Nicholas Dirig, DO
Orthopaedic Surgery · Carson City, NVNPI 1801193883
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $6,364 of the $9,370 with a category attached, or 67.9%. 19 manufacturers reported payments, led by Smith+Nephew at 58.2% of the total. Reporting peaked in 2024 at $5,881 and has fallen 69.3% since, to $1,807 in 2025.
Across 74 payments — averaging $126.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$5K
- Stryker$2K
- Zimmer Biomet$742
- Johnson & Johnson$157
- Edwards Lifesciences$133
- Surgical Specialties Corporation (US), Inc. (dba Corza Medical)$104
- plus $430 from 13 others
What the payments were for
- Travel & lodging$6,36468%
- Food & beverage$3,00632%
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 | 26 | $5,451 |
| Stryker | 12 | $2,354 |
| Zimmer Biomet | 8 | $742 |
| Johnson & Johnson | 2 | $157 |
| Edwards Lifesciences | 1 | $133 |
| Surgical Specialties Corporation (US), Inc. (dba Corza Medical) | 1 | $104 |
| Bioventus LLC | 4 | $94 |
| Pacira Therapeutics, Inc. | 4 | $70 |
| Amgen | 3 | $49 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 2 | $37 |
| Heraeus Medical, LLC. | 2 | $33 |
| Solventum Corporation | 2 | $30 |
| Convatec Inc. | 1 | $27 |
| Deroyal Industries, Inc. | 1 | $25 |
| Heron Therapeutics, Inc. | 1 | $16 |
| Paragon 28, Inc. | 1 | $13 |
| Pfizer | 1 | $13 |
| KCI USA, Inc. | 1 | $12 |
| Kinex Medical Company 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.
- Journey II$5,511
- REAL INTELLIGENCE$2,647
- RI.HIP NAVIGATION$2,086
- JOURNEY$2,086
- MAKO$1,983
- Legion Revision$1,974
- OR3O Dual Mobility$956
- ROSA$615
- POLARSTEM$340
- T-Fix$170
- Journey II BCS$170
- PICO 7 Single Use Negative Pressure Wound Therapy$170
- REDAPT Revision Hip System$170
- MITRIS RESILIA Mitral Valve$133
- ATTUNE$110
- Surgical wound closure product$104
How this compares
$9,370 in reported general payments places this provider in the 60th percentile of 135 orthopaedic surgery providers in Nevada.
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 |
|---|---|---|
| Doxycycline Hyclate | 35 | $1,577 |
| Ondansetron OdtOndansetron | 159 | $1,550 |
| Celecoxib | 126 | $1,307 |
| Pregabalin | 87 | $1,028 |
| Oxycodone Hcl | 151 | $786 |
| Cyclobenzaprine Hcl | 141 | $757 |
| Tramadol Hcl | 141 | $562 |
| Cephalexin | 172 | $409 |
| Meloxicam | 103 | $328 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $122 |
| Amoxicillin | 20 | $103 |
| Clindamycin Hcl | 16 | $97 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Carson City
- Rueben NairCarson City$29K
- Jeffrey CummingsCarson City$25K
- Marco MendozaCarson City$11K
- Mark BarryLas Vegas$9.5M
- Erik KubiakLas Vegas$7.8M
- Russell NevinsLas Vegas$1.5M
- Vladimir SinkovLas Vegas$434K
- Robert TaitHenderson$365K
- Ronald HillockLas Vegas$275K
- Galen KamLas Vegas$270K
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.