Nicholas Hernandez
Adult Reconstructive Orthopaedic Surgery · Seattle, WANPI 1679989396
Payments from drug & device makers
What this record shows
This record is dominated by education: $25,667 of the $31,860 with a category attached, or 80.6%. Smith+Nephew accounts for 86.7% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2019 at $15,717 and has fallen 97.6% since, to $375 in 2025.
Across 77 payments — averaging $413.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$28K
- Stryker$2K
- Johnson & Johnson$1K
- Zimmer Biomet$753
- Davol Inc.$267
- Medical Device Business Services, Inc.$167
- plus $245 from 4 others
What the payments were for
- Travel & lodging$2,7169%
- Food & beverage$3,47711%
- Education$25,66781%
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 | 12 | $27,609 |
| Stryker | 35 | $1,705 |
| Johnson & Johnson | 6 | $1,114 |
| Zimmer Biomet | 10 | $753 |
| Davol Inc. | 1 | $267 |
| Medical Device Business Services, Inc. | 8 | $167 |
| Orthalign Inc | 1 | $130 |
| Alevio, LLC | 1 | $50 |
| Pacira Therapeutics, Inc. | 1 | $45 |
| Total Joint Orthopedics, Inc. | 2 | $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.
- REDAPT Revision Hip System$1,388
- Legion Revision$964
- CORAIL$738
- PINNACLE$738
- Kincise Surgical Automated System$738
- VELYS Hip Navigation$738
- Journey II XR$424
- POLARSTEM$424
- MAKO$317
- XIA$280
- NEW PRODUCT DEVELOPMENT$206
- Persona$150
- EXETER$148
- GAMMA$146
- ORTHALIGN PLUS$130
- Navio Surgical System$115
- Velys$109
- ROSA$108
- PPK$105
- Persona Revision$105
How this compares
Too few adult reconstructive orthopaedic surgery providers in Washingtonto 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Amoxicillin | 18 | $34 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Seattle
- Jason HsuSeattle$287K
- Cameron EganSeattle$17K
- Elyse BrinkmannSeattle$6K
- David ScottSpokane$671K
- Aric ChristalEdmonds$220K
- Alexander ReichardSpokane$49K
- Jacob StanfieldRichland$14K
- Joseph DannenbaumTacoma$12K
- Patrick MaherKirkland$10K
- Ronald QuamEverett$7K
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.