapid City, SDNPI 1639674112

Payments from drug & device makers

What this record shows

This record is dominated by grants: $23,750 of the $37,855 with a category attached, or 62.7%. 12 manufacturers reported payments, led by Smith+Nephew at 49.3% of the total. Reporting peaked in 2023 at $25,389 and has fallen 99.6% since, to $108 in 2025. Among orthopaedic surgery clinicians in SD with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$37,855in general payments, 2019–2025

Across 58 payments — averaging $652.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Smith+Nephew$19K
Arthrex$16K
Stryker$2K
Ossur Americas, Inc.$334
Johnson & Johnson$329
Sioux Surgical Inc$166
plus $356 from 6 others

What the payments were for

Grants$23,75063%
Travel & lodging$2,6887%
Food & beverage$2,6677%
Education$8,75023%

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	10	$18,680
Arthrex	19	$16,398
Stryker	12	$1,593
Ossur Americas, Inc.	3	$334
Johnson & Johnson	3	$329
Sioux Surgical Inc	2	$166
Zimmer Biomet	2	$114
Conetic Solutions, Inc.	1	$81
Gilead	2	$58
Kinamed, Inc.	1	$42
Foundation Medical, LLC	2	$41
Vericel Corporation	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

$37,855 in reported general payments places this provider in the 90th percentile of 92 orthopaedic surgery providers in South Dakota.

See all orthopaedic surgery providers in South Dakota →

Medicare billing

Part B allowed, 2024

$32,469

Medicare patients

Services billed

2,508

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	14	$335

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in Rapid City

Stuart FrommRapid City$13.3M
Clark DucheneRapid City$107K
Jeffrey MarrsRapid City$36K
Christian GaffneyRapid City$26K
Joshua KolzRapid City$7K
Joseph HumpherysRapid City$6K
Robert WoodruffRapid City$5K
Lew PapendickRapid City$4K
Emmett McEleneyRapid City$4K
Steven GiuseffiRapid City$3K

See the full list for South Dakota →

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.

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