Nicolas Noiseux, MD
Adult Reconstructive Orthopaedic Surgery · Iowa City, IANPI 1124127865
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $44,525 of the $68,666 with a category attached, or 64.8%. 9 manufacturers reported payments, led by Zimmer Biomet at 55.3% of the total. Reporting peaked in 2023 at $23,647 and has fallen 94.2% since, to $1,365 in 2025.
Across 175 payments — averaging $392.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$38K
- Microport Orthopedics Inc$26K
- Synthes GmbH$2K
- Stryker$1K
- Johnson & Johnson$391
- Smith+Nephew$340
- plus $224 from 3 others
Across 50 payments — averaging $2813.82 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Microport Orthopedics Inc$78K
- Medical Device Business Services, Inc.$33K
- Smith+Nephew$30K
What the payments were for
- Consulting fees$44,52565%
- Speaking & faculty fees$8,90013%
- Travel & lodging$9,14213%
- Food & beverage$5,8549%
- Education$2440%
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 |
|---|---|---|
| Zimmer Biomet | 108 | $37,999 |
| Microport Orthopedics Inc | 32 | $26,210 |
| Synthes GmbH | 3 | $2,012 |
| Stryker | 16 | $1,490 |
| Johnson & Johnson | 8 | $391 |
| Smith+Nephew | 4 | $340 |
| Pacira Therapeutics, Inc. | 2 | $111 |
| Davol Inc. | 1 | $95 |
| Atricure, Inc. | 1 | $18 |
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.
- MPO Medial Pivot Knee$24,333
- ROSA$2,214
- MPO Hip System$1,600
- MAKO$899
- Persona$531
- Avenir$244
- TAPESTRY$150
- REAL INTELLIGENCE$133
- Persona Revision$123
- Navio Surgical System$121
- Journey II BCS$121
- REDAPT Revision Hip System$121
- Arcos Revision$117
- TRIATHLON$116
- ZMR$104
How this compares
Too few adult reconstructive orthopaedic surgery providers in Iowato 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.
Other adult reconstructive orthopaedic surgery in Iowa City
- Omar AkhtarCedar Rapids$533K
- Sandeep MunjalCedar Rapids$33K
- Jeffrey NassifCedar Rapids$31K
- David DemikCedar Rapids$14K
- Todd PetersonClive$14K
- Christopher DickinsonWest Des Moines$9K
- Yogesh KolwadkarSpencer$8K
- Christopher NelsonWest Des Moines$5K
- Ryan PokorneyBettendorf$4K
- Benjamin BeecherDes Moines$2K
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.