Nickolas van Roekel, MD
Orthopaedic Surgery · Lincoln, NENPI 1275030207
Payments from drug & device makers
What this record shows
The money is spread across several categories — grants (40.0%), education and food and beverage — rather than concentrated in one kind of arrangement. Smith+Nephew accounts for 80.5% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2024 at $4,640 and has fallen 92.5% since, to $349 in 2025.
Across 33 payments — averaging $284.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$8K
- Johnson & Johnson$739
- Stryker$537
- Kerecis Limited$133
- Polynovo North America LLC$128
- Si-bone, Inc.$100
- plus $196 from 4 others
What the payments were for
- Grants$3,75040%
- Food & beverage$1,87720%
- Education$3,75040%
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 | 4 | $7,545 |
| Johnson & Johnson | 12 | $739 |
| Stryker | 7 | $537 |
| Kerecis Limited | 1 | $133 |
| Polynovo North America LLC | 1 | $128 |
| Si-bone, Inc. | 1 | $100 |
| Medical Device Business Services, Inc. | 4 | $98 |
| Conetic Solutions, Inc. | 1 | $67 |
| Teleflex LLC | 1 | $17 |
| Biocomposites Inc | 1 | $14 |
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.
- Kerecis Omega3 Marigen$532
- ATTUNE$289
- MAKO$175
- ACTIS$150
- AM$139
- Kerecis Omega3 SurgiClose$133
- Novosorb BTM$128
How this compares
$9,377 in reported general payments places this provider in the 75th percentile of 155 orthopaedic surgery providers in Nebraska.
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 Hcl | 13 | $80 |
| Tramadol Hcl | 23 | $59 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Lincoln
- Benjamin WoodheadLincoln$48K
- Matthew FreemanLincoln$30K
- Lukas HashemLincoln$25K
- David SamaniLincoln$22K
- Matthew ByingtonLincoln$10K
- Dane ToddLincoln$9K
- Steven WahlmeierLincoln$9K
- Brandon SeifertLincoln$7K
- Todd SekundiakElkhorn$7.3M
- Heber CrockettKearney$4.2M
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.