Nicholas Fletcher
Pediatric Orthopaedic Surgery · Atlanta, GANPI 1205983178
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $245,342 of the $363,877 with a category attached, or 67.4%. Medtronic accounts for 91.1% of it on its own, with 9 other manufacturers making up the rest. 2025 is the largest year on record at $260,678, more than ten times the $18,282 reported in 2019.
Across 166 payments — averaging $2192.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$332K
- Orthopediatrics Corp.$12K
- Zimmer Biomet$10K
- Globus Medical$9K
- Biedermann Motech, Inc.$517
- Medical Device Business Services, Inc.$411
- plus $290 from 4 others
What the payments were for
- Royalty or licence$245,34267%
- Consulting fees$67,01518%
- Speaking & faculty fees$42,11712%
- Travel & lodging$6,3462%
- Food & beverage$3,0581%
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 |
|---|---|---|
| Medtronic(2 entities) | 115 | $331,549 |
| Orthopediatrics Corp. | 13 | $12,158 |
| Zimmer Biomet | 13 | $9,585 |
| Globus Medical | 13 | $9,368 |
| Biedermann Motech, Inc. | 3 | $517 |
| Medical Device Business Services, Inc. | 3 | $411 |
| Smith+Nephew | 2 | $147 |
| Alphatec Spine, Inc | 2 | $97 |
| Teva Pharmaceuticals USA, Inc. | 1 | $26 |
| Boston Scientific | 1 | $20 |
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.
- CD HORIZON SPINAL SYSTEM$24,243
- CD HORIZON$23,290
- UNID_PASS$19,562
- Vital$9,300
- TLIF$8,000
- STEALTHSTATION S8 PLATFORM$7,449
- Orthopediatric Implants$6,678
- Vitality$5,400
- Vital Deformity$5,400
- Polaris Deformity Spinal System$3,900
- The Tether$2,531
- ORTHOPEDIATRICS PEDIFLEX FLEXIBLE NAIL SYSTEM$2,450
- Vitality Power$2,400
- RELINE$1,022
- MAZOR X SYSTEM$870
- INFINITY OCCIPITOCERVICAL UPPER THORACIC SYSTEM$725
- MOSS VRS Spinal System$326
- MIDAS REX$290
- EXPEDIUM$268
- MAGEC$267
How this compares
Too few pediatric orthopaedic surgery providers in Georgiato place this figure against a meaningful peer group, so we don't.
Other pediatric orthopaedic surgery in Atlanta
- Gilbert ChanAtlanta$17K
- McCayn FamiliaAtlanta$4K
- Jed AxelrodAtlanta$4K
- Denver KraftAtlanta$3K
- Dell McLaughlinAtlanta$335
- Joshua MurphyStockbridge$96K
- Julia FinkColumbus$11K
- Cory BryanAugusta$7K
- Charles GomezMacon$4K
- Evan SiegallSavannah$2K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.