Nicholas Honkamp, MD
Orthopaedic Surgery · West Des Moines, IANPI 1124077987
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $963 of the $1,356 with a category attached, or 71.0%. Smith+Nephew accounts for 86.4% of it on its own, with 3 other manufacturers making up the rest. Reporting peaked in 2021 at $1,127 and has fallen 94.0% since, to $68 in 2024. That places this record below the midpoint for orthopaedic surgery clinicians in IA, where the typical reported total is $1,846.
Across 16 payments — averaging $84.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$1K
- Zimmer Biomet$120
- Johnson & Johnson$50
- Vericel Corporation$15
What the payments were for
- Travel & lodging$96371%
- Food & beverage$39329%
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 | 10 | $1,171 |
| Zimmer Biomet | 4 | $120 |
| Johnson & Johnson | 1 | $50 |
| Vericel Corporation | 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.
- REGENETEN Shoulder$576
- Regeneten$387
- MICRORAPTOR REGENESORB$387
- NOVOSTITCH PRO$387
- MICRORAPTOR Shoulder Suture$116
- HEALICOIL Suture Anchor$116
How this compares
$1,356 in reported general payments places this provider in the 40th percentile of 219 orthopaedic surgery providers in Iowa.
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 |
|---|---|---|
| Cephalexin | 44 | $50 |
| Amoxicillin | 49 | $24 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in West Des Moines
- Zachary RiesWest Des Moines$43K
- Barron BremnerWest Des Moines$22K
- Christopher KimWest Des Moines$10K
- Kawsu BarryWest Des Moines$8K
- John CallaghanIowa City$23.3M
- Brian AdamsIowa City$865K
- Cesar de Cesar NettoIowa City$693K
- Lynn NelsonBelmond$285K
- Robert WestermannIowa City$182K
- Joseph BuckwalterIowa City$132K
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.