Nathan Nicholson
Orthopaedic Surgery · Ottumwa, IANPI 1972860476
Payments from drug & device makers
Across 41 payments — averaging $44.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$1K
- Stryker$476
- Medical Device Business Services, Inc.$103
- Zimmer Biomet$88
- Prism Medical$85
- Anika Therapeutics, Inc.$20
- plus $30 from 2 others
What the payments were for
- Travel & lodging$96252%
- Food & beverage$88148%
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 |
|---|---|---|
| Johnson & Johnson | 17 | $1,042 |
| Stryker | 10 | $476 |
| Medical Device Business Services, Inc. | 5 | $103 |
| Zimmer Biomet | 3 | $88 |
| Prism Medical | 3 | $85 |
| Anika Therapeutics, Inc. | 1 | $20 |
| Pacira Pharmaceuticals Incorporated | 1 | $17 |
| Sanofi-aventis U.S. LLC | 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.
How this compares
$1,843 in reported general payments places this provider in the 45th percentile of 219 orthopaedic surgery providers in Iowa.
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 | 367 | $9,221 |
| Ondansetron OdtOndansetron | 160 | $2,638 |
| Oxycodone Hcl | 271 | $1,491 |
| Tizanidine Hcl | 151 | $1,073 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 84 | $719 |
| Pregabalin | 35 | $545 |
| Tramadol Hcl | 98 | $313 |
| Clindamycin Hcl | 14 | $168 |
| Naproxen | 17 | $156 |
| Cephalexin | 14 | $155 |
| Methylprednisolone | 22 | $150 |
| Meloxicam | 38 | $99 |
| Diclofenac Sodium | 16 | $96 |
| Ibuprofen | 13 | $56 |
| Cyclobenzaprine Hcl | 13 | $43 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Ottumwa
- John CallaghanIowa City$23.3M
- Cesar de Cesar NettoIowa City$905K
- Brian AdamsIowa City$868K
- Lynn NelsonBelmond$285K
- Robert WestermannIowa City$216K
- Jacob ElkinsIowa City$188K
- Brendan PattersonIowa City$166K
- Joseph BuckwalterIowa City$132K
- John FeminoIowa City$106K
- Clifford BoeseCouncil Bluffs$63K
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.