Nikhil Jain, MD
Orthopaedic Surgery of the Spine · Columbia, MONPI 1881188506
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $1,858 of the $2,878 with a category attached, or 64.6%. 6 manufacturers reported payments, led by Medtronic at 46.0% of the total. 2025 is the largest year on record at $1,756, 2.7 times the $645 reported in 2021. That places this record below the midpoint for orthopaedic surgery of the spine clinicians in MO, where the typical reported total is $12,644.
Across 26 payments — averaging $110.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$1K
- Medical Device Business Services, Inc.$925
- Globus Medical$423
- Relievant Medsystems, Inc.$147
- Johnson & Johnson$32
- Atricure, Inc.$26
What the payments were for
- Travel & lodging$1,85865%
- Food & beverage$1,02035%
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 |
|---|---|---|
| Medtronic | 14 | $1,325 |
| Medical Device Business Services, Inc. | 6 | $925 |
| Globus Medical | 3 | $423 |
| Relievant Medsystems, Inc. | 1 | $147 |
| Johnson & Johnson | 1 | $32 |
| Atricure, Inc. | 1 | $26 |
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.
- Velys$857
- Intracept$588
- CALIBER$359
- MAZOR X SYSTEM$255
How this compares
$2,878 in reported general payments places this provider in the 30th percentile of 53 orthopaedic surgery of the spine providers in Missouri.
See all orthopaedic surgery of the spine providers in Missouri →
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 |
|---|---|---|
| Cyclobenzaprine Hcl | 32 | $124 |
| Diclofenac Sodium | 31 | $86 |
| Tramadol Hcl | 13 | $32 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Columbia
- Steven MeyerColumbia$545K
- Tyler JenkinsColumbia$56K
- Jeffrey ParkerColumbia$44K
- Robert GainesColumbia$39K
- Abdul Fettah BuyukColumbia$38K
- Theodore ChomaColumbia$21K
- Don MooreColumbia$18K
- John MilesColumbia$15K
- Jason KoreckijColumbia$4K
- Thomas HighlandColumbia$1K
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.