Nicholas Casscells
Orthopaedic Surgery · Washington, DCNPI 1811330996
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,616 of the $3,611 with a category attached, or 72.4%. 13 manufacturers reported payments, led by Stryker at 38.5% of the total. 2025 is the largest year on record at $1,572, 5.0 times the $313 reported in 2019. That places this record below the midpoint for orthopaedic surgery clinicians in DC, where the typical reported total is $4,260.
Across 50 payments — averaging $72.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$1K
- Vericel Corporation$995
- Paragon 28, Inc.$279
- Si-bone, Inc.$146
- Medline Industries LP$143
- Smith+Nephew$140
- plus $518 from 7 others
What the payments were for
- Travel & lodging$99528%
- Food & beverage$2,61672%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 | 18 | $1,391 |
| Vericel Corporation | 2 | $995 |
| Paragon 28, Inc. | 16 | $279 |
| Si-bone, Inc. | 1 | $146 |
| Medline Industries LP | 1 | $143 |
| Smith+Nephew | 1 | $140 |
| Zimmer Biomet | 1 | $125 |
| Supreme Orthopedic Systems, LLC | 2 | $116 |
| Linvatec Corporation | 1 | $110 |
| Ossio Inc | 4 | $75 |
| Ortho Solutions Inc | 1 | $59 |
| Arteriocyte Medical Systems, Inc. | 1 | $18 |
| Johnson & Johnson | 1 | $15 |
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.
- MACI$995
- AUGMENT INJECTABLE$288
- VARIAX$175
- ALLOMATRIX$152
- iFuse Implant$146
- Bone Anchors with Arthroscopic Delivery System$140
- Q-FIX$140
- Affixus$125
- ALLOGRAFT TISSUE$110
- ASNIS$102
How this compares
$3,611 in reported general payments places this provider in the 45th percentile of 46 orthopaedic surgery providers in District of Columbia.
See all orthopaedic surgery providers in District of Columbia →
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 | 23 | $405 |
| Celecoxib | 18 | $299 |
| Meloxicam | 69 | $108 |
| Ondansetron Hcl | 16 | $69 |
| Oxycodone Hcl | 18 | $67 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Washington
- Akhil KhannaWashington$2.1M
- Seyed KalantarWashington$886K
- Scott FaucettWashington$610K
- David LuttonWashington$375K
- Savyasachi ThakkarWashington$216K
- Joseph FergusonWashington$84K
- Robert SterlingWashington$38K
- Ryan MurrayWashington$32K
- Robert HenshawWashington$24K
- Sandesh RaoWashington$21K
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.