Patrick McNulty, MD
Orthopaedic Surgery of the Spine · Henderson, NVNPI 1922007244
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,078 of the $3,976 with a category attached, or 77.4%. 14 manufacturers reported payments, led by Stryker at 28.2% of the total. Reporting peaked in 2019 at $1,252 and has fallen 63.0% since, to $463 in 2025. That places this record below the midpoint for orthopaedic surgery of the spine clinicians in NV, where the typical reported total is $14,410.
Across 117 payments — averaging $33.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$1K
- Zimmer Biomet$1K
- Medtronic$420
- Circinus Medical Technology LLC$371
- Si-bone, Inc.$333
- Alphatec Spine, Inc$300
- plus $425 from 8 others
What the payments were for
- Travel & lodging$59215%
- Food & beverage$3,07877%
- Education$2226%
- Gifts$852%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Stryker | 61 | $1,123 |
| Zimmer Biomet | 24 | $1,004 |
| Medtronic(2 entities) | 12 | $420 |
| Circinus Medical Technology LLC | 2 | $371 |
| Si-bone, Inc. | 4 | $333 |
| Alphatec Spine, Inc | 2 | $300 |
| Globus Medical | 3 | $114 |
| Monteris Medical Corporation | 1 | $99 |
| Boston Scientific | 2 | $49 |
| Smith+Nephew | 1 | $44 |
| Johnson & Johnson | 2 | $44 |
| Zimvie Inc. | 1 | $36 |
| Providence Medical Technology, Inc. | 1 | $25 |
| Stimwave Technologies Incorporated | 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.
- The Tether$293
- Bolt Navigation$286
- BIOLOGICS$245
- Mazor X Stealth Edition$157
- nanoLOCK-L$132
How this compares
$3,976 in reported general payments places this provider in the 25th percentile of 30 orthopaedic surgery of the spine providers in Nevada.
See all orthopaedic surgery of the spine providers in Nevada →
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 orthopaedic surgery of the spine in Henderson
- Kevin SharifHenderson$262K
- Amit ParekhHenderson$71K
- Kornelis PoelstraLas Vegas$2.2M
- George ElkanichLas Vegas$322K
- John ThalgottLas Vegas$320K
- John HalkiReno$129K
- Mark KabinsLas Vegas$118K
- David SingReno$109K
- Hugh BassewitzLas Vegas$54K
- Daniel LeeLas Vegas$52K
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.