Nathan Lesley, MD
Orthopaedic Surgery · Fort Worth, TXNPI 1982836433
Payments from drug & device makers
Across 226 payments — averaging $432.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acumed LLC$45K
- Microaire Surgical Instruments LLC$18K
- Arthrex$14K
- Exsomed Corporation$9K
- Medartis Inc.$5K
- Pylant Medical$3K
- plus $4K from 22 others
What the payments were for
- Consulting fees$32,01933%
- Speaking & faculty fees$46,25047%
- Travel & lodging$10,60311%
- Food & beverage$6,4427%
- Education$2,4002%
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 |
|---|---|---|
| Acumed LLC | 82 | $44,908 |
| Microaire Surgical Instruments LLC | 9 | $17,700 |
| Arthrex | 30 | $13,992 |
| Exsomed Corporation | 26 | $9,298 |
| Medartis Inc. | 5 | $4,704 |
| Pylant Medical | 16 | $3,033 |
| Anika Therapeutics, Inc. | 5 | $1,400 |
| Sonex Health, Inc. | 9 | $784 |
| Stryker | 7 | $443 |
| Osteomed LLC | 1 | $316 |
| Amgen(2 entities) | 11 | $216 |
| Trice Medical, Inc. | 1 | $184 |
| Integra Lifesciences Corporation | 2 | $156 |
| Axogen | 4 | $155 |
| Acera Surgical, Inc. | 2 | $107 |
| Endo Pharmaceuticals Inc. | 3 | $55 |
| Zimmer Biomet | 1 | $49 |
| Hydrocision, Inc. | 1 | $41 |
| Ossio Inc | 1 | $29 |
| Orthofix Medical, Inc. | 2 | $26 |
| Genentech USA, Inc. | 1 | $17 |
| Johnson & Johnson | 1 | $17 |
| Dynasplint Systems Inc. | 1 | $16 |
| Pacira Pharmaceuticals Incorporated | 1 | $16 |
| Novo Nordisk | 1 | $15 |
| Abbott | 1 | $13 |
| Checkpoint Surgical, Inc | 1 | $13 |
| Nevro Corp. | 1 | $12 |
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.
- ACUMED$63,431
- OsteoMed$30,447
- INnate Implant$23,587
- SMART RELEASE$17,700
- InFrame Implant$9,061
- NanoPhix Implant$6,840
- Hand Fracture System$6,150
- Acu-Loc Wrist Plating System$5,100
- APTUS$4,527
- Elbow Plating System$2,549
- Osteotomy System$2,400
- Anatomic Radial Head System$2,400
- ArrowPhix System$1,225
- ArcPhix System$1,225
- Acutrak Headless Compression Screw System$1,225
- AcuTie II$717
- Sx-One Microknife$647
- Arthrosurface Hammertoes$640
- WristMotion$539
- EXT-Hand Fusion$316
How this compares
$97,714 in reported general payments places this provider in the 90th percentile of 1,337 orthopaedic surgery providers in Texas.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 221 | $1,341 |
| Doxycycline Hyclate | 33 | $221 |
| Gabapentin | 29 | $202 |
| Methylprednisolone | 27 | $176 |
| Tramadol Hcl | 24 | $63 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Fort Worth
- Robert SchmidtFort Worth$2M
- Stephen BurkhartSan Antonio$185.3M
- Kirby HittTemple$9.1M
- J Richard EvansonPlano$8.1M
- Stefan KreuzerHouston$7M
- Robert GrahamAustin$6.3M
- Richard JonesDallas$6.3M
- Howard HarrisBedford$4.6M
- Tiffany HuynhHouston$4.6M
- Michael WirthSan Antonio$4.5M
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.