Nicole Zelenski, MD
Hand Surgery · Atlanta, GANPI 1366862492
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (28.4%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 21 manufacturers reported payments, led by Trimed, Inc. at 48.5% of the total. 2025 is the largest year on record at $12,497, 9.7 times the $1,284 reported in 2019. Among hand surgery clinicians in GA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 100 payments — averaging $336.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trimed, Inc.$16K
- Synthes GmbH$10K
- Arthrex$3K
- United Orthopedics LLC$1K
- Stryker$781
- Integra Lifesciences Corporation$707
- plus $2K from 15 others
What the payments were for
- Consulting fees$3,50010%
- Speaking & faculty fees$9,55028%
- Travel & lodging$8,90026%
- Food & beverage$8,08524%
- Education$3,60011%
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 |
|---|---|---|
| Trimed, Inc. | 35 | $16,328 |
| Synthes GmbH | 12 | $9,516 |
| Arthrex | 7 | $2,773 |
| United Orthopedics LLC | 1 | $1,200 |
| Stryker | 9 | $781 |
| Integra Lifesciences Corporation | 8 | $707 |
| Axogen | 7 | $597 |
| Acumed LLC | 2 | $269 |
| Smith+Nephew | 2 | $249 |
| Endo Pharmaceuticals Inc. | 3 | $179 |
| Bone Support Inc. | 1 | $158 |
| Checkpoint Surgical, Inc | 3 | $150 |
| Alafair Biosciences, Inc. | 1 | $150 |
| Osteomed LLC | 1 | $134 |
| Skeletal Dynamics Inc | 2 | $113 |
| Exsomed Corporation | 1 | $102 |
| Johnson & Johnson | 1 | $74 |
| Integrum Inc. | 1 | $72 |
| Atricure, Inc. | 1 | $36 |
| Trice Medical, Inc. | 1 | $31 |
| Heron Therapeutics, Inc. | 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.
- Tools - WFS$10,748
- ACUMED$707
- AVANCE NERVE GRAFT$435
- INTEGRA$420
- TENOGLIDE$318
- ACCOLADE$293
- InFrame Implant$225
- INnate Implant$204
- T-Fix$170
- Journey II BCS$170
- PICO 7 Single Use Negative Pressure Wound Therapy$170
- REDAPT Revision Hip System$170
- VARIAX$160
- CERAMENTBONE VOID FILLER$158
- CERAMENT G$158
- Tools - AFS$156
- NEURAGEN$153
- VersaWrap$150
- INTEGRA DERMAL REGENERATION TEMPLATE$140
- PRIMATRIX$140
How this compares
$33,634 in reported general payments places this provider in the 90th percentile of 77 hand surgery providers in Georgia.
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 hand surgery in Atlanta
- Eric WagnerAtlanta$173K
- Phani DantuluriAtlanta$120K
- Travis LittletonAtlanta$35K
- James SprattAtlanta$18K
- Jim RoderiqueAtlanta$14K
- Bryce GillespieAtlanta$10K
- Andy ChangAtlanta$7K
- Randall AlexanderAtlanta$7K
- Catphuong VuAtlanta$3K
- Obinwanne UgwonaliAtlanta$3K
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.