Nathan Menon, MD
Hand Surgery · San Angelo, TXNPI 1063606721
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (41.2%), education and food and beverage — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Arthrex at 57.3% of the total. Reporting peaked in 2022 at $8,860 and has fallen 95.3% since, to $420 in 2025.
Across 84 payments — averaging $182.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$9K
- Sonex Health, Inc.$2K
- Axogen$1K
- Acumed LLC$969
- Ensemble Orthopedics, Inc$686
- Skeletal Dynamics Inc$505
- plus $1K from 11 others
What the payments were for
- Travel & lodging$6,33341%
- Food & beverage$2,90519%
- Education$6,03139%
- Gifts$1001%
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 |
|---|---|---|
| Arthrex | 30 | $8,806 |
| Sonex Health, Inc. | 16 | $1,870 |
| Axogen | 7 | $1,437 |
| Acumed LLC | 4 | $969 |
| Ensemble Orthopedics, Inc | 4 | $686 |
| Skeletal Dynamics Inc | 1 | $505 |
| Pylant Medical | 7 | $477 |
| Sientra, Inc. | 1 | $171 |
| Vertex | 4 | $112 |
| Smith+Nephew | 2 | $103 |
| Stryker | 1 | $45 |
| Bioventus LLC | 2 | $43 |
| KCI USA, Inc. | 1 | $37 |
| Integra Lifesciences Corporation | 1 | $36 |
| Endo USA, Inc. | 1 | $28 |
| Alafair Biosciences, Inc. | 1 | $23 |
| Polynovo North America LLC | 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.
- ACUMED$2,189
- ULTRAGUIDECTR$1,591
- ULTRAGUIDETFR$1,591
- AxoGuard Nerve Connector$1,294
- AxoGuard Nerve Protector$1,294
- INnate Implant$730
- Ensemble CMC$636
- Geminus$505
- Align$505
- IJS$505
- Implate$505
- SIENTRA HIGH STRENGTH COHESIVE SILICONE GEL BREAST IMPLANT$171
How this compares
$15,369 in reported general payments places this provider in the 80th percentile of 170 hand 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 | 270 | $1,610 |
| Tramadol Hcl | 283 | $777 |
| Mupirocin | 94 | $773 |
| Cephalexin | 247 | $735 |
| Clindamycin Hcl | 66 | $188 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 33 | $165 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 11 | $72 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in San Angelo
- David RingAustin$536K
- Kourosh JafarniaHouston$278K
- Brendan MackayLubbock$274K
- John FaillaceWoodway$212K
- Daniel KoehlerDallas$208K
- Timothy NiacarisArlington$160K
- Steven NiedermeierArlington$152K
- William PientkaFort Worth$113K
- Ann GoldenDallas$107K
- Cameron AtkinsonArlington$103K
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.