Nicholas Alfonso, MD
Orthopaedic Trauma · Aurora, CONPI 1467895219
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (39.9%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Smith+Nephew at 50.0% of the total. 2025 is the largest year on record at $33,930, more than ten times the $265 reported in 2019.
Across 183 payments — averaging $316.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$29K
- Medical Device Business Services, Inc.$14K
- Stryker$13K
- Johnson & Johnson$714
- Integra Lifesciences Corporation$380
- Carbofix Orthopedics Inc$251
- plus $478 from 6 others
What the payments were for
- Consulting fees$13,42023%
- Speaking & faculty fees$23,10040%
- Travel & lodging$6,49211%
- Food & beverage$12,44321%
- Education$2,4484%
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 | 60 | $28,945 |
| Medical Device Business Services, Inc. | 10 | $14,032 |
| Stryker | 93 | $13,103 |
| Johnson & Johnson(2 entities) | 8 | $714 |
| Integra Lifesciences Corporation | 3 | $380 |
| Carbofix Orthopedics Inc | 2 | $251 |
| Joint Restoration Foundation, Inc. | 1 | $170 |
| Innovation Technologies Inc | 1 | $120 |
| Bioventus LLC | 2 | $111 |
| Skeletal Dynamics Inc | 1 | $28 |
| Medtronic | 1 | $25 |
| Solventum Corporation | 1 | $23 |
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.
- EVOS$38,957
- TRIGEN InterTAN$24,352
- TRIGEN$12,203
- TRIGEN Meta-Nail$12,058
- SMART TSF$11,550
- PRO$3,682
- PANGEA$1,708
- GAMMA$1,693
- INTEGRA$1,141
- AXSOS$1,046
- VARIAX$986
- EVOS MINI$786
- T2 ALPHA$744
- PELVIS II$409
- T2$386
- INTEGRA DERMAL REGENERATION TEMPLATE$380
- PRIMATRIX$380
- NA$334
- PRIME SERIES$319
- LARGE CANNULATED SCREWS$283
How this compares
Too few orthopaedic trauma providers in Coloradoto place this figure against a meaningful peer group, so we don't.
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.
Other orthopaedic trauma in Aurora
- Jason StonebackAurora$79K
- Daniel WangAurora$35K
- Melissa GormanAurora$15K
- Andrea KingAurora$99
- Darryl AustonThornton$192K
- Cyril MauffreyDenver$190K
- Austin HeareDenver$55K
- Keenan OnoderaDenver$24K
- Conor SpadyGreeley$11K
- Justin HellwinkelDenver$10K
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.