Nicholas Newsum, MD
Hand Surgery · Orlando, FLNPI 1619260486
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (53.8%), food and beverage and other — rather than concentrated in one kind of arrangement. 14 manufacturers reported payments, led by Reel Surgical, Inc. at 53.8% of the total. Reporting peaked in 2021 at $2,515 and has fallen 78.1% since, to $550 in 2025.
Across 44 payments — averaging $101.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Reel Surgical, Inc.$2K
- Axogen$552
- Integra Lifesciences Corporation$435
- Stryker$282
- Arthrex$256
- Zimmer Biomet$216
- plus $323 from 8 others
What the payments were for
- Travel & lodging$2125%
- Food & beverage$1,52634%
- Education$2,40054%
- Other$3267%
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 |
|---|---|---|
| Reel Surgical, Inc. | 2 | $2,400 |
| Axogen | 1 | $552 |
| Integra Lifesciences Corporation | 6 | $435 |
| Stryker | 12 | $282 |
| Arthrex | 4 | $256 |
| Zimmer Biomet | 5 | $216 |
| Bioventus LLC | 4 | $128 |
| Amgen | 3 | $52 |
| Endo USA, Inc. | 2 | $38 |
| Carbofix Orthopedics Inc | 1 | $30 |
| Smith+Nephew | 1 | $22 |
| Checkpoint Surgical, Inc | 1 | $20 |
| Endo Pharmaceuticals Inc. | 1 | $17 |
| Anika Therapeutics, Inc. | 1 | $16 |
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.
How this compares
$4,464 in reported general payments places this provider in the 55th percentile of 173 hand surgery providers in Florida.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 247 | $1,120 |
| Lidocaine | 13 | $801 |
| Methylprednisolone | 50 | $319 |
| Diclofenac Sodium | 21 | $250 |
| Ibuprofen | 29 | $205 |
| Meloxicam | 18 | $94 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 19 | $72 |
| Tramadol Hcl | 31 | $63 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Orlando
- Justin ZumstegOrlando$133K
- Brett LewellynOrlando$41K
- Bryan BrownOrlando$27K
- Amir KachooeiOrlando$19K
- Cody HillinOrlando$6K
- Jorge Orbay-CerratoMiami$12.5M
- Peter EvansStuart$525K
- Nirav GuptaOcala$491K
- Francisco RubioMiami$345K
- Maria-Carolina Orbay AranMiami$108K
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.