Nathan Wigner, MD
Orthopaedic Surgery · Las Cruces, NMNPI 1609137504
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $4,030 of the $5,963 with a category attached, or 67.6%. Stryker accounts for 88.2% of it on its own, with 4 other manufacturers making up the rest. 2025 is the largest year on record at $3,753, 6.0 times the $627 reported in 2020.
Across 39 payments — averaging $152.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$5K
- Peerless Surgical Inc.$627
- Baxter Healthcare$35
- Axonics, Inc.$25
- Medtronic$17
What the payments were for
- Travel & lodging$4,03068%
- Food & beverage$1,33722%
- Education$59610%
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 | 33 | $5,259 |
| Peerless Surgical Inc. | 2 | $627 |
| Baxter Healthcare | 2 | $35 |
| Axonics, Inc. | 1 | $25 |
| Medtronic | 1 | $17 |
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
$5,963 in reported general payments places this provider in the 60th percentile of 107 orthopaedic surgery providers in New Mexico.
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 |
|---|---|---|
| Diclofenac Sodium | 37 | $846 |
| Methylprednisolone | 46 | $365 |
| Ibuprofen | 16 | $229 |
| Oxycodone Hcl | 29 | $107 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 15 | $80 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Las Cruces
- Luv SinghLas Cruces$17K
- Paul SaizLas Cruces$6K
- Fernando RavessoudLas Cruces$6K
- Deana MercerAlbuquerque$901K
- Dan GuttmanTaos$530K
- David ChafeyAlbuquerque$108K
- Heather MenzerAlbuquerque$61K
- Ernesto Otero LopezAlbuquerque$50K
- Rick GehlertAlbuquerque$46K
- Jeffrey BeckenbaughAlbuquerque$46K
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.