Nitin Engineer, MD
Surgery of the Hand · Henderson, NVNPI 1952513079
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (48.4%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Goode Surgical Inc at 36.1% of the total. Reporting peaked in 2019 at $6,955 and has fallen 93.0% since, to $488 in 2025.
Across 72 payments — averaging $172.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Goode Surgical Inc$4K
- Arthrex$3K
- AbbVie$2K
- Merz North America, Inc.$830
- Axogen$492
- Mentor Worldwide LLC$486
- plus $1K from 10 others
What the payments were for
- Travel & lodging$2,50220%
- Food & beverage$3,89031%
- Education$6,00348%
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 |
|---|---|---|
| Goode Surgical Inc | 9 | $4,481 |
| Arthrex | 10 | $2,704 |
| AbbVie(2 entities) | 15 | $2,307 |
| Merz North America, Inc. | 9 | $830 |
| Axogen | 2 | $492 |
| Mentor Worldwide LLC | 10 | $486 |
| Stryker | 1 | $230 |
| Motiva USA, LLC | 2 | $220 |
| Integra Lifesciences Corporation | 1 | $122 |
| Musculoskeletal Transplant Foundation Inc. | 2 | $116 |
| Solta Medical, A Division Of Bausch Health US, LLC | 1 | $106 |
| Davol Inc. | 2 | $85 |
| Sientra, Inc. | 2 | $73 |
| Galderma Laboratories, L.p. | 4 | $71 |
| Checkpoint Surgical, Inc | 1 | $51 |
| Abbott | 1 | $20 |
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
Too few surgery of the hand providers in Nevadato 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 40 | $280 |
| Cephalexin | 42 | $267 |
| Clindamycin Hcl | 11 | $140 |
| Methylprednisolone | 20 | $132 |
| Meloxicam | 32 | $41 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Henderson
- Timothy TollestrupHenderson$160
- Nichole Joslyn EasthamReno$22K
- Ashley PistorioLas Vegas$19K
- Carl WilliamsLas Vegas$7K
- Jacquelynn LeeLas Vegas$4K
- Julia Cook BeresfordReno$3K
- Rachel GuestLas Vegas$3K
- Kenny HannaLas Vegas$2K
- Shushan JacobNorth Las Vegas$1K
- Christopher IngersolReno$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.