Rueben Nair, MD
Orthopaedic Surgery · Carson City, NVNPI 1578858858
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (44.9%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 31 manufacturers reported payments, led by Arthrex at 56.6% of the total. 2025 is the largest year on record at $14,549, 3.1 times the $4,652 reported in 2019.
Across 146 payments — averaging $198.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$16K
- Stryker$5K
- Sequoia Surgical, Inc.$2K
- Smith+Nephew$2K
- Evolution Surgical, Inc$1K
- Medical Device Business Services, Inc.$838
- plus $2K from 25 others
What the payments were for
- Consulting fees$13,00045%
- Travel & lodging$8,87831%
- Food & beverage$5,08118%
- Education$1,9997%
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 |
|---|---|---|
| Arthrex | 34 | $16,377 |
| Stryker | 37 | $4,514 |
| Sequoia Surgical, Inc. | 3 | $1,975 |
| Smith+Nephew | 13 | $1,776 |
| Evolution Surgical, Inc | 7 | $1,018 |
| Medical Device Business Services, Inc. | 5 | $838 |
| Cornerstone Medical Associates, Inc. | 1 | $761 |
| Johnson & Johnson | 4 | $418 |
| Zimmer Biomet | 4 | $273 |
| Miach Orthopaedics, Inc. | 1 | $197 |
| Vericel Corporation | 7 | $181 |
| Goode Surgical Inc | 4 | $68 |
| Bioventus LLC | 4 | $65 |
| Pacira Pharmaceuticals Incorporated | 2 | $56 |
| Pacira Therapeutics, Inc. | 3 | $49 |
| Surgical Specialties Corporation (US), Inc. (dba Corza Medical) | 1 | $48 |
| Next Science LLC | 1 | $42 |
| Sanofi-aventis U.S. LLC | 1 | $36 |
| Kowa Pharmaceuticals America, Inc. | 2 | $33 |
| Vertex | 1 | $28 |
| Amgen | 1 | $27 |
| AbbVie | 1 | $24 |
| Biogen | 1 | $23 |
| Moximed, Inc | 1 | $22 |
| Endo Pharmaceuticals Inc. | 1 | $20 |
| Tactile Systems Technology Inc | 1 | $19 |
| Trevena, Inc. | 1 | $18 |
| Trice Medical, Inc. | 1 | $14 |
| Pfizer | 1 | $13 |
| KCI USA, Inc. | 1 | $12 |
| Kinex Medical Company LLC | 1 | $12 |
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.
- MAKO$1,829
- HEALIX$1,047
- BRISTOW-LATARJET$800
- INTRAFIX$800
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$791
- Elite Hip Instruments$751
- SPEEDLOCK HIP$751
- ARTHREX$600
- Hip Pac$551
- HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET$521
- PIVOT PORTAL ENTRY KIT$514
- DYNACORD$225
- Bioinductive Implant with Arthroscopic Delivery System - Medium$135
- Q-FIX$133
- ACCUPASS DIRECT Crescent XL$133
- BIORAPTOR$133
- HIPMAP$119
- MACI$111
- OVB1 HD$108
How this compares
$28,957 in reported general payments places this provider in the 85th percentile of 135 orthopaedic surgery 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Diclofenac Sodium | 106 | $887 |
| Celecoxib | 18 | $403 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 30 | $371 |
| Oxycodone Hcl | 20 | $118 |
| Tramadol Hcl | 33 | $88 |
| Cyclobenzaprine Hcl | 16 | $87 |
| Pregabalin | 11 | $73 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Carson City
- Jeffrey CummingsCarson City$25K
- Marco MendozaCarson City$11K
- Nicholas DirigCarson City$9K
- Mark BarryLas Vegas$9.5M
- Erik KubiakLas Vegas$7.8M
- Russell NevinsLas Vegas$1.5M
- Vladimir SinkovLas Vegas$434K
- Robert TaitHenderson$365K
- Ronald HillockLas Vegas$275K
- Galen KamLas Vegas$270K
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.