Nicholas Gates, MD
Orthopaedic Surgery · Highland Heights, KYNPI 1164424313
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (59.9%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Arthrex accounts for 94.6% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2022 at $29,557 and has fallen 97.6% since, to $701 in 2025. Among orthopaedic surgery clinicians in KY with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 182 payments — averaging $464.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$80K
- Stryker$2K
- Legacy Ortho LLC$2K
- In2bones USA, LLC$123
- Johnson & Johnson$109
- CDC Medical LLC$85
- plus $117 from 4 others
What the payments were for
- Consulting fees$20,82525%
- Speaking & faculty fees$50,57760%
- Travel & lodging$7,8469%
- Food & beverage$4,0235%
- Education$1,2001%
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 |
|---|---|---|
| Arthrex | 144 | $79,911 |
| Stryker(2 entities) | 21 | $2,109 |
| Legacy Ortho LLC | 8 | $2,017 |
| In2bones USA, LLC | 1 | $123 |
| Johnson & Johnson | 2 | $109 |
| CDC Medical LLC | 2 | $85 |
| Pacira Therapeutics, Inc. | 1 | $70 |
| Misonix Inc | 1 | $24 |
| Pacira Pharmaceuticals Incorporated | 1 | $12 |
| Lilly USA, 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.
- DISTAL EXTREMITIES IMPLANTS IB LIGAMENT AUGMENTATION OTHER$4,300
- DISTAL EXTREMITIES IMPLANTS ANCHORS SUTURETAKS & FASTAKS$2,200
- DISTAL EXTREMITIES IMPLANTS TENODESIS OTHER$1,000
- DISTAL EXTREMITIES IMPLANTS SOFT TISSUE IB LIGAMENT AUGMENTATION$970
- STAR$521
- GAMMA$521
- ADAPT$521
- INFINITY ADAPTIS$280
- DISTAL EXTREMITIES IMPLANTS HINDFOOT & ANKLE ANKLE FRACTURE$200
- DISTAL EXTREMITIES IMPLANTS FOREFOOT ANATOEMIC$200
- DISTAL EXTREMITIES IMPLANTS SOFT TISSUE ANCHORS$200
- PROPHECY$173
- PATIENT-FITTED TMJ RECONSTRUCTIVE PROSTHESIS SYSTEM$173
- AUGMENT INJECTABLE$173
- CITREFIX$173
- ORTHOLOC 3DI$165
- PANGEA$165
- INFINITY$161
- PRIME SERIES$155
- CARTIVA$125
How this compares
$84,471 in reported general payments places this provider in the 90th percentile of 322 orthopaedic surgery providers in Kentucky.
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 |
|---|---|---|
| Etodolac | 67 | $652 |
| Oxycodone Hcl | 116 | $514 |
| Methylprednisolone | 67 | $342 |
| Ibuprofen | 95 | $228 |
| Promethazine Hcl | 98 | $185 |
| Cephalexin | 13 | $58 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Highland Heights
- Arthur MalkaniLouisville$9.6M
- Jonathan YerasimidesLouisville$4.3M
- John LewisLouisville$1.5M
- Akbar NawabLouisville$1M
- Samer HasanCrestview Hills$976K
- Phillip SingerBowling Green$816K
- Brent MorrisLexington$815K
- Joseph GreeneLouisville$581K
- Raymond GreiweFlorence$546K
- Clint HillPaducah$516K
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.